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Medical Records Customer Service

Location:
Mississippi
Posted:
July 21, 2024

Contact this candidate

Resume:

Astra Peterson Pero

Picayune, MS *****

*************@*****.***

+1-480-***-****

Customer Service/ Medical records specialist with years of experience in managing and maintaining medical records. implemented a risk/priority system for expedited email and chat requests, resulting in a 65% decrease in complaints from requestors. Strong leadership skills and the ability to adapt to changing environments. Attention to detail.

Committed to providing proficient and reliable services to support healthcare professionals and improve patient care.

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Medical Records Specialist

VERISMA SYSTEMS, INC-Phoenix, AZ

June 2022 to July 2024

• Process expedited requests for medical records, audits, and billing.

• Process medical ROI requests in a timely and efficient manner.

• Process requests utilizing Verisma software applications.

• Support the resolution of HIPAA-related release issues.

• Organize records and documents to complete the ROI process.

• Provide exemplary customer service in person, on the phone, via chat and via email, depending on location requirements.

• Utilize reference material provided by Verisma to ensure compliance and confidentiality is always maintained.

CSR II

VERISMA SYSTEMS, INC-Phoenix, AZ

August 2021 to June 2022

• Support customer service calls for multiple lines of business Proficient in the use of Department resources (CS Notebook, Protocols, VRM, etc.) Receive inbound email or chat inquiries from requester clients regarding patient medical records (Avg. 10-12 per hour)

Manage customer concerns and questions regarding the status of requests, invoice/fee issues, request remediation, etc.

Actively document chat/email details in VRM and RingCentral during call handling to ensure timely resolution (ACW >40 seconds)

Respond to all chats/emails in a professional manner consistent with identified standards and metrics

(QA Score of >93)

Manage request queues for client support made via chat, voicemail and/or email (20 per hour) Ability to data enter request

Maintain positive relationships with customers and ROI requestors (attorneys, insurance companies, state disability

offices, record copy services, peer organizations, doctor’s offices, patients, and others) Maintain strong knowledge of HIPAA, HITECH, state/federal rulings, and statutes, as well as customer- specific requirements

Consistently achieve a “Working Rate” of >85%

Ensure that queued calls are answered timely (Call refusal average of >1 per day) Line Cook/Prep Cook

Matty Gs Steakburgers-Phoenix, AZ

October 2020 to August 2021

Prep cook for steakhouse

Cashier/Customer Service

Jamba Juice-Phoenix, AZ

December 2019 to October 2020

Cashier/crew at a smoothie shop

Medical Records/ ROI Specialist

St. Luke's Rehabilitation Institute-Phoenix, AZ

February 2018 to January 2020

Collaborate with IT department to ensure the smooth operation of the document storage and retrieval system, and troubleshoot any issues that may arise. Develop and implement strategies to improve the efficiency and accuracy of medical records retrieval and storage processes.

Ensure compliance with all regulatory requirements pertaining to document storage and retrieval, including HIPAA guidelines.

Ensure that all medical, billing records are properly coded and classified according to hospital and industry standards.

Medical Records Specialist

Southwest Behavioral Health Services-Phoenix, AZ

February 2015 to March 2019

Process medical records for recovery-based services in a secure environment for consumers in varying levels of crisis. Takes leadership role in operating unit in manager's absense. Responsible for contributing to and creating a recovery based environment. Ensures documents are complete for medical service plan. Caseworker

AHCCCS - Arizona Health Care Cost Containment System-Phoenix, AZ August 2018 to February 2019

• Maintain a caseload of 70 clients

• Investigate customer grievances and other non-compliance issues.

• Collaborate with clinical team to create best care plan for the patient.

• Inspect data to detect areas for improvement and report on results of quality activities

• Assist patient with adls, transport patients as needed, and take actions in accordance with these needs to ensure competent care for the patient.

Records File Clerk

All About People-Phoenix, AZ

March 2016 to December 2018

Provide excellent customer service to clients and others by following company standards of care Completed coding and classification of documents for State of Arizona Adult Protective Services. Maintained an accurate spreadsheet of patient information for timely service to the patients and their care team.

Behavioral Health Technician

Southwest Behavioral Health Services-Phoenix, AZ

March 2016 to May 2018

Crisis Recovery unit 1&2

conducts assessments, assists members with resources within the community, and provides coordination of care inside and outside of the agency.

Employment Specialist

Warehouse, VALLEYLIFE-Phoenix, AZ

February 2015 to September 2016

• Accurately document client progress, milestones and goals including barriers to success to maximize community immersion and job retention

• Ensure state and federal of Department of Labor regulations contain time study standards and the required documentation •

Assists in the facilitation of employment opportunities for individuals and contract opportunities for the organization

Develop and maintain relationships with local employers to identify potential job opportunities for clients Collaborate with warehouse managers to identify job opportunities for clients with VALLEY-LIFE Case Manager

Terros Health-Phoenix, AZ

January 2010 to June 2012

Managed caseload of 30 clients. Completed assessments monthly. Assisted clients with adls, transportation to appointments, medication management. Conducted groups weekly. Completed home visits.

Education

Certification in Medical Billing & Coding

Phoenix College - Phoenix, AZ

January 2023 to Present

Certificate in Medication Technician

Beacon College - Remote

June 2023 to June 2023

Associate's degree in Medical lab technology

Carrington College - Phoenix, AZ

August 2018 to February 2020

Certification in Practical Nursing

Apollo College - Phoenix, AZ

August 2007 to July 2008

High school diploma in General Studies

C.E. Byrd High School - Shreveport, LA

September 1992 to January 1996

Skills

• Proficient Management & leadership skills: Planning & execution Written communication Call center customer service Food safety Work style: Conscientiousness

Work style: Reliability Risk management

Relationship building Process improvement

Research and analysis

LINKS

LinkedIn

• Customer service

• EMR systems

• Medical billing

• Auditing

• Data entry

• Writing skills

• English

• Computer skills

• Communication skills

• Medical terminology

• Microsoft Excel

• Microsoft Office

• Health information management

• Microsoft Word

• Medical office experience

• Epic

• Microsoft Powerpoint

• Windows

• Records management

• Microsoft Outlook

• ICD-10

• EHR systems

• Driving

• Microsoft Access

• HIPAA

• Administrative experience

• Medical records

• Clerical experience

• Document management systems

• Hospital experience

• Information management

• Typing

• Delivery driver experience

• Mobile devices

• Payroll

• Conflict management

• Time management

• Call center

• eClinicalWorks

• Social listening

• AWS

• SharePoint

• Presentation skills

• Adobe Acrobat

• Research

• Computer networking

• Quality assurance

• Proofreading

• Data collection

• Microsoft Project

• Training & development

• Healthcare management

• Classroom experience

• Human resources

• Child protective services

• Experience working with students

• Supervising experience

• Nursing

• Pediatrics

• Special education

• Cash handling

• Childcare

• Cooking

• Preschool experience

• Office experience

• Law office

• Organizational skills

• Insurance verification

• Athenahealth

• Workers' compensation law

• Workers' compensation

• Analysis skills

• Cash register

• Kitchen experience

• Recreational therapy

• Serving

• Live chat

• Leadership

• Grocery store

• ICD-9

• Hospitality

• Basic math

• Behavioral Health

• Customer service

Links

http://www.linkedin.com/in/astra-peterson-pero-378b651b Certifications and Licenses

Medical Billing Certification

Certified Medication Technician

Level 1 Fingerprint clearance card

March 2022 to December 2026

First Aid Certification

July 2023 to July 2025

Driver's License

March 2022 to March 2039

BLS Certification

RHIT

Non-CDL Class C

Medical Billing Certification

CPR Certification

AED Certification

LPN

Licensed Psychiatric Technician

Professional In Human Resources



Contact this candidate