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Customer Service Medical Record, Scheduler, data entry, Heid's review

Location:
Oceanside, CA
Posted:
February 03, 2024

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Resume:

Mitra Tinati

Oceanside, CA *****

Cell: 805-***-****

Email: ad3cg5@r.postjobfree.com

CAREER GOALS:To work full time in Insurance Claim Processing & File Support, Customer Service, Billings & Coding, Computer Information System, Data Processing, Database Management, Office Management, Medical Record Supervisor, in an organization that utilizes my skills and encourages career growth/ personal development, and advancement.

EDUCATION:

1990-1993 Associate Degree in Computer Information Systems (CIS) and Programming, Athens Technical College, Athens, Georgia. Attended college on a part time and full-time basis taking courses in programming languages such as COBOL, C, and RPG. As part of the requirements for the completion of the degree, I also took courses in related disciplines such as Computerized Accounting, Operating Systems, File Management, Database Management and Technical English. I also worked with a variety of software packages such as word processing (Word Perfect, Word), Spreadsheet, (LOTUS, dBase, Quattro, Excel, Access), etc. 1993-1994 Took Continuing education courses such as Statistics, Management Information System, Windows, etc. At Present familiar I am well versed with Windows XP operating system and the related software such as MS Office products. WORK EXPERIENCE:

Jan 2022-Present Medical Support Assistant and scheduler : VA Clinic, Oceanside, CA. The primary duties of MSA will be serving as a clinic clerk and is a foundational role within the VHApatient. At VA as MSA helps medical teams and pharmacy to focus on providing quality healthcare to Veterans. MSA are part of a dynamic team that fields phone calls and directly interacts with Veterans and their caregivers to help prioritize calls based on medical need and urgency schedule appointments. I am part of the team that enhances the delivery of healthcare by providing a seamless, efficient, safe, and reliable healthcare environment. Sep2021- Jan2022 Hospital Assistant 3/Patient Registrar; UC San Diego Health Business Office typical duties include greeting and directing patients/visitors/staff, registration completion, authorization and billing verification, collecting payment fees, operating CRT to gain or input patient information using EPIC systems. Duties may be performed in person or by phone. Job also includes screening at hospital and clinic entrances.

Jan2021-Aug 2021 Medical Record/HIM Coordinator: Camino Health Clinic; Lake Forest, CA Gathers patient information by collecting demographic information from a variety of sources, interacting with registration areas and physicians’ offices. Maintains master patient index by completing assigned portion of daily audit trail Initiates the medical record by creating/ processing the patient care record folder. Retrieves medical records by following chart-out procedures; documenting reasons charts can’t be retrieved for statistical and follow-up purposes. Delivers charts to assigned areas of hospital by following established routing. Maintains patient confidence by keeping patient records information confidential. Enhances medical records and hospital reputation by accepting ownership for accomplishing new/ different request; exploring opportunities to add value to job Accomplishments. Processing medical record requests by taking calls from patients, insurance companies and attorneys to provide medical record status 2019-2020 Heid’s Review Coordinator II: Aetna / CVS Healthcare; San Diego, CA assignment may encompass medical chart abstraction from medical records received online for the HEDIS project and data entry of all assigned medical records into the applicable software system. Provide patient lists to provider offices via fax. Locate and review all assigned medical charts, perform abstraction, copy all supporting documentation per specifications and data enter in the applicable software system all assigned abstracts. Meet assignment deadlines. Online data abstraction and data entry of the medical information that is needed. Complete assigned abstraction and data entry each day. Perform follow-up calls to all offices assigned. Attend conference calls as assigned. 2016-2020 Charts/Data AbstractionCollector/ Medical Record Clerk;Inovalon Health Care. I travel to medical facilities in specified area to complete charts audits, Heid’s abstractions review as assigned by Inovalon by using EHR with different software system for example office Ally, All Scripts, Next Gen to retrieve patient information for billing discrepancy and scan relevant components of the medical record to support reviews performed and Electronically upload completed assignments onto Inovalon laptop at the end of assignment as well as performs a variety of duties to facilitate the maintenance of accurate and Complete patient records and to provide efficient medical record services. Understands legal requirements regarding the release of information and demonstrates the knowledge of what information can be released to other providers, insurance companies and family members. Understands when an authorization is required and demonstrates the ability to properly explain requirements to requesters. Accurately assists physicians with completion of records. Communicates with physician’s staff regarding delinquent records. Abide by all HIPAA and associated patient confidentiality requirements.

2013-2015 Take an educational course through Universal Class in medical billing/coding.I got my CEU certification on coding with an authorized IACET provider. 2010-2012 Medical Records Release of Information Specialist:Pleasant Valley hospital, Camarillo, CA.Duties oversees the release of information, scanning/indexing, and subpoena processes. Ensures compliance of Health Information requests and handling, including scanning medical releases and subpoena procedures with applicable federal and state legal requirements. Conducts internal random audits to ensure health record Integrity and participates in external audits. 2010-2010 Enterprise Consulting Solution: Tampa, FL; Medical Records Retrieval Specialist.To travel to provider offices within the region, copying records from the paper chart, printing records from the electronic record and scans EMR or medical records into a secure system. Use a laptop computer and a portable scanner to retrieve sections of medical records which will be uploaded into a corporate data center through ECS imaging application. 2009-2010 The Coding Source: Los Angeles, CA;Medical Records Field Technician duties include retrieves medical record information from provider physician offices through reviewing, auditing, pulling, copying, indexing, assembling, scanning medical charts at various medical offices and Upload scanned medical charts to a corporate data center through TCS imaging application. 2007-2008 Arthritis, Rheumatology, Osteoporosis Clinic: Dunedin FL;Medical Receptionist.Utilizing computerized appointment scheduling, canceling, rescheduling, checking-in/checking out patients using Visionary software systems. Assisted with office file management and patient support, answering busy phones, pulling, prepping charts for next day appointments. Verifying insurance eligibility, data entry and/or updated patient demographics information in medical databases. Handling RX refills, organizing, filling charts, processing physician’s referrals, retrieving medical reports and records, confirming appointments & prior authorizations for PPO, HMO and Medicare insurance plans, collect co-pays & outstanding balances and maintain tracking and retention of record using encounter information in Visionary, electronically submit claims in accordance with agreed frequency.

2006 -2007 HCA, Patient Account Services: Palm Harbor, Florida;Office Assistant.I was responsible for daily payment postings using Lawson software systems. I also assisted with payroll processing function including but not limited to entry and maintenance of time keeping edits, adjustments voluntary deductions, involuntary deductions, and review analysis of applicable payroll reports. 2003-2005 Pinellas County Health Departments: Clearwater, Florida; Medical Records Clerk.I was responsible for the management and organization of the patient medical records; both electronic and hard copy in compliance with all regulatory and confidentiality requirement; maintain the hard copy files in appropriate order, facilitate matching of all labs and consults for physician review, file contents into hard copy records in an orderly fashion, scan and attach appropriate documents to patient electronic records with accuracy, pull and attach patient messages and distribute for physician review, pull and attach prescription refills for physician review, pull charts and attach messages for nurse/MA review, copy and/or printing of records for transfer, maintain tracking of records transfers and copying and copy records for patient needs. Purge medical records yearly as required. Checked client information system or macro patient index files to determine if the client is new or has previous admissions. I evaluated all subpoenas prior to release.

2001-2002 Rue Educational Publisher: Clearwater, Florida; File Clerk. Responsible for Sorting, Organizing, Updating, Modifying, Scanning, Printing, Faxing, and copying files.

2000-2001 EDIX Medical Transcription Co: St. Petersburg, Florida;Operation Support Clerk.Responsible for Updating, Modifying, Validation, Correction, and Revision of confidential client information in connection with medical transcription and Hospital DataBase information in windows environment. 1997- 2000 Vault Teller:Nations Bank; Tampa, Florida.Provided computerized support in ATM deposit verification and adjustments, as well as associates in the Teller position are responsible for demonstrating leadership, operating a full-service Teller window, maintaining inventory of all negotiable item, protecting vault combinations and handle key control, monitoring adherence to policies and procedures and report deviations, organizing the teller function to maximize efficiency, participating in on-the-job training for new tellers, and monitoring teller conduct ensuring transactions are handled with speed and accuracy, and customers are addressed with courtesy and appreciation. 1994-1997 CUSTOMER SERVICE AND SALES ASSOCIATE:

Worked part and full-time as a sales associate at JCPenney, Georgia Square Mall in Athens, Georgia. I also worked in stock inventory and revision of sale prices. While on the job I independently studied and developed proficiency with WINDOWS 95/98 operating systems and all the associated software

(spreadsheet, word processing, data base).

1982-1990 Elementary School Teacher: Tehran, Iran. Conducted the second and third grade elementary school classes. While teaching during the day, I took English classes in the evening to supplement my education and prepare for college in the USA.

REFERENCES

Vanessa Castrejon, 22481 Aspan St A, Lake Forest, CA 92630 949-***-**** Sandra Gonzales, 1600 N Rose Ave, Oxnard CA 93030 805-***-**** Sherri Troullier, 1625 Sweetwater Rd, National City, CA 91950 504-***-****



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