Medical Records Patient Care

KAYLA JACKSON

Huntsville, AL ***** • 662-***-**** • *********@******.***.*** • LinkedIn

MEDICAL RECORDS SPECIALIST PROFILE

HIPPA Compliant Record Verification Customer Service Excellence

Diligent and passionate professional with over 10 years of expertise in overseeing accuracy in data collection and entry. Proficient in EMR/EHR software, ensuring compliance with HIPPA, and maintaining data integrity. Outstanding capability to analyze and interpret medical documentation while working with other health care providers to ensure a seamless patient care process.

Data Integration

Patient Care Operations

Record Management

Research & Analytics

HIPAA Standards Adherence

Insurance Validation

EHR Workflow Optimization

Stakeholder Collaboration

Client Relation

Professional Experience

2024- present: Clearview Cancer institute • Medical Records clerk

Maintained confidentiality of medical records and complied with all laws regarding release of information. Navigated onco emr to provide updates to patient's charts in a timely matter for time sensitive treatment.

Enhanced knowledge of medical terminology thoroughly reviewing documents for accuracy and completeness.

Proofreading large documents and abstracting essential documents necessary for medical treatment.

Collaboratively worked with other healthcare staff to resolve discrepancies and documentation processes.

2023 - 2024: AMT Staffing • personal care assistant

Optimize treatment planning and care distribution by proactively monitoring and communicating crucial patient information to healthcare staff. Elevate care delivery standards through effective communication and coordination of patient information, contributing to increased overall patient satisfaction.

Amplified operational efficiency by overhauling administrative procedures, including phone handling, data entry, and patient check-in/out.

Improved data accuracy and reduced errors by implementing a robust system for verifying and updating patient records.

2021 – 2023: Amazon Covid Resource Center – Remote • Human Resources Specialist

Established a foundation of trust and reliability through the cultivation of positive relationships with external vendors, insurance providers, and benefits administrators. Executed the precise evaluation and processing of compensation claims, consistently adhering to established guidelines and procedures, resulting in streamlined and efficient claims management.

Achieved integrity in claims processing by spearheading investigations, gathering relevant information, and conducting strategic interviews.

Surpassed expectations by efficiently processing a daily average of 40-50 COVID-19 claims, ensuring each claim met the highest standards of accuracy.

Enhanced the overall effectiveness of the claims processing workflow by conducting thorough review, scrutiny, and verification of claim forms, supporting documentation, and additional information.

2020 - 2021: Amazon Covid Resource Center • Human Resources Benefits Specialist

Successfully negotiated contracts with health insurance providers, resulting in a 12% reduction in healthcare costs. Boosted case management efficiency, achieving a significant reduction in resolution time through effective stakeholder collaboration. Realized cost savings and enhanced competitiveness by conducting a comprehensive analysis of compensation packages. Verified employees' benefits enrollment for precision and seamlessly inputted all data into the system.

Increased response efficiency by streamlining processes for managing daily COVID-19 claims.

Achieved a reduction in reimbursement processing time through handling of diverse claims, maintaining high accuracy rate.

Boosted overall HR operational productivity through collaborative efforts in data entry and payroll operations.

2019 - 2020: Morningside Of Decatur Assisted Living • Healthcare Administrative Assistant

Raised customer awareness by successfully educating them on alternative insurance options through inbound and outbound calls. Streamlined administrative processes, increasing competence in tasks like phone answering, data entry, patient check-in/out, and appointment scheduling.

Attained precision in financial transactions by accurately collecting co-pays, co-insurance, and deductibles.

Optimized eRIS Center workflow, elevating daily scheduling, billing completion, priors grid management, delinquent exams handling, waitlist management, report delivery queues, and Time of Service (TOS) collection.

2016 - 2019: Hospice Family Care • Patient Care Representative

Demonstrated exemplary customer service through efficient handling of 50-60 daily customer calls, showcasing strong communication skills.

Revamped patient care operations by spearheading vital clinic office functions, resulting in streamlining registration, improving insurance verification, and revamping collection processes.

Ensured precision and compliance in healthcare services by personally validating insurance and executing pre-authorizations, contributing to effective and smooth operations.

2014 - 2016: Good Samaritan Hospice • Patient Care Assistant

Supervised daily patient operations, overseeing administrative and physical tasks, while also monitoring patient conditions, executing light housekeeping, and providing attentive personal care. Diligently tracked patient health and staff actions through detailed patient logs, guaranteeing the provision of appropriate care for optimal well-being.

Provided compassionate end-of-life care to clients, demonstrating a commitment to providing high-quality care in various facilities and private residences.

Provided essential assistance to patients in private residences and facilities, offering support with bathing, grooming, dressing, and oral hygiene care.

Education

Bachelor of Science: Healthcare Management Mississippi University For Women - Columbus, MS

Associate of Arts: Liberal Arts East Mississippi Community College - Mayhew, MS

Certification

CPR Certification BLS Certification

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