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Health Information Technologist

Location:
Grand Blanc, MI, 48439
Salary:
50000
Posted:
November 01, 2019

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Resume:

Trevis L. Shearer-Gillespie

865-***-**** ~ adaqfw@r.postjobfree.com

OBJECTIVE

Forward-thinking professional seeking an opportunity to retain a career using the 20+ years of experience in administrative customer service, office management and acquired education to obtain a challenging and progressive career.

EXPERIENCE

Diplomat Specialty Pharmacy, March 2019 – Present Flint, MI

Insurance Reimbursement Coordinator

●Act as a liaison between company, patients, insurance, Pharma, and provider’s office via phone, fax and/or email

●Obtain information on patient benefit designs as well as authorizations for requested services or specialty medications and benefit investigation

●Receive, review, and enter requests for benefits and authorization in a timely manner

●Provide patient and prescriber communications in a manner that adheres to service level standards

●Navigate through payer websites and portals including, but not limited to: MedAccess, webDENIS, Medi-Cal’s Online Portal, Partnership Health Online, Express Path

Ham N’ Goody’s – October 2016 – December 2018 Knoxville, TN

Front End Supervisor

●Provide face-to-face and phone order customer service to sell products

●Open store setting up staff and cash drawers and close store balancing cash drawer and managing staff

University General Surgeons, June 2015 – November 2015 Knoxville, TN

Office Manager – Laid off during Office Restructuring

●Managed 25+ Staff including billing and clinical staff

●Accomplished human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions while adhering to company policies and procedures

Marriage and Family Counseling Associates, May 2014 – June 2015 Knoxville, TN

Billing/Office Manager – Behavioral Health Therapy Office

●Manages a 12+ person office staff including the Billing Department

●Maintains revenue by establishing, implementing, and controlling billing system, resolving disputes

●Accomplishes human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions.

●Meet billing operational standards by contributing billing information to strategic plans and reviews; implementing production, productivity, quality and customer-service standards; resolving problems

●Meet billing financial standards by providing annual billing budget; monitoring expenditures identifying variances and implementing corrective actions

●Accomplishes billing departmental objectives by measuring billing results against plans; A/R

Cherokee Health Systems, March 2013 - May 2014 Alcoa, TN

Patient Liaison & Billing Specialist

●Obtains current demographical patient information from established and new patients registration into EHR

●Identifies payer source, insurance verification, financial status and assigns correct payment type

●Pre-screens medical records; print schedules for upcoming appointments and verifies insurance eligibility and obtains authorizations for DOS

●Schedules appointments/consults/surgery dates with other offices

●Proven ability to collect office and post charges to patient accounts and appropriately manage cash drawer

University of Tennessee Medical Center, Heart Lung Vascular, February 2011 - May 2012 Knoxville, TN Health Unit Coordinator

●Worked closely with multi-disciplinary unit team to maintain standards promoting efficient unit management

●Provided excellent customer service by greeting customers and visitors in person and through incoming calls

●Communicated effectively accurately applying discretion and tact where necessary, with written, telephone and face-to-face contact, with patients, visitors, staff and various external agencies

●Ensured patients are appropriately received, admitted, transferred, discharged and where necessary make follow-up appointments, from the unit using the appropriate systems

●Maintain patient case notes, X-rays and other associated documentation in a timely manner

Saint Mary of Michigan, February 2002 - October 2010 Saginaw, MI

Health Unit Secretary/Registration Clerk - Charge Capture Specialist - Administrative Secretary

●Ensured patients are appropriately received, admitted, transferred, discharged and where necessary make follow-up appointments, from the unit using the appropriate systems

●Maintain patient case notes, X-rays and other associated documentation in a timely manner

●Arranged appropriate patient transport and communicate effectively with the Ambulance Liaison Personnel

●Assigns ICD 9/10 diagnosis and procedure codes based on medical record documentation

●Groups and assigns DRGs for inpatient accounts

●Assigned CPT 4 procedure codes on outpatient records for Emergency Department/Trauma

Delta College, May 2005 - February 2011 Saginaw, MI

Clinical Instructor Health Unit Coordinator Program

●Served in educational and clinical settings providing instruction to students based on course syllabus

●Provide training connecting the classroom material and its real-life application for accommodating a varied learning styles and paces for clinical students

●Coordinated student rotations or site visits, helping students understand their duties.

●Supervised the students during site visits and rotations, providing guidance as the students work with staff

●Conducted formal and informal student performance evaluations, providing informal coaching and feedback

●Provided guidance regarding the effectiveness of their actions and decisions providing core tools and goals for improvement

EDUCATION

Davenport University, Saginaw, Michigan

A.S. Health Information Technology 2015

Baker Community College, Flint, Michigan

Coding Certificate (2004)

Des Moines Community College, Des Moines, Iowa

Health Unit Coordinator (1996)

COMPUTER SKILLS

Microsoft Office, Outlook, Kronos Payroll System, Excel, Power Point, Access, 10-Key, ICD-9-CM/ICD-10-CM and CPT coding, Computerized Physician Order Entry, Pulse Check, IBM Coding Systems, SOS EHR System, Sunrise EHR System, Office Ally Clearinghouse Billing System, Cerner, Med Apptus, Intergy, ScriptMed



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