Data Entry Customer Service

C A R E E R P R O G R E S S I O N

QTC – MEDICAL EXAMINATION / QA

SPECIALIST

TONYA L. BOX-HUBLEY

San Antonio, TX 78253

210-***-**** ********@*****.*** **********@*******.*** SEASONED QUALITY ANALYST / Medical Editor/Provider Liaison Highly-accomplished Medical QA, Provider Liaison, Customer Service Specialist, Data Entry Specialist, and Medical Website Designer with extensive practice in composing and designing original medical content with attention to branding company capabilities, ensuring Medical Disability Examination/Claim reports as well as Disability Benefits Questionnaires are complete and comply with VA requirements. Enthusiastic Medical Professional proficient in confirming provider dictated/written content, diagnoses, progress notes, and testing to verify quality and accuracy for the Veterans Administration, as well as Social Security providers. Highly accomplished verbal and written communication skills with medical professionals, as well as editors. Diagnosticians, etc. Self-starter equipped with strong verbal and interpersonal skills as well as superior organizational and leadership skills to meet strict deadlines with minimal supervision. Resourceful Specialist who leverages advanced decision making and communication skills to establish a positive and collaborative work environment in an organization/team. Medical Terminology QA Process & Methodology Claims Processing & Evaluation Project Management Accurate Data Entry Quantitative Research Excellent Oral & Written Communication Skills Coding & Billing Superior Customer Service Workforce Coaching & Mentoring HIPAA compliance

Robert Half/R1RCM / Medical, San Antonio, TX, 04/2022 – 01/2024 Exhibited detail-oriented and analytical skills in collecting and verifying pricing and discounts for self-pay and insured patients utilizing the Intermountain Medical System through the state of Utah for medical services of all types.

Robert Half/R1RCM – MEDICAL COST ESTIMATION

• Participated in a collaborative team setting to collect, review, and verify charges associated with the IMC system to include clinics, pathology laboratories, x-ray services and surgeries in order to provide valid pricing for patients utilizing the hospital system. Pricing provided for both self-pay and insured patients and including provider services, surgeons, anesthesiologists, etc.

● Provided phone services for patients in this same regard, to include explanation of payment contracts, discounts, and deductibles with the primary goal of being empathetic and understanding of patient situation and applicable circumstances.

● Established a long-lasting rapport and partnered with medical providers by exercising superb interpersonal skills to assist Veterans

QTC Management / Medical, San Antonio, TX, 07/2017 – 03/2020 Exhibited detail-oriented and analytical skills in supporting the operations of the organization, including ensuring that Disability Benefits Questionnaires’ consistent compliance with the quality and timeliness requirement of the Department of Veterans Affairs. Expertly Analyzed, Edited, Maximized Medical Evaluations and Medical Transcription

DATA ENTRY SPECIALIST

MEDICAL TRANSCRIPTION PROJECT MANAGER

● Fostered a collaborative team environment and improved team efficiency by reviewing as well as completing various forms pertinent to VA benefits claims, clarifying any issues that team members encountered with the documents.

● Established a long-lasting rapport and partnered with medical providers by exercising superb interpersonal skills to assist Veterans in with their well-deserved benefits and to remand claims with legal as well as medical documentation.

● Obtained an in-depth knowledge base of specialty and general medicine to perform proficient VA medical/pension evaluations and disability claim filings by attending a 9+ month training, which improved ICD-10 identification, as well as coding and billing.

● Ensured prompt reporting of assigned cases by performing daily queue maintenance on cases to check that the documents contain updated information and actions consistent with the data’s requirements were executed.

● Enhanced workflow process by competently assuring that appropriate and correct DBQs were completed as well as checking the availability of VA-required diagnostics for every contention claimed. GOODWILL INDUSTRIES SAN ANTONIO, San Antonio, TX, 01/2012 – 10/2016 Promoted from a data entry specialist to a project manager by demonstrating strong leadership and prioritization skills which roused team spirit and member's dedication to performing excellently even with minimal supervision.

● Expanded skills as well as knowledge by conducting research on newly identified diagnoses and medical proceduresto expertly and efficiently transcribe medical reports for a wide variety of healthcare providers in a hospital setting.

● Guaranteed data accuracy as well as internal consistency by performing qualitative analysis of records, boosting team productivity.

● Carried primary responsibility for evaluating and determining FMLA allowances and substantiation of FMLA claim.

● Carried primary responsibility for managing absence and having substitute employees in place for such occurrences.

● Saved company resources, such as time, by meticulously identifying and rectifying inconsistencies, deficiencies, as well as discrepancies in medical documentation while maintaining the confidentiality and strict compliance with HIPPA standards.

● Built positive relations with VA facilities as well as with medical professionals by retaining communications through answering phone calls to provide detailed responses to their various concerns and questions.

● Reconciled oral against written information, assuring accurate data entry within the computer system utilized by the company.

● Widened data entry capabilities, such as grammar and typing skills, by receiving feedback and training from supervisors to ensure a smooth work process within the team by entering accurate military personnel data within the VA HAIMS system.

● Supported the operations of the company by fulfilling various administrative tasks such as medical coding and invoice billing.

MEDISCRIBES/ CARDIOSCRIBES, Louisville, KY, 12/2002 – 05/2011 Received 2+ promotions by proficiently fulfilling clerical as well as managerial responsibilities while maximizing best practices.

● Developed 150+ nationwide employees’ competencies in the offered services of the company as well as in confidentiality by providing training and mentoring activities for the team members, ensuring proper dissemination of responsibilities.

MEDICAL TRANSCRIPTION MANAGER

E D U C A T I O N & P R O F E S S I O N A L D E V E L O P M E N T T E C H N I C A L S K I L L S

CO-OWNER / INSTRUCTOR / CUSTOMER SERVICE

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● Enhanced work quality by collaborating with providers and other medical professionals on matters regarding documentation policies, procedures, as well as regulations that produced thorough and correct reports.

● Enhanced facilitation of Human Resources (HR) Absence Management procedures, policies, tools, and standards.

● Raised brand reputation by treating all patients, their families, visitors, peers, and providers in a pleasant and courteous manner.

TRIDENT DIVE CENTER, San Antonio, TX, 01/1990 – 11/2002 Co-owner, diving instructor, underwater photography, Scuba Ranger instructor, customer service, and data entry/record keeping and reporting.

● Developed training programs, sales techniques, customer service and data entry procedures to integrate services with scuba diving training and travel.

● Enabled satisfactory customer service responses based on surveys and activities oriented towards safe and proper procedures and standards upheld worldwide by the diving communities.

● Provided ongoing data entry for programs worldwide in order to substantiate membership in forward moving, professional diving organizations to include detailed customer service to produce accomplished divers known for safety and standard adherence.

● Provided team member training in the offered services of the company as well as in confidentiality by providing training and mentoring activities for the team members, ensuring proper dissemination of responsibilities. EARLY CAREER:

MEDISCRIBES/CARDIOSCRIBES, Quality Control Specialist MEDISCRIBES/CARDIOSCRIBES, Acute Care Transcriptionist VERBATIM MEDICAL AND LEGAL TRANSCRIPTION SERVICES, Owner/ Operator Completed 236+ Units Towards Bachelor’s Degree in Speech Pathology and Audiology Our Lady of the Lake University, San Antonio, TX

Certified Medical Transcriptionist

AHDI, San Antonio, TX

Microsoft Word, Microsoft PowerPoint, Microsoft Outlook, Microsoft Excel, VA HAIMS, Adobe Acrobat, G-Suite

(Gmail, Google Drive), Windows, Mac OS

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