Record Specialist Referral

KYNETTE A. FIELDER

CELL: 832-***-****

EMAIL:********@*****.***

OBJECTIVE: Organized goal-oriented, team player seeking a position in an established medical office, where I can utilize my skills. I am dedicated and self-motivated to ensure the job gets done.

EDUCATION: Houston Community College Graduated 1984

EMPLOYMENT HISTORY:

Preventice Services Insurance Verification Rep 08/12/2019-01/31/2020

• Research and resolve a daily average of 35 – 45 routine and complex enrollment or billing issues due to lack of information or incorrect information. The accounts must be worked to conclusion (billing).

• Contact practices to complete enrollment and/or obtain the correct insurance information.

• Contact patients to obtain information necessary to complete enrollment or verify insurance.

• Contact various insurance companies either by phone or web site portals to obtain insurance benefit details.

• Contact primary or secondary insurance companies to verify eligibility and/or coverage.

• Create or complete new patient accounts in Centricity using enrollment/verification forms.

• Obtain authorizations on accounts as needed.

• Electronically note accounts for various reasons, including; but not limited to, inability to verify; special instructions from the physician/practice; incomplete verification; and similar issues.

Methodist Hospital ROI Medical Record Specialist 06/25/2018-11/30/2018

Respond to phone calls from medical and support personnel requesting medical records or patient identification to be read from the record. Log medical record requests into EPIC database. Determine records to be released by reviewing requester information in accordance with HIPAA guidelines and obtaining pertinent patient data from various sources, including electronic, off-site, or physical records that match patient request. Scan medical records into EPIC database. When required, respond to walk-in customers requesting ROI information and log information provided by customer into EPIC database. If necessary, respond and process requests from physician offices on a priority basis and fax information to the physician office or other departments of hospital.

MD Anderson CC Pathology Referral Specialist 11/17/2017-01/31/2018

Organize and assimilate pathology case materials and paperwork

Determine pathology subspecialty of case materials and document all accessioning or case processing actions in LIS

Provide high quality customer service via email and/or telephone

Monitor worklists or queues to facilitate transfer to respective next departmental action

Memorial Hermann Patient Access Representative 02/06/2017-04/26/2017

Verified insurance eligibility and benefits and ensures all notifications and authorizations are completed within the required timeframes. Posts payments in the computer system and generates the appropriate patient receipts. Monitors, reviews and resolves patient account issues on assigned reports. Communicates in an effective and professional manner with Physicians, Ancillary departments, nursing units, physician’s office staff, insurance companies, as well as patients and their families

MD Anderson Cancer Center Financial Associate 1/2015-05/26/2016

Obtained and documented verification of patient eligibility using the available institutional and/or payer systems, including real-time web portals and tools, within the applicable timeframes as outlined by department policies and procedures. Promptly notify Patient Access and the patient, when eligibility information is invalid and/or cannot be verified. Worked collaboratively with Patient Access to document updated and/or corrected insurance information into the system in accordance with applicable department policies and procedures. Obtained and document verification of patient benefits, including information regarding the product type, in-network or out-of-network status, all applicable co-payment, deductible, and co-insurance amounts or percentages, pre-existing indicator and time period, and any lifetime or annual maximums into CARE and EPIC /or designated future state systems in a timely manner.

US Anesthesia Medical Billing Specialist 01/12/2015-05/12/2015

Insurance Verification

Prior Authorization and Referrals

Insurance Follow-Up

Baylor College of Medicine Accounts Receivable Specialist 09/27/2010--08/21/2014

• Served as Baylor Genetics Insurance Liaison to clients across the nation

• Performed Benefits verification for patients within the U.S.A. and overseas

• Assisted Baylor Genetics clients with the authorization process

• Registered all patients into Epic System

• Answered telephone and route patient calls

• Filed Correspondence and other records

Reference upon request

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