Customer Service Medical Records
Resume:
Kelsi Gaither Medical Auditor, Billing Auditor
Experience
Medical Records Auditor Hilltop Medical Services, Birmingham, Alabama FEB '17 - MAY '23
Customer Service Representative Protective Life Insurance, Vestavia, Alabama APR '13 - MAY '17
205-***-**** ad5vsq@r.postjobfree.com Alabaster, Alabama 35007 Dependable worker with knowledge of customer service, data entry, and records management. Highly organized and self-motivated, with excellent communication and interpersonal skills. Demonstrated ability to prioritize tasks and meet deadlines. Detail-oriented specialist with vast experience in medical coding, filing, and data entry. Possesses comprehensive knowledge of ICD-10 and CPT-4 coding systems and HIPAA regulations. Skilled in quickly and accurately organizing and maintaining records and patient data. Ambitious individual with strong organizational and multitasking skills, as well as an aptitude for technology. Ready to apply knowledge and skills to any challenge. Collaborated with physicians and staff to resolve any discrepancies related to the medical record audit process. Analyzed data for completeness, accuracy, and compliance with applicable regulations and standards. Developed corrective action plans when deficiencies were found in medical records or coding practices. Developed an understanding of Medicare Part A and B claims processing rules and regulations. Demonstrated excellent communication skills while interacting with patients, families and healthcare professionals during the auditing process.
Ensured that all changes made to medical records were accurately reflected in the EHR system. Reviewed medical records and patient charts to ensure accuracy of documentation, coding, and billing information. Performed audits on medical records to ensure accurate billing processes and proper reimbursement procedures. Adhered to HIPAA confidentiality practices regarding access to and release of patient health information. Resolved medical record discrepancies by collecting and analyzing information. Maintained knowledge of company products to provide helpful suggestions and recommendations to customers. Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts.
Displayed strong organizational skills while managing multiple projects simultaneously. Tracked all incoming calls and emails from customers using appropriate software applications. Met daily customer service quotas with a focus on quality. Remained open to feedback from supervisor and peers to build and improve skills set. Developed strong customer relationships and loyalty through effective communication. Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers. Addressed customers courteously using suitable methods and problem-solving skills. Assisted customers with product selection by providing detailed information about available products and services. Education
Wallace State Community college, Hanceville, AL
Relevant Coursework
SEP '22
Associate In Science (A.S.) In Medical Technology
Hayden high school, hayden
MAY '12
High School Diploma
Skills
Records Management Legal Requirements Computerized Maintenance Management Systems EPIC EMR Medical Terminology Understanding Medical Records Management Medical Billing and Coding Data Entry Informational Releases Transcribing Medication Statistical Data Analysis Customer Service Medical Histories and Vital Statistics Billing Oversight Diagnostic Procedures Medical Record Safeguarding HIPAA Compliance ICD-9 Coding EMR Systems Medical Translation Certifications
CCA CIC COC CRC
References
Madison Dunn
Onrise Medical Services
Medical Representative
Greg Thomas
Owner
Hilltop Medical Service
Cassidy Easterling
Champion Cleaners
Customer Service Representative
ICD-10 Basic Medical Terminology Pathopharmacology Ex Coworker
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Past Manger
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Friend
205054551
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