Medical Records Exam
Resume:
Rachel Otis
Tampa, FL *****
**************@******.***
Professional Summary
Team oriented achiever seeking an opportunity to expand my experience and knowledge in an environment committed to quality.
Authorized to work in the US for any employer
Work Experience
Cashier/Server
Westshore Pizza-Tampa, FL
July 2023 to Present
Front Counter Cashier and server to dine in customers. Frequently cleaning dining area and bathrooms.
Stocking and restocking desserts and beer/wine cooler Royal Medical Consultants-ExamWorks/MES
May 2010 to Present
Work with our client auto and workers compensation insurance carriers to coordinate claimant Independent Medical Exams or Peer Reviews with qualified medical professionals in the ExamWorks/MES network which spans across the United
States.
Obtain and secure required medical records from our client insurance carriers in preparation for the Independent Medical Exam or Peer Review.
Once exam is scheduled, provide the Independent Medical Exam professional with the required medical records via standard mail or ExamWorks/MES secure electronic filing system. Confirm claimant compliance with scheduled Independent Medical Exam. Obtain and secure completed reports from the qualified medical professional upon completion of the Independent Medical Exam or Peer Review.
Perform Quality Review of the qualified medical professional’s reports to ensure that required documentation is accurate and complete.
Provide client insurance carriers with the completed Independent Medical Exam or Peer Review Report.
Promptly respond to client requests for medical records to comply with subpoenas. Developed and continue to maintain MES Training Manual for various work processes, including inputting claimant and necessary information, sorting and scanning of medical records, confirmation of completed exams, securing and scanning medical professional reports upon completion of the Independent Medical Exam.
Follow up with Dr’s offices regarding refund requests for appointments not kept or cancelled within timely manner.
Distribute new IME or Peer Review referrals to ExamWorks/MES offices nationwide depending on jurisdiction of where claims were reported.
Medical Intuition Technologies
January 2008 to Present
Enter critical data into a medical billing (internet based) system to ensure prompt and accurate payment from health insurance carriers. Data includes patient demographic information, patient insurance information, and health care provider coding requirements (CPT, ICD9). Administrative Assistant
Tampa Bay Laptops
June 2008 to August 2009
Answer and direct incoming calls.
Respond to customer inquiries (including walk in customers). Shipping and receiving packages and mail.
Develop and place internet ads.
Maintain staff time sheets and payroll.
Assist Office Manager with maintaining Accounts Receivable/Accounts Payable. IParty
September 2007 to March 2008
Handle cash, credit and return transactions (cashier). Assist customers by providing product information. Assist in the assembly of displays and placement of inventory. Assist customers with party planning.
MED3000
January 2006 to December 2006
Billing medical claims to insurance carriers on behalf of clients of various specialties including Surgery and Physical Medicine.
Coordinating the collection and filing of medical records required for the submission of workers compensation and liability claims as well as for claims appeals with other major carriers. Respond to client and patient billing questions.
Prepare daily reports for client review.
Prepare and scan all correspondence (carriers, patients, attorneys etc.). St. Joseph’s Day Care Center Wal Mart
(part-time)
Wing House
(part-time)
Education
MES in June 2011 and I was
May 2010 to June 2011
Leto High School
Associate's Degree in Business
Ashford University
Skills
• Customer service
• Serving
• POS
• English
• Food handling
• Hospitality
• Organization
Communication
Team Work
Medical Manager
Microsoft Word
Microsoft Excel
Microsoft Outlook (and other e-mail solutions)
• Cash handling
• Cash register
• Restaurant experience
Contact this candidate