Sarah E. Bauman

*** ***** ***** **** **********, SD 57032

605-***-**** ad1onn@r.postjobfree.com

Experienced medical transcriptionist with fifteen plus years of expertise and proven success in a fast-paced healthcare setting

Education And Achievements

Associate of Applied Science, Medical Coding: Professional and Facility

Southeast Technical Institute, Sioux Falls, SD

Graduated May 2023 with Honors

Associate of Applied Science, Medical Transcription and Coding

Southeast Technical Institute, Sioux Falls, SD

Graduated May 2006 with Honors

Coursework, General Studies

University of South Dakota, Vermillion, SD

Sept 1993-May 1994

Relevant Coursework

Anatomy, Pathophysiology, Pharmacology, Medical Terminology, and Advanced Medical Grammar

Disease Processes I and II and Computer (Access, Excel, Word, Publisher, PowerPoint)

Ethics, Compliance, Insurance Billing and Reimbursement

Medical Transcription I, II, and III

Coding I, II, and III including CPT and ICD-10

Professional History

REVENUE RECOVERY SPECIALIST/ PATIENT FINANCIAL SERVICES

Avera Health Systems, Sioux Falls, SD

April 2023-current

Responsible for monitoring and appealing managed care, government and commercial payer claims (outpatient and inpatient) for Avera McGreevy, Avera McKennan Hospital and most facilities in their NE, IA and MN healthcare system to optimize revenue recovery.

Maintain a proficient knowledge of payer claim and appeal timely filing limits.

Investigate appeals vs adjustments.

Effectively communicate reimbursement issues to HIM and management.

Process and submit corrected claims in accordance with the third-party payer timely filing limit.

Adjust various balances to the payer or beneficiary depending on contractual adjustment or medical necessity/experimental/untimely adjustments.

Thoroughly document and reassign unfavorable appeal responses to begin 2nd/3rd level appeals, if applicable.

Work hand-in-hand with the managed care, government and commercial payer departments as well as billing and coding.

Access all payer provider portals to verify claim status, process appeals and/or send corrected claims.

FRONT OF HOUSE/REVENUE CYCLE MANAGEMENT

Allure Health (Infectious Disease, Psych, Primary Care, Hospitalists), Sioux Falls, SD

May 2022-April 2023

Provide excellent customer service in a variety of positions from greeting patients to processing and applying account payments.

Register and schedule new and established patients for Infectious Disease, Psychiatry, Primary Care and Hospitalist services working seamlessly with various facilities within South Dakota as well as register patients for infusion services, labs and nursing visits.

Assist patients/nurses/providers with Telemed services.

Work hand-in-hand with providers and nurses to obtain accurate follow-ups/recalls and ROIs.

Work hand-in-hand with billing/coding department regarding insurance verification and proper billing or resubmission of claim but obtaining eligibility reports through various insurance provider portals.

Assist with billing questions and provide payments options either via portal, email or in person.

Obtain VA Authorizations, Medicaid Referrals, Work Comp information on behalf of patients to aid in proper billing and fluid scheduling.

HIPAA guidelines always obeyed.

PATIENT SERVICE REPRESENTATIVE

Sanford Clinics (Fam Med/Peds, Specialty), Sioux Falls, SD

Mar 2021-May 2022

Provide excellent customer service in a variety of positions in a fast-paced clinical setting.

Register new and established patients for acute visits, walk-ins, nurse/lab visits and screenings.

Schedule patients for a multi-specialty clinic utilizing the Epic platform.

Answer phones timely and professionally, accurately enter new and update existing insurance, submit new and assign existing Medicaid referrals, verify patient demographics adhering to HIPPA, check patients in and out of appointments and create accurate recalls for future care, educate patients on MyChart and set up new accounts, forward prescription requests and physician callbacks electronically, and securely forward ROI requests and vaccination records.

MEDICAL TRANSCRIPTIONIST AND EDITOR

Avera McKennan Hospital, Radiology and Breast Center, Sioux Falls, SD

Mar 2018-Jan 2020

Split time between medical editing for the Radiology Department and a medical transcriptionist for the Avera Cancer Institute/Breast Center.

Duties at the hospital solely consisted of editing/correcting medical terminology or grammatical errors in all reports including CT, MRI, ultrasound, PET, X-ray, etc. from radiologists throughout the Avera Health Systems, including some ESL, through PowerScribe.

Responsibilities with the Breast Center were interpreting and transcribing mammograms, biopsies, ultrasounds, and other breast-related procedures whether on-site or at one of several satellite clinics in the Avera Health System as well as deciphering hand-written mammogram and procedure reports from on-site radiologists.

Regardless of work location, duties included communicating effectively with radiologists and other medical professionals/facilities while providing the strictest quality standards and maintaining confidentiality whether in person or by phone, faxing STAT reports to referring physicians if directed to do so.

Whether working alone or assisting other medical staff in handling joint efforts for initial cancer education, HIPAA guidelines were always obeyed.

GAP IN EMPLOYMENT

Full-time caregiver, grandmother with stroke

Aug 2016-Mar 2018

Aided in regular speech and physical rehab.

Regularly performed gentle exercises to regain leg and hand strength.

Aided in activities of daily living (dressing, showering, eating, medication management).

Assisted in swallowing and grip strength exercises.

Regularly checked blood pressure several times a day keeping a daily log of pressures.

Provided regular transportation to various specialty appointments.

PATIENT SERVICE REPRESENTATIVE (FLOAT)

Avera Specialty Clinics, Sioux Falls, SD

May 2015-Aug 2016

Floated between various specialty departments within Avera Health Systems with a variety of responsibilities.

Assisted with updating crucial information in databases within strict deadlines at Avera Transplant.

Performed extensive billing duties and scheduled all physician meets/sessions with patients as well as checked in patients at Avera Dialysis.

Regardless of work location, answered phones professionally, handled insurance inquiries/updates with accuracy, checked patients in and out, scheduled follow-ups as necessary, accurately registered new patients and electronically forwarded prescription requests and physician callbacks all while adhering to HIPPA.

MEDICAL TRANSCRIPTIONIST AND PATIENT SERVICE REPRESENTATIVE

Avera Medical Group, Harrisburg, SD

Nov 2006-May 2015

Transcribed dictation for numerous physicians in a professional and timely manner while maintaining adequate line/word count in a multi-specialty clinic – also Urgent/Acute Care dictation.

Performed numerous PSR duties such as answering phones in a professional manner, setting up new patient accounts, scheduling patients, handling insurance inquiries/updates, processing ROI requests, taking refill requests and handling medical records while respecting HIPPA.

Maintained strict quality standards whether transcribing physician voice files or performing PSR duties.

Skills and Experience

Proficient computer skills in a Windows environment

Knowledge of anatomy, physiology, medical terminology, and computers

Excellent written and verbal communication skills, including English usage, grammar, and punctuation

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