Data Entry Customer Service
Resume:
TaNetta Estell
CONTACT
PHONE:
EMAIL:
***********@*****.***
ADRESS:
Dallas, TX 75227
WORKING EXPERIENCE
November 2022-April 2023
HEALTH CARE REVIEW PROCESSOR II
MOLINA HEALTHCARE, DALLAS
Provide computer entries of authorization request/provider inquiries by phone, mail, or fax.
Verify member eligibility and benefits
Determine provider contracting status and appropriateness
Determine diagnosis and treatment request o Assign billing codes (ICD-9/ICD-10 and/or CPT/HCPC codes)
Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Molina operational timeframes.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care
Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director
Provide excellent customer service for internal and external customers.
SKILLS
HIPAA Guidelines
OSHA Regulations
Lawson System
Accounts Receivable
Meditech ICD-9/10
Microsoft Word/Excel
Medical Billing/Coding
Materials Management
Epic
Microsoft Outlook
Insurance Verification
Patient Care
Salesforce
Invoice Statements
Medical Recordkeeping
Office Support Medical
Supply Management
Specialized Healthcare
Referrals Patient Inform
Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status
June 2022 - November 2022
OFFICE COORDINATOR II
CITY OF DALLAS
Maintained office supplies inventory by checking stock and ordering new supplies.
Reconciled account files and produced monthly reports.
Increased team productivity by reorganizing office supplies and protocols.
Tracked records, filed documents and maintained
communication between clients to manage office activities.
Enhanced office staff customer relations strategies to improve interactions and reduce complaints.
Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
Managed office activities by maintaining communication between clients, tracking records, and filing all documents.
Interacted with customers by phone, email, or in-person to provide information.
October 2020 - March 2021
MEDICAL DATA ENTRY SPECIALIST
DALLAS COUNTY
Verify data and correct data where necessary
Obtain further information for incomplete data sources
Update data and delete unnecessary files
Combine and rearrange data from source documents where required
Enter data from source documents into prescribed computer database, files and forms, including Excel
Store completed documents in designated locations
Respond to requests for information and access relevant files
Comply with data integrity and required HIPAA requirements
Additional other duties as assigned
Scanned documents and saved in database to keep records of essential organizational information.
Corrected data entry errors to prevent later issues such as duplication or data degradation.
Managed documents by organizing forms, making
photocopies, filing records, preparing correspondence and creating reports.
Increased data-entry productivity by maintaining detailed logs of data projects, identifying issues and improving them.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
January 2011 - June 2016
CLINICAL INVENTORY SPECIALIST
PARKLAND HEALTH & HOSPITAL SYSTEM, DALLAS
Responsible for ensuring all needed supplies and equipment are ready and available to meet the needs of the clinical areas supported
Maintain appropriate PAR and on-hand supply levels, including management of min/max and reorder points
Answer calls inquiring about pending order status and delivery dates
Make sure expedited special orders are processed and delivered to their proper departments in a timely manner.
Completed physical inventory counts each month.
Performed data entry and completed proper paperwork.
Recorded information, shortages and discrepancies to keep records current and accurate.
Kept documentation and records accurate and up-to-date with latest data to prevent errors in processing or delivery. May 2009 - December 2010
MEDICAL OFFICE ASSISTANT
DOCTOR RIVERO & ASSOCIATES, DALLAS
Complete requisitions for diagnostic test and document phone calls, orders, and referrals into the (EMR) Electronic Medical Record
Communicate with family to relay lab results and fill prescriptions as directed by practitioners and Nurses
Patient registration/insurance verification
Adhered to strict HIPAA guidelines to protect patient privacy.
Used Epic to schedule appointments for doctor visits and procedures.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Carried out front office duties utilizing data entry skills in framework of medical database.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Coordinated referrals through insurance and other medical specialists and documented details in patient charts. EDUCATIONAL SUMMARY
Masters Healthcare Administration
University of Phoenix, Tempe, AZ
Bachelor of Science Biology
Texas College, TX
Certificate in Medical Assistant
PCI Health Training Center, Richardson, TX
ADDITIONAL INFORMATION
Willing to relocate to: Authorized to work in the US for any employer.
Contact this candidate