Data Entry Medical Records
Resume:
Felecia Elliott
Chesapeake, VA
*******.*.*******@*****.***
Passionate, dedicated employee successful in producing and multi-tasking within a fast paced
environment using exceptional interpersonal and communication skills looking to secure a
position that will effectively utilize my communication, analytical, administrative, and collection skills. Authorized to work in the US for any employer.
Work Experience
Pharmacy Cust Associate II
02/13/2024- current
•Handles patient prescription requests with HIPPA guidelines and refill orders for processing.
•Troubleshoots to obtain missing prescription information and interpret medical abbreviations (SIG codes).
•Resolve all data entry related exceptions
Utilization Management Rep 1 (Project Position)
03/01/2024-06/30/2024
•Processed in-patient admissions, outpatient services, non-covered services, etc.
•Assisted providers with getting the approval or denial letter
•Assisted providers with the Grievance & Appeal process
Customer Care Rep (GBD Provider Data Services Dept.)
07/11/2024 -02/12/2024
•Help providers check members benefits
•Reviewed claims with providers for denial
•Reviewed the Grievance & Appeal process and provided
•
Reimbursement Specialist lll
Conduent - Chesapeake, VA
August 2018 to Present
Experience
• Assisted new patients onboard into designated support programs
• Assisted new and continuing patients with co-pay related questions
• Provided customer with appropriate order status, next refill date, and enrollment end date
• Input prescriptions into CRM to process enrollments, initial orders and refills
• Responsible for monitoring and reporting the effectiveness and any adverse effects or side effects of
pharmaceutical products on the market in the general population and in hospitals and research trials.
• Maintained quality standards of 97% and above and delivery of satisfactory outcome
Quality Assurance Associate
Write, maintain, and disseminate quality manuals and other documentation. Investigate and
diagnose quality complaints, track down components, and recommend corrective actions. Verify logs,
databases,
and other data to track and flag quality concerns and improvements.
Medical Records Clerk
Arvon Staffing - Chesapeake, VA
March 2018 to August 2018
• Pulled and route records to appropriate personnel or department.
• Prepare reports and forms as directed and in accordance with established policies.
• Proven knowledge of medical records regulations and release of health information
• Received incoming correspondence and review/forward to appropriate department or staff.
• Received, screened and coordinated telephone calls from patients and healthcare providers.
• Communicated with Medical Staff, health care team members and patient departments.
• Perform a variety of administrative duties including but not limited to: answering phones; faxing
and filing of confidential documents; and basic Internet and handled court subpoenas and quash for
medical records request
• Provided excellent customer service to all internal and external customers
Medical Receptionist
SMOC - Suffolk, VA
November 2016 to March 2018
• Operate telephone switchboard to answer, screen, or forward calls, providing information, taking
messages, or scheduling appointments.
• Receive payment and record receipts for services.
• Transmit information or documents to customers, using computer, mail, or facsimile machine.
• Schedule appointments and maintain and update appointment calendars.
• Perform administrative support tasks, such as proofreading, transcribing handwritten information,
or operating calculators or computers to work with pay records, invoices, balance sheets, or other
documents.
Document Specialist
Medical Services of America - Chesapeake, VA
February 2016 to November 2016
• Responsible for minimizing Suspended Revenue, Revenue on Hold, and Stopped Revenue by
ensuring that all WOPDs, PARs, CMNs, F2F and other required documentation is received, valid, and
submitted timely to the Corporate Billing Department.
• Reviewed Held Revenue Detail Report weekly, researches each account and corrects issues (i.e.,
submits correct CMNs to MD, verifies insurance, etc.).
• Followed up with physician's office if CMNs are not received within 7 days and every 7 days after.
• Developed and maintained working knowledge of current home care products and services offered
by the company and all applicable insurance guidelines regarding eligibility for coverage and
reimbursements
• Complies with all organizations policies regarding ethical business practices.
• Contributed to team effort by accomplishing related results as needed.
Call Center Receptionist
Secretariats, Inc
February 2015 to August 2016
VA
• Greet customers warmly and answer any inquiries they may have.
• Date stamp time of each call received and record in computer system.
• Transfer calls to the appropriate party or department.
• Record and deliver messages.
• Arrange conference calls.
• Schedule or cancel appointments.
• Monitor alarm system to determine if a true emergency exists or if it's an error.
• Sort mail and any other clerical duties as necessary.
Collection Specialist
Secretariats, Inc - Virginia Beach, VA
August 2015 to May 2016
• Communicate with students by telephone and written correspondence to attempt to bring resolution
to delinquent accounts.
• Comply with the Fair Debt Collections Practices Act at all times and maintain compliance with all
federal, state and local collection regulations.
• Provide thorough, efficient and accurate notation of account updates and debtor communication
foreach call/transaction.
• Consistently ranked in the top 5 percent of collection agents.
• Was responsible for the recovery of over $750,000 from a delinquent client that had previously been
considered a write-off.
• Consistently met or exceeded monthly goals.
• Flourished in a high volume, fast paced environment.
• Evaluated accounts and recommended appropriate action throughout the collection cycle.
Business Office Associate Intern
Riverside Regional Medical - Center, VA, US
May 2014 to September 2014
• Handled inquiries from customers and patient intake.
• Proofread all forms to ensure they are properly filled out and put into system.
• Collected balances due at the time of check-in.
• Directed patients to relevant areas of the building.
• Recorded all payments received.
• Performed insurance data entry.
Customer Service Rep
Express Check Advance - Portsmouth, VA
August 2012 to July 2013
• Greeted customers.
• Cashed checks.
• Made bank withdrawals and deposits.
• Made collection calls on 30, 60 and 90 day past due accounts.
• Processed payday and title loans and made decisions for approvals and denials based on customer
application/credit history.
• Solicit additional company products to customers.
• Performed marketing to solicit new business.
• Obtained referrals from current/prospective customers to obtain new customers.
• Maintained division goals of 18% write off loans.
• Exceeded division goals of $35-40 thousand dollars per month in revenue collected.
• Completed legal review for delinquent accounts.
Clinical Coordinator
Eastern Virginia Ear - Chesapeake, VA
October 2011 to October 2011
• Greet patients.
• Check in/out patients and collect co-pay.
• Set up and cancel appointments thru Nterprise.
• Prepare clinical notes for patient appointments thru EMR.
• Schedule appointments with another specialist.
• Index Lab reports, MRI, CT Scan, ETC. in the patient medical chart thru EMR.
Patient Account Representative
Sentara Home Care Services - Chesapeake, VA
April 2007 to July 2011
• Collected balances outstanding from third party payers.
• Processed mail and rejections from the Insurance Carrier.
• Posted and handled write off adjustments in accordance with company guidelines.
• Processed payments by credit card.
• Answered calls received by patients.
General Office Clerk
AMERIGROUP - Virginia Beach, VA
August 2006 to January 2007
• Processed all contracts, provider group changes, amendments, etc.
• Typed correspondence.
• Worked with business solutions and credentialing departments to resolve contract issues.
• Updated and maintained Metrics, K-stat report, and mail merge, manual tracking, reconciliation, and
PIP databases as well as the PIM Contract Inventory spreadsheets.
Education
AAS in Business
Bryant & Stratton College Hampton - Hampton, VA
June 2015
Booker T. Washington High School
January 1997
Skills
• BILLING (5 year)
• ACCOUNTING (5 year)
• BILLING SYSTEMS (5 Year)
• ELECTRONIC BILLING (5 Years)
• EPIC (over 5 years)
Additional Information
Skills
•Knowledge and experience in Microsoft Word, Excel, PowerPoint, and Outlook; Quick Book experience
•Practical experience in ADL and PBS accounting application
•Typing 40-45 w.p.m.
•Active Listening
•Customer and Personal Service
•Time Management
Experience in a performance-based metric driven environment
•Medical skills, Electronic Medical Records (EMR), Ntierprise, EPIC, and electronic billing systems
CPR+ experience and infusion billing experience
Contact this candidate