Edwina

Cornish

Medical Appeals Analyst

Experience Education

MedStar Health, Baltimore — Medical

Appeals/Grievances Analyst

May 2017 - June 2018

Manage member and provider medical

appeals/complaints/grievances for Maryland and the District of Columbia.

Served as a member advocate

Interfaced and communicated directly with members, staff and physicians.

Served as lead resource and completed detailed

documentation on information to medical

appeals/complaints.

Assisted with the collection of quality improvement data.

MedStar Family Choice, Baltimore — Outreach

Coordinator

July 2014 - August 2017

Communicate and educate members about

wellness initiatives and annual services.

Maintain outreach initiative within HEDIS

standards and EPSDT goals.

Manage contracts and communicate with

member’s Primary Care Physicians.

Operated program within regulatory guidelines

and strive to exceed VBS incentive range and/or

meet EPSDT goal.

MedStar Physician Partners, Baltimore Company —

Office Coordinator (Front Desk Supervisor)

July 2010 – June 2014

Function as a backup resource for administrative positions within the practice.

Worked as a patient advocate and handled

complaints and communication about billing and

collections to gain satisfactory resolution.

Community College of Baltimore

— Certificate Medical Terminology

January 2000

Carver Vocational Technical

High School, Baltimore — HS

Diploma

September 1972 - June 1976

CPR Certification, Baltimore —

CPR

July 2008

Skills

Proficient in Practice

Management System.

Supervising, Training Front Office

Staff.

Centricity Medical Record

System.

Medical Terminology

Billing/Collections

Prepares and Submits Payroll.

Excel

Microsoft Words

Data Entry

IDX Training

Served as a liaison to the billing and collection agency to maintain a good working relationship.

Advanced departmental goals and objectives while adhering to departmental policies, procedures,

quality and safety standards.

Implement, monitor and reinforce MedStar Physician Partner policies and procedures.

Oversee and audit the balancing of cash receipts and preparing the daily deposits and end of shift

reconciliation.

Perform user audit functions related to staff inputting data into the Practice Management System.

Worked with physician staff to reconcile coding

problems.

MedStar Physician Partners, Baltimore — Office Manager June 2007 - July 2010

Manage the outpatient Pediatric Department.

Administrate over payroll, hiring and

onboarding new staff, verification of credentials.

Participate in management meetings to obtain

standards for employee evaluation, review new

trends or procedures

Manage master schedule

Participate in organizing and scheduling state

audits.

Lead monthly staff meetings, act as liaison for

outside agencies.

MedStar Union Memorial Health, Baltimore — Clinical Secretary

July 1997 - January 1999

Worked as part of floater’s pool across various

departments within the hospital including unit

secretary, transport team member and food

service.

Contact

1022 Richnor Avenue

Baltimore, MD 21212

443-***-****

ad00ph@r.postjobfree.com

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