Reimbursement Specialist Records
Resume:
Alnita Johnson
To pursue career where I can utilize my experience as a Office System Technology/ Medical Coder with superior attention to detail and skills in evaluating and correcting health records. Excellent work ethic and exemplary time management skills over a period of 8 yrs in the medical Industry.
San Marcos, TX 78666
*******@*****.***
Work Experience
Healthcare Intake Specialist
Aerotek/3M - San Antonio, TX
May 2021 to July 2022
Analyze and prioritize orders based on initial assessment of documentation and customer outreach, Verify third party payor benefits and eligibility (online or telephonically Review and payer specific requirements and coverage criteria to determine required documents and accurate billing criteria Conduct in Dept. review of clinical documentation ( medical records, prescriptions, OP Notes, H&P) based on billing criteria.
Call customer or field personnel to obtain missing documentation required for billing. Provides a high level of customer service in a competitive market. Requires repetitive keyboarding over 95% of the time and phone usage 60% of the time.
Reimbursement Intake Specialist/ Benefit Verification Aston Carter - San Antonio, TX
December 2021 to February 2022
Is a remote position that will receive inbound and place outbound calls regarding Medical/ and pharmacy benefit investigation
Employee will utilize data from the Medea transaction to complete a medical benefit investigation. This process involves calling on a specific payers to gain the necessary missing data to finalize the benefit investigation. Once the data is obtained from the payer, the Reimbursement Specialist will enter the data into the Connect (internal portal)
The Reimbursement Specialist may also complete other documentation as required for daily reporting and performance measurement activities.
Medical Records Specialist
South Texas Radiology Imaging Centers - San Antonio, TX October 2018 to February 2022
Answering phones, creating manual or digital tracking logs using information systems: creating work orders; printing films and burning CD's; medical terminology knowledge, experience in an office setting; great customer service and great work history.
Billing Coordinator
EMCARE Inc - San Antonio, TX
August 2013 to December 2016
Ensures the proper preparation and accountability of the Emergency Department charts for the Emergency Department physician billing. Obtains a copy of current Emergency Department log on a daily basis. Identifies and marks log /track sheets of hospital admittance, outpatient services, direct admits. Submits billing information, counts records to ensure reconciliation with the Emergency Dept. log, and submit trauma patient billing. Answer phone calls and handle inquiries. Collects previous day's patient charts, sorting in date and time order. Reconciles missing or suspended list with required lag time. Collects critical care charges of procedures, such as procedures performed in ICU/hospital and obtains/pulls charts, demographic, and insurance information. Maintains copy of billing information. Other duties as assigned
Clerk
St Philips College - San Antonio, TX
April 2013 to August 2013
Preform receptionist duties at the front office: greet the public, answer phone/walk-in inquires, screen/ route telephone calls
Handle filing for the office to include creating file system, alphabetic filing, cross-filing, and purging all files Complete bi- monthly leave reports Provide general clerical assistance: handle mail outs, receive/ transmit faxes, keep log of faxes, call individuals to inform of fax receipt, and make photocopies May prepare basic documents using typewriter or word processor Education
A.A.S in Application Support Analyst
St Philip's College - San Antonio, TX
July 2020 to Present
Skills
• Data entry
• Typing
• EMR Systems
• Medical Terminology
• Medical Records
• Hospital Experience
• HPF
• Account Tracker
• DEXA/ Calcium Scoring
• RIS/ AGFA
• Records pulling Word
• Typing
• Multi-line
• Switchboard
• Data entry
• Office duties
• EMR
• HPF
• Account Tracker
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