Data Entry/Healthcare Professional

DEMETRIA MITCHELL

478-***-**** Eastman, GA - 31023 *****************.**@*****.***

SUMMARY

Overall mission and goal are to positively impact as many lives as possible with a lasting effect. I’m a healthcare professional with 18 years of experience working in geriatric mental health, corrections, and providers offices. I also have a passion for quality care management and facilitating consumers in getting the most out of their care and insurance plans. Provide Crisis Intervention and Management and direct patient care. Passionate about Geriatric Mental Health, providing awareness, comfort to clients and loved ones and assistance to families seeking solace in the “mental transitioning” of their loved one. My philosophy when engaging with staff, patients and clinicians is to always serve with excellence in every capacity. We are all on a mission to work together and exceed expectations daily.

PROFESSIONAL SKILLS

Practice Management

Medical Assisting

Medical Record Management

Chart Abstraction/Indexing

Critical Thinking/Decision-Making

Autonomy

Patient Scheduling

Conflict Resolution Skills

Experience in Medicare/Medicaid managed care programs

Experience in Quality Reporter (Cotiviti)

Quality Management

Crisis Intervention and Management

Medication Management

Documentation Review

Data entry

Medical Terminology

CPT and ICD-10 codes

Proficient in Microsoft Word, Excel, PowerPoint

Experience in OnBase

Time Management

WORK EXPERIENCE

Medical Administrative Representative Feb 2023 – April 2023

Cigna-ProUnlimited,

Medical record management and data entry

Upon receipt of medical records and invoices, downloads of document(s) from secure file transfer portals

Managed large amounts of data electronically, file documents in electronic filing software, faxing, scanning, and abstracting documents from electronic storage devices

Utilized Quality Reporter (Cotiviti) to ensure the correct patient is being attached with the correct chase identification.

Clinical Coordinator Oct 2021 – Jun 2022

Taylor Regional Hospitl Hawkinsville, Georgia

I worked in collaboration with United Healthcare and Peach State Health Plan that monitored and documented patient outcomes by reviewing suspect care gaps, medication adherence, and assisting patients in closing that gap to better care for their overall being.

CAHPS/ HOS Action Plans; participated in MAPCPI/MCAIP, ACV incentives programs for TRH. Reviewed monthly PCOR to gauge in increasing each UHC patient outcome. Interact with patients to ensure their receiving optimal care and adherence to their plan.

Assisted in the review of medical records to highlight opportunities for staff. Data collection, data entry, quality monitoring, uploading images and chart abstraction. Located medical screening results/ documentation to ensure quality measures are followed to close gaps. Tracked appointments and document information completely and in a timely manner. Made outbound calls and correspondence to ensure members are updated about appointments and medications.

Participated in improving overall quality improvements with star ratings. Optimized customer satisfaction, positively impacted the closing of gaps in care and productivity. Also, ensured preventative health screenings are completed and HEDIS gaps in care were addressed in a timely manner.

Clinical Manager Nov 2020 – Oct 2021

Taylor Regional Hospital Hawkinsville, Georgia

Managed administrative and clinical staff of daily management in providers’ offices to ensure an effective flow of care.

Attended meetings and handled correspondences of Clinicians and staff.

Provided clinical and administrative support and oversaw hiring and training of staff.

Quality Management: monitored and documented patient outcomes by reviewing suspect care gaps, medication adherence and assist patients in closing that gap to better care for their overall being. CAHPS/ HOS Action Plans; participated in MAPCPI/MCAIP, ACV incentives programs for TRH. Reviewed monthly PCOR to gauge to increase each UHC patient outcomes. Interacted with patients to ensure they’re receiving optimal care and adherence to their plan.

Certified Medical Assistant (CMA) Sep 2020 – Nov 2020

Taylor Regional Hospital Hawkinsville, Georgia

Triaged patients and assisted in office procedures with clinicians.

I conducted referrals, precertifications of procedures, prior authorizations and ordered medical supplies.

I arranged outpatient diagnostic imaging and procedures. I sorted the fax question to providers in a timely manner.

Abstracted charts from one medical record system to another one and trained staff and clinicians.

Conducted covid testing and properly shipped to designated laboratory.

Mental Health Technician (MHT) May 2018 – Sep 2020

Dodge County Hospital Eastman, Georgia

Conducted assessments and observations to monitor clients' progress and behavior

Assisted clients in developing problem-solving and communication skills

Reported client progress to family members and other professionals

Assessed mental health status and provided crisis intervention as needed

Administered psychotropic medications and monitored efficacy of medications

Assisted clients with activities of daily living, including bathing, grooming, and personal hygiene

Participated in patient rounds to monitor progress and assess treatment plans

Documented all patient care activities in the Electronic Medical Record (EMR) system

EDUCATION & CERTIFICATIONS

MBA with specialization in HealthCare Management May 2014

American InterContinental University, Online

BBA with specialization in HealthCare Management Oct 2013

American InterContinental University, Online

Associate of Arts-Medical Billing and Coding Jan 2012

American InterContinental University, Online

Diploma-Medical Assisting Sep 2005

Central Georgia Technical College, Macon, GA

National Certified Medical Assistant May 2005

NCCT

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