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Business Operations Supervisor

Location:
Stone Mountain, GA
Posted:
January 12, 2025

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Resume:

Taheerah Conover Page *

Taheerah Conover

**** ****** ***** ****

Peachtree Corners

973-***-****

*****************@*****.***

Familiar with various aspects of business operations including but not limited to: Workers Compensation, Disability, Legal and Insurance requests, Training, HIPAA rules and regulations and various administrative duties. Adaptable to changing situations; works well independently or as part of a team and has sound interpersonal, organizational, and communication skills. EMPLOYMENT

CIOX HEALTH Atlanta, GA

Health Information Operations Supervisor – Release of Information 2019 – Present

• Responsible for properly training staff in company and facility specific functions.

• Distributes worklist to personnel.

• Facilitates daily huddles every working day.

• Helps track monthly revenue goals on a consistent basis by steadily making sure all employees are reaching their daily goals set.

• Reviews ROI requests for HIPAA Compliance according to state and federal statutes; returns inappropriate authorizations to requestors, copies all necessary medical information, and furnished certified records upon request.

• Responsible for managing patient health records, safeguarding patient records and ensuring compliance with HIPAA standards, maintains working knowledge of company and facility software and adheres to facilities Code of Conduct and policies

• Assists staff with any questions to ensure customer issues and concerns are resolved.

• Tracks documentation and record – keeping for organizational and administrative purposes. for various Health Plans.

Kaiser Permanente Duluth, GA

Specialty Appointment Coordinator 2017 – 2019

• Utilized established guidelines to schedule appointments for specialty departments by telephone, email, mail, and fax.

• Responded to member questions and concerns, and acted as an advocate for their service, needs, and interests.

• Educated members on proper use of health Plan systems and facilities.

• Worked with leadership and stakeholders as a Subject Matter Expert to improve specialty training, policies, and workflows to improve member experience.

• Collected and entered patient demographic and insurance data into computer to establish patient’s medical record.

• Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient’s privacy.

• Answered 50-60 calls daily.

One Call Care Management Alpharetta, GA

Senior Care Coordinator 2010 – 2017

• Provided consultation to PCP offices and Care Coordination Team providers related to implementation of the Medical Home model.

• Developed and documented care plans for individual patients, tracked processes, patient self-management support, implementation of clinical practice guidelines and work process/patient flow improvements.

• Assisted the patient in coordination of any additional tests, images and consults with specialist and provided specific education regarding medication regimen and drug interactions/side effects.

• Scheduled referrals on behalf of patients, adjusters, nurses, case managers, doctors and providers. Updated all parties involved on all claims filed and documented each step taken on file. Taheerah Conover Page 2

• Answered 60-80 calls daily.

EDUCATION

North Ward Center of Newark NJ

Newark, NJ

Business Skills Certificate

1995 - 1996

Weequahic High School

New York, NY

Obtained New York State High School Diploma

1992 - 1996

SKILLS

• Microsoft Office; PowerPoint, Excel, Word, Outlook

• Medical Software – Meditech, Aria, EPIC, Cerner, Informatica, LDA,

• Training

• Converting and Combining Electronic Medical Records

• Data Entry, Internet search and retrieval

• POS Software, Cash Handling, Sales Techniques



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