Medical Records Corpus Christi
Resume:
Bianca Guzman
Corpus Christi, TX *****
*************@*****.***
To re enter the medical field, after having a year off. Would love to work in an environment that would allow me to expand my current knowledge in the medical field. Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Referral Specialist
Superior centene corporation - Corpus Christi, TX
June 2020 to January 2023
Receive admission request from urgent facilities. Process request. Verify insurance and any additional insurance member might have obtain authorization and request medical records if required for authorization for admission authorization. Answer phone calls and assist with any additional request that would assist member with the necessary needs to be released from urgent care Medical Office Specialist
Amistad Community Health Center - Corpus Christi, TX October 2016 to June 2020
Greet patients, answer phones, scheduling appointments, conduct quick intake applications, collect information such as income, address, check stubs, or other program required forms and calculate monthly income accordingly. • Preparing superbills and verify insurance copay and deductible if required for procedure. • Advise patient of cost for upcoming procedure, print labs, X-rays and medication list. • Scanning medical records into EHS.
Customer Service Aid I
Driscoll Children's Hospital - Corpus Christi, TX
January 2015 to March 2015
Gather information such as income, address, Medicaid, Temporary Assistance of Needy Families (TANF) documentation, check stubs, or other program required forms and calculate monthly income accordingly. • Complete forms on each WIC participant according to category. • Gather and record the height and weight of each applicant using pediatric and adult scales and measuring equipment.
• Prepare and update graphs and records. • Conduct hemoglobin test by finger stick. • Call clients to remind them of their appointments, prepare missed appointment and future appointment reminder letters weekly. • Attend health fairs and other community outreach events to promote the WIC program and nutrition related classes. • Provide customer service by assisting clerks in answering phones, scheduling appointments, conducting quick intake applications, greeting clients, preparing and filing charts and performing other duties as assigned.
Medical Records Coordinator
Corpus Christi Cancer Center - Corpus Christi, TX
January 2013 to June 2013
Release of medical records to hospital, conduct authorization checks for validation on all records before the release, copy and refilled and package records for mailing effectively develop telephone communication skills. • Process patient admission or discharge documents. • Identify, compile, abstract, and code patient data, using standard classification systems. • Transcribe medical reports. • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings. • Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds. • Manage the department or supervise clerical workers, directing or controlling activities of personnel in the medical records department. • Receiving all medical documents also received EOB's and assisted with payment posting to correct procedures and apply correct patient payments to correct account if patient had several accounts for different doctors in clinic records. • Verify correct patient information scan and file all records electronic, review all medical records request, assist with patient scheduling, and confirm appointments.
• Ensure all records X-Rays lab or previous treatment record are received verify patient insurance and contact are updated and correct.
Customer Service Rep/Call Center
First Data Corporation - Corpus Christi, TX
May 2010 to August 2011
Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken. • Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints. • Check to ensure that appropriate changes were made to resolve customers' problems.
• Determine charges for services requested, collect deposits or payments, or arrange for billing. • Contact customers to respond to inquiries or to notify them of claim investigation results or any planned adjustments. • Refer unresolved customer grievances to designated departments for further investigation. • Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
• Complete contract forms prepare change of address records, or issue service discontinuance orders, using computers. Solicit sales of new or additional services or products. Medical Records Coordinator
Lynnhaven Nursing Home - Corpus Christi, TX
March 2003 to June 2004
Review records for completeness, accuracy, and compliance with regulations. • Retrieve patient medical records for physicians, technicians, or other medical personnel. • Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer. • Release information to persons or agencies according to regulations. • Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care improvement efforts. Process and prepare business or government forms. • Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze information. Process patient admission or discharge documents. • Assign the patient to diagnosis-related groups (DRGs), using appropriate computer software. • Identify, compile, abstract, and code patient data, using standard classification systems. Transcribe medical reports. • Resolve or clarify codes or diagnoses with conflicting, missing, or unclear information by consulting with doctors or others or by participating in the coding team's regular meetings. • Compile medical care and census data for statistical reports on diseases treated, surgery performed, or use of hospital beds Train medical records staff.
Education
GED
Del Mar College
Skills
• Skills
• Proficient Microsoft Word, Outlook, and Excel (Scheduling) (10+ years)
• Medical Office Experience (10+ years)
• Transcription (3 years)
• Order Entry (3 years)
• Medical Records (10+ years)
• Statistics (5 years)
• Insurance Verification (10+ years)
• EMR Systems (5 years)
• Medical Receptionist (10+ years)
• Medical Scheduling (10+ years)
• HIPAA (10+ years)
• Medical Terminology (10+ years)
• Epic (5 years)
• Medical Billing (5 years)
• Anatomy Knowledge (5 years)
• Patient Care (10+ years)
• Customer service
• Typing
• Documentation review (5 years)
• Spanish (10+ years)
• English (10+ years)
• Communication skills (5 years)
• Filing (2 years)
• Office experience (10+ years)
• ICD-10 (3 years)
• Computer literacy (1 year)
• Computer skills (5 years)
• ICD coding (7 years)
• Managed care (Less than 1 year)
• ICD-9
• CPT coding
• Medical coding
• Attention to details and able to multi task
• Medical records
• Medical coding
• Medical terminology
• ICD-10
• Typing
• Epic
• EMR systems
• ICD-9
• Customer service
• HIPAA
• Clerical experience
• ICD coding
• Order entry
• Anatomy knowledge
• Hospital experience
• Documentation review
• Data collection
• Supervising experience
• Office management
• Driving
• Payroll
• Cash handling
• Research
• Cash register
• Marketing
• Medical office management
• Vital signs
• Schedule management
• Filing
• Computer skills
• Time management
• Medical office experience
• Microsoft Office
• Accounts receivable
• Microsoft Word
• Microsoft Excel
• Data entry
• Dental office experience
• Dental receptionist
• Patient service
• Organizational skills
• Administrative experience
• Medical receptionist
• Medical administrative support
• Urgent care center
• Communication skills
• Microsoft Outlook
• Conflict management
• Ob/Gyn
• Insurance verification
• Bilingual
• CPT coding
• Medical billing
• Benefits administration
• Medical scheduling
• Spanish
• Computer literacy
• Health information management
• eClinicalWorks
• Patient care
• Intake
• Management
• Caregiving
• Managed care
• Pediatrics
• 10 key typing
• Basic math
• Front desk
• Phone etiquette
• Microsoft Powerpoint
• English
• Math
• EHR systems
• Medical collection
• Service writing
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