Medical Records Business Operations

Ashley McRae

********.*****@*****.*** 443-***-****

Objective:

Customer service-oriented professional with 5+ years of healthcare industry experience, including 4+ years of healthcare management experience. Able to coordinate workflows and communicate effectively with co-workers, patients, and staff. Follow policies, procedures, and guidelines to ensure quality and safeguard patient privacy and confidentiality.

Medical Terminology

Strong ethical values

Computerized charting specialist

Infection control standard expertise

Business Operations

Medical Administrative Procedures

Appointment Scheduling

Insurance Verification & Billing

Electronic Medical Records

Health Records Management

Microsoft Excel

Microsoft Teams

Microsoft Outlook

PROFESSIONAL EXPERIENCE

Maxim Healthcare Services, Columbia, Maryland

Reimbursement Associate – September 2023 – January 2024

Verifies weekly timecard packages for accuracy

Reviews of all notes, regardless of format, for compliance and completeness before claims submission

Successfully followed through with bill cycle process, by adjusting edits in excel. Finalization of timesheets for medical workers was then processed through the billing system.

Places appropriate shifts on a billing hold and release holds when appropriate

Communicated with the Reimbursement Specialist and/or branch office regarding edits, corrections and holds that had discrepancies.

May complete some administrative functions such as the sorting, collection, preparation and delivery of mail, completing write-off forms, running reports, etc.

Communicated and collaborated with various departments, management and team members using Microsoft Teams

Centennial Medical Group/ First Call Urgent Care Center, Laurel, Maryland

Certified Medical Assistant - June 2022 - December 2022

•Answer telephone calls and direct calls to appropriate staff. Schedule and confirm patient diagnostic appointments, surgeries, or medical consultations

•Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records

•Receive and route messages or documents, such as laboratory results, to appropriate staff

•Greeting visitors, understanding the purpose of the visit, and direct them to the appropriate staff. Adherent to legal and ethical standards

•Transmit correspondence or medical records by mail, e-mail, or fax

•Perform various clerical or administrative functions, such as ordering and maintaining an inventory of supplies

•Utilize EMR for documentation, reporting, and data collection

Sunrise Senior Living, Annapolis, Maryland

Patient Care Specialist - June 2017 – May 2022

•Perform patient check-in/out procedures, insurance companies, and providers to maintain demographic information, and obtain proper authorizations.

Daily functions were to meet up with the Supervisor on duty and Lead for a shift change to review any changes with our residents and acknowledge upcoming activities.

I built assignment sheets for the care managers on the shift based on what my supervisor provided. After the assignment sheets were handed out, I went to my designated location to shadow new employees.

During the new admissions I had to get familiar with the family, introduce myself as the lead, and make our new resident feel acquainted with the facility while giving a tour.

Assisted co-workers with lifting patients. Ensured that all PRN goals for the kiosk were met, activities were completed, trash was taken out, and residents were helped to get in and out of bed.

I built weekly schedules for each employee by inputting hours to be worked in Microsoft Excel based on time allotted to the department. Any time needed to be taken off by employees, I successfully forward requests to the supervisor on duty for approval.

EDUCATION

Ultimate Medical Academy, Tampa Florida

Associate of Science Degree - Healthcare Administration Management, 2022

Center of Applied Technology North, Severn, Maryland

Certificate, Nursing Assistant (Apprenticeship) 2011-2013

Old Mill High School, Millersville, Maryland

High School Diploma - 08/2010-06/2014

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