Medical Records

Kizzie L. Brown

**** *. ************ ****. ************, TX 78660

Cellular 737-***-**** *************@*****.***

Education

**** ******* ********* ******, **

Medical Administrative Assistant

2019 Rasmussen College Bloomington, MN

AS Health Information Technician

2022 National Association for Health Professionals Gardner, KS Nationally Registered Certified Coding Specialist (NRCCS) Skills

Health Information Management

Medical Records/ Record storage and

disposition, scanning

Coding: CPT, ICD-9, ICD-10-CM, ICD 10-

PCS, HCPCS, DRGs

Knowledge of insurance programs: HMOs,

PPOs, IPA/IPOs, Workers' Compensation plans,

TRICARE, CHAMPVA, Blue Plans, Medicare,

Medicaid

Medical Manager 9.20, Office 2016: WORD,

EXCEL, POWERPOINT, Centricity, E Clinical

Works, PACS, AbbaDox, Trizetto, ECW,

Konica, EPRG, McKesson, Athena Health

Medical Billing

Employment

Title: Accounts Receivable Clerk

Location: Bexar Imaging/UHG San Antonio, TX 78217

Date: 06/18-Still employed

• Review & correct claims for errors prior to submission, and correct claims found on electronic rejection reports.

• EOB review for denial reason (ANSI codes), follow up on outstanding A/R claim status via phone, mail or insurance website and document accounts.

• Handle incoming patient calls, print billing statements, and fax patient reports to physician offices.

Title: Medical Billing Specialist

Location: The Boon Group Austin, TX

Date: 01/17-04/18

• Process claims that are not auto adjudicated, apply deductibles, co-pays, co-insurance maximums, and determines provider/member reimbursements. Assigns appropriate charge types necessary to process the claim.

• Examines claims for eligibility, pre-existing conditions, accident details and other issues.

• Request additional information as needed utilizing system-generated correspondence. Title: Document Tracking Specialist/Intake Coordinator Location: Brookdale Home Health Austin, TX 78731

Date: 08/16-01/17

• Responsible for data entry into HCHB associated with Home Health episodes for tracking documentation, orders sent, orders received with signatures, and ensuring the accuracy of data entry in accordance with daily and weekly reconciliation procedures.

• Scanning and uploading medical records, 485’s, orders, and therapy POT’s into the portal after they have been signed by a nurse, sorting, organizing, and filtering patient medical records. Audit these forms in the portal within established guidelines, and Mark to Fax, log in sent dates, and include notes to describe actions.

Title: Medical Claims Processor

Location: VAFSC Austin, TX 78741

Date: 09/14-06/16

• Assist with preparing Medical Claims processing and pay Healthcare Claims for Veterans on behalf of the VA health facilities.

• Process Medical and Hospital claims; verify claims. Title: Treatment Record Specialist

Location: Mhnet Behavioral Health Austin, TX 78731 Date: 06/14-09/14

• Review OTR for accuracy and completeness of data and interact with providers. Verify member eligibility and provider contracting/credentialing status prior to authorizing services. Identify and refer status discrepancies to Provider Relations for follow –up.

• Coordinate outpatient requests with Care Coordination staff for out-of-network providers. Coordinate outpatient treatment requests with the Medical Management team for medical necessity. Modify authorizations as needed to ensure transfer into the claims payment system. Title: Patient Care Coordinator

Location: Well Med Pflugerville, TX 78660

Date: 12/13-04/14

• Provide front office duties that include answering the phone, sending/receiving fax mail and, scheduling all patient appointments.

• Registering new patients and updating existing patient demographics into ECW. Title: Scheduling/Medical Records

Location: ENT & Allergy Center Austin, TX 78746

Date: 04/13-08/13

• Process request for release of patient information containing PHI.

• Reviews medical records to ensure that physician’s documentation supports the diagnosis and procedures.

• Verified demographic and insurance information. Scheduling appointments for all locations. Title: Front Office/ Medical Records

Location: Seton Children’s ENT Austin, TX 78741

Date: 03/13-04/13

• Helped Check-in/check-out patients, interacting with parents to collect documents.

• Assist with chart pulls for future visits. Reviewing medical records and other resources, as needed. Scheduling appointments in the ECW system.

• Obtain referrals and authorizations on patients who need them for office visits. Title: Administrative Support/Medical Records

Location: Care Cycle Solutions Round Rock, TX 78665 Date: 11/10-08/12

• Responsibilities include filing, answering agency telephone and transfer calls, fax/email orders, to physicians, sorting, scanning and attaching physician signed documentation into Electronic Medical Records (EMR) system. Organize, sorts, scans, and maintain documentation in patient files.

• Responsible for data entry associated with Home Health episodes for tracking documentation, orders sent, and orders received with signature. Print and distribute recertification reports for Case Managers.

Title: Clerical Specialist/Document Scanner (Workers Comp.) Location: Corvel Corporation Austin, TX 78722

Date: 04/09-09/09

• Verify patients on the document. Prepare documents for scanning such as removing staples and fixing torn edges.

• Index scanned documents, review each image, and perform any rescans if necessary. Title: Billing Specialist/Data Entry

Location: Clinical Pathology Lab. Austin, TX 78754 Date: 11/00-01/09

• Analyze client completed CPL service Requisition forms, determine appropriate Medicare and commercial insurance charge category.

• Enters/verifies a minimum number of patients in accordance with set quotas, transcribe diagnosis into patient Maintenance on-line database. Maintain daily reports of all completed transactions.

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