Nurse Insurance
Resume:
Christine (Chrissy) Bailey
Lago Vista, Texas 78645
*******.******@*****.***
Professional Summary
Recent graduate of Austin Community College’s Health Information Technology (HIT) program seeking an HIM Specialist position that will allow me to contribute to the revenue cycle of an employer. My strong communication skills allow me to feel comfortable working with patients and all levels of staff. I can work independently while still being a team player. Excellent organizational skills and attention to detail. I am always eager to learn new things and to keep up with technology, policies and procedures. I look forward to providing a high level of technical competency and using my education to become a subject matter expert when analyzing physician/provider documentation.
EDUCATION
Austin Community College August 2020
Health Information Technology Associate of Applied Science Degree
(This HIM/HIT degree level program is accredited by the Commission for Health Informatics and Information Management Education (CAHIIM))
Coursework in: Health Data Content and Structure, Medical Terminology- Advanced, Anatomy and Physiology, Business Computer Applications, Legal and Ethical Aspects of Health Information, Pharmacology, Health Care Delivery Systems, Pathophysiology, Coding and Classification Systems, Insurance Coding, Coding and Reimbursement Methodologies, Health Care Statistics, Health Information Systems, Health Information Organization and Supervision, and Quality Assessment and Performance Improvement. Skills
Clinical Skills
● Perform a clinical “project” in collaboration with St. David’s and approved by AHIMA
● Pulled data from an excel spreadsheet and made it into a PowerPoint, Video, Handout
● 40 hours of clinical experience worked at Austin Orthopedics Specialists
● Called patients to confirm appointments
● Data entry
● Insurance verification/benefits verification
Medical Terminology Microsoft Office Applications
Customer Service Focus Oral and Written Communications Adaptability Decision-making
Detailed-Oriented Organized
● Mail distribution
● File drops
WORK EXPERIENCE
Pediatrix- Patient Services Associate February 2020 – Current Associate
● Handle high volume incoming calls.
● To assist the physicians and/or administrators in all business and patient care responsibilities.
● Coordinates office communication flow.
● Communicates effectively and courteously with and demonstrates a caring attitude toward patients and their families.
● Greet, direct and assist large numbers of visitors and refer visitors to various areas.
● Ensure all patient demographic and insurance information.
● Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etc… as necessary.
● Review patient intake information to verify insurance coverage.
● Verify patient insurance information, call for insurance authorization, patient address, telephone, etc.
● Responsible for scheduling new and follow up appointments including patient testing.
● Acts in a non-directive, non-judgmental manner, recognizing an individual’s religious, ethical and moral opinions and beliefs.
● Responsible for maintaining and recording patient schedules in EHR (NextGen).
● Identify and collect co-pays, deductibles and other payments.
● Reconcile patient payments on a daily basis received to the cash box and receipt journal.
● Prepare billing sheets, then review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etc
● Ensure the clinical staff submits all outpatient billing sheets daily.
● Maintains patient confidentiality.
● Patient chart management, preparation, maintenance, filing, copying, requesting records, etc…
● Provides assistance to other team members when needed.
● Performs other duties as assigned.
● Assures all charge tickets are accounted for and checked off against patient sign in sheet and schedule for optimal billings.
● Displays exceptional customer service skills in responding to all inquiries from patients, insurance carriers, outside agencies, internal departments and coworkers.
● Daily review of charts on patients who have appointments for the following day to verify that all appropriate referral and authorization information has been received.
● Coordinate flow of insurance information with the clinic sites and corporate office.
● Data entry of registration.
● Maintain audit logs of billings.
● Reception desk and telephones as needed.
Select Medical/Baylor Scott&White Institute for Rehabilitation Lakeway - Unit Clerk May 2018 – January 2020 Unit Secretary
● Act as a receptionist for the nursing unit, answering telephone calls, patient lights, and greeting and assisting visitors and staff. Answers questions and/or assists in problem solving or re-directing people to the proper resource.
● Organize and update all patient charts including proper forms with proper labels, posting orders for validation by the nurse or charge nurse, assuring proper order of charts, and thinning charts when indicated according to guidelines.
● Assemble new patient charts including proper tagging and identification, forms, stickers, and admission packets for use by clinical staff including nurses and physicians.
● Process admissions, discharges and transfers, including computer entry and census information under the direction of the nurse and/or supervisor in EHR (EPIC)
● Review physician order sheets for new orders, initiates the necessary paperwork ensuring that no order is implemented until it is signed off by a nurse..
● Enter data into the computer to update patient records, generate orders, print reports, and maintain data under the direction of the nurse..
● Notify other departments as well as medical staff and consulting medical staff of new orders or requests for services according to established processes.
● Arrange appointments for patients under the direction of the nurse.
● Maintain supplies in support of the nursing unit including secretarial supplies and forms as well as equipment rentals or other special purchases in collaboration with the charge nurse/supervisor or the CNO.
● Assist with patient call lights, patient transportation, and patient care needs when needed and in accordance with their training and skill.
● Make copies and perform any clerical support activities to assure efficiency and provide support to the clinical staff.
● Cross-train and serve as a back- up for the Admission Coordinator when needed. Skills
Ability to effectively read/receive work instructions Detail oriented Good verbal and written communication skills Quality Orientation Good hand and eye coordination Planning & Organizing Ability to bend, stretch, twist and lift Computer experience with all Microsoft Office
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