Medical Records Quality Assurance
Resume:
TONYA CHANTE JONES
**** ******** **** ***** ******, MS 38654 662-***-**** ************@*****.***
PROFILE SUMMARY
Healthcare Support professional offering versatile office management skills. Meticulous documentation expert with strong clinical time management and organizational abilities. Adept at maintaining high levels of productivity while adhering to quality assurance and patient care standards.
PROFESSIONAL SKILLS
●Maintain sensitive and confidential data
●Medical Terminology
●Patient confidentiality and HIPPA compliance
●Ability to work independently and in a team
●Data Entry, Type 35 WPM
●Authorizations and third-party billing
●Effective problem solver and identify solutions
●Insurance claims and billing
●Microsoft Office: Word, Excel, PowerPoint
●Electronic Medical Records & Medical Software
●Insurance verification & Claims: HMO, PPO, Medicare and Medicaid experience
Epic, Medisoft, Athena One, AdvancedMD, Cerner, WinPharm, eClinical Works
EDUCATION & CERTIFICATIONS
Southern New Hampshire University – Manchester, NH
Bachelor of Science in Health Sciences, 3.73 GPA, Graduated May 2022
●Related Coursework: Healthcare Quality Management, Healthcare Delivery Systems, Wellness, Healthcare Reimbursement, Healthcare Finance, Ethical and Legal Considerations
Associates Degree in Pharmacy Technician, Ultimate Medical Academy, Graduated May 2019
Medical Office Profession Diploma; Concorde Career College; Memphis, TN; Graduated March 2002
Associate of Applied Sciences, Dyersburg State Community College, August 1999 – April 2001
EMPLOYMENT HISTORY
Patient Access Representative UnitedHealthcare Group Remote August 2022-September 2022
●Answer telephones and direct calls to appropriate staff.
●Compile and record medical charts, reports, and correspondence.
Maintain medical records, perform various clerical and administrative functions, order and maintain inventory of supplies, and transmit correspondence and medical records by mail, e-mail, or fax.
●Operate office equipment and use software applications to prepare reports, invoices, and medical records.
Customer Service Coordinator Baptist Medical Group Memphis, TN January 2018 – January 2019
●Answer telephones and direct calls to appropriate staff.
●Compile and record medical charts, reports, and correspondence.
●Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
●Maintain medical records, perform various clerical and administrative functions, order and maintain inventory of supplies, and transmit correspondence and medical records by mail, e-mail, or fax.
●Operate office equipment and use software applications to prepare reports, invoices, and medical records.
Registered Pharmacy Technician Kroger Pharmacy Collierville, TN November 2017 – January 2018
●Filled prescriptions - pulled stock, and poured, counted, measured, and labeled orders.
●Organized and filed records and checked for and removed out-of-date products.
●Maintained confidentiality in compliance with HIPAA regulations.
●Kept work area clean and organized.
Customer Care Coordinator BMG - The Endocrine Clinic Memphis, TN May 2007 – November 2016
●Verified insurance, communicated regularly with carriers and other regulatory agencies for reimbursement purposes.
●Maintained working knowledge of insurance co-pays and deductible, and workman's compensation protocols to ensure accurate and compliant billing information.
●Promoted customer satisfaction while maintaining a positive, professional manner in both verbal and nonverbal communication.
●Answered telephones, takes and directs messages on a timely basis according to the direction and location appropriate to maintain continuous work flow.
Medical Receptionist Pediatrics East Cordova, TN May 2005 – April 2007
●Performed various administrative functions, such as ordering and maintaining an inventory of supplies.
●Check to make sure that patient history is complete (i.e. immunization records, allergy to medications, health record updates).
Medical Receptionist The Endocrine Clinic Memphis, TN March 2003 – October 2004
●Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoices statements to patients.
●Greeted, registered, and collected copayments for patients once they arrived for their visit.
Medical Receptionist Family Healthcare of Millington Millington, TN March 2002 – September 2003
●Answered all incoming phone calls, scheduled and confirmed patients’ appointments.
●Entered correct and/or updated patient information into main computer data-base.
●Collected all pertinent documents and co-pays from patients on a daily basis.
●Maintained a safe and professional work environment.
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