Post Job Free

Resume

Sign in

Verification Specialist Data Entry

Location:
Suitland, MD
Posted:
June 23, 2023

Contact this candidate

Resume:

RAQUELLE BRYANT

**** ******* ******* *** *** Suitland, MD 20746 · 202-***-****

adxvll@r.postjobfree.com

PROFESSIONAL SUMMARY

Proven work experience possessing strong organizational and analytical skills, with the ability to identify/resolve problems, plan and set goals. Exceptional ability to demonstrate and maintain genuine warmth and a desire to be a resource to all while working in a fast-paced, high-pressure environment. Capable of handling the challenges of multiple tasks to establish priorities and meet deadlines. Work collaboratively and independently. Effective and efficient communicator, both written and oral.

CORE COMPETENCIES

Team Building/Leadership

Mysis Medical Management

Process/Accuracy Improvement

Solid Knowledge of MS Office

Five Star Customer Service

Problem Solving Skills

Regulatory Compliance

Industrious Worth Ethic

Punctual and Versatile

Strategic Planning

PROFESSIONAL EXPERIENCE

The George Washington Medical Faculty Associates – Washington DC January 2022 – Present Patient Experience Program Coordinator

Serve as initial support and intake of patient/visitor feedback and inquiries directed to the department via in-person, phone, electronic communication, and the patient portal of the Electronic Medical Record (MyChart).

Review and resolve patient and/or family complaints and grievances received by the department.

Coordinate the language service support of patients and families, including confirming type of service required via the Electronic Medical Record and/or contacting patient, and working with established vendors to reserve appropriate in-person interpreter, when required. Provide support and training to clinics and providers with the on- demand interpreter services via phone and video call.

Coordinate physician and staff appreciation efforts, such as working independently to review patient comments via the patient satisfaction survey to identify staff named in appreciation and send recognition emails to individual and relevant teams.

Provide administrative support and minutes of department-led meetings, i.e., monthly Patient Experience Committee and Patient & Family Advisory Council.

Support the Director in the management of staff timesheets for payroll and the department budget, including establishing proper requisitions and purchase orders, timely processing of vendor invoices, and ordering and maintaining inventory of office supplies.

Represent the Medical Faculty Associates to internal and external customers in a professional, diplomatic, and positive manner; exhibits the highest degree of professionalism, friendliness, helpfulness, and customer service.

Maintain sensitivity and support to the needs of diverse populations.

Safeguard the confidentiality and privacy of all MFA organizational and patient information.

Recommends new approaches, policies, and procedures to ensure improvements in efficiency within the department and across the organization.

GW Medical Faculty Associates/Savista – Washington DC July 2021 – Present A/R Support (Part-Time)

Provide support to the Accounts Receivables Department.

Locate and provide documentation from within patient medical records—such as signed physician orders, progress notes, operative notes, x-rays—to ensure proper billing and reimbursement. Page 2

Medstar Radiology Network – Washington DC July 2021 – December 2021 Business Office Specialist

Warmly greeted patients as they enter MedStar Radiology Network with both eye contact and a smile; this includes family members/others accompanying the patient to the Imaging Center.

Served as a liaison between all customers, including patients, physicians, and imaging center staff.

Handled phone correspondence scheduling of appointments, coordinated/assembled orders with daily schedules, and distributed to clinical peers.

Accurately performed patient registration, ensuring workflow was optimized.

Ensured optimal customer service to all patients, peers, etc., by maintaining a pleasant tone of voice in all situations, answering the phone as quickly as possible, answering all questions, always portraying empathy, and by returning phone calls as quickly as possible.

Facilitated resolution of pre-authorization or referral issues for patients to ensure payment from the insurance company on the patient’s behalf.

GW Medical Faculty Associates/Savista – Washington DC September 2015 – July 2021 Health Information Specialist/A/R Support

Responsible for interpreting requests for medical records, ensuring proper authorization, and compliance with legal regulatory requirements, relevant to the privacy and security of protected health information.

Maintained privacy and security of protected health information.

Prioritized all requests related to patient care and ensured record copies were securely sent based on the needs of the patient.

Ensured a thorough and accurate search of all current and legacy medical record systems, to include paper medical records as applicable.

Responsible for limiting clinical documentation, based on the specifics of the request, in compliance with the Minimum Necessary Rule in the HIPAA Regulations.

Logged all requests into the George Washington Database and recorded the information that was sent.

Received walk-in customers and interacted by phone daily with patients, their families, attorneys, government officials, physicians, and others.

Safeguarded and protected patient privacy by identifying protected health information, ensuring only authorized individuals are granted access to the information, and abide with all relevant hospital policies, State and Local HIPAA regulations.

Electronic Medical Records systems utilized included: IDX, Allscripts, IDX, and Epic.

Collaborated with departmental leaders to organize, develop, evaluate, analyze, and improve administrative policies and procedures.

Provide support to the Accounts Receivables Department.

Locate and provide documentation.

Signed physician orders, progress notes, operative notes, x-rays DuPont III – Clinton MD June 2006 – January 2008

Office Assistant/Biller June 2009 – July 2014

Coordinated all front desk activities, including answering, screening, and forwarding incoming calls.

Greeted and welcomed patients as they arrived.

Schedule appointments and set-up direct admissions into the hospital.

Monitored and maintained supplies and office cleanliness.

Received, sorted, and distributed mail and packages.

Prepped exam rooms and took patients vitals.

Ensured patient charts were prepared with labs, results, and orders.

Billed for inpatient and outpatient services and ensured proper use of CPT and ICD-9 codes.

Performed other administrative duties including prior authorizations. Page 3

Caduceus Occupational Medicine, Hapeville, GA March 2008 - June 2009 Collector/Claims Processor

Processed initial claims; resubmitted claims via data entry; and followed-up on unpaid claims and appeals.

Authorizations, Verification Specialist, and Collector.

Communicated with workman compensation adjusters and carriers. Specialty Hospital of Capitol Hill, Washington, DC June 2005-July 2006 Patient Care Tech

Responsible for obtaining patient vital signs, EKG, glucose testing, and recording input and output.

Attended to patient personal care needs and reported all changes of patients to the charge nurse.

Responsible for changing wound dressings and reporting all changes of wounds to the charge nurse.

Ensured patients were turned every 2 hours and were kept dry and soiled-free. Hospice Care of DC, Washington, DC April 2000-June 2005 HHA/Receptionist

Personal care is given to clients to ensure they are well groomed and comfortable.

Ensured home was clean and prepared nutritious meals.

Accompanied clients to appointments.

Reported any patient changes to charge nurse.

Greeted visitors and directed them appropriately and ensured the receptionist area was always clean.

Answered multiple phone lines, screening and directing calls.

Received, sorted, and distributed mail.

EDUCATION

Stratford University, Falls Church, VA BSN Program 2015-2016

Radians College, Washington, DC RN Program 2013-2014

Banner College, Arlington, VA Medical Billing/Coding 2005-2006

Prince George's Community College Nursing Prerequisites 2001-2002

Job Corps, Washington, DC CNA/HHA 1993-1994

Fairmont Heights High School, Fairmont Heights, MD 1984-1986 REFERENCES

Available upon request



Contact this candidate