Specialist Ii Health Information
Resume:
MERIDA TRIPLETT
Louisville, MS 39339
**********@*****.***
Objective
To obtain a professional career in a learning and productive environment.
Experience
October 2023-Present, MSDH, Louisville, MS
Social Services Specialist II
COVID recovery and resiliency response by supporting and assisting priority populations at high risk of contracting Coronavirus by reducing barriers to testing and services
Provide direct services by promoting culturally health information to providers, patients, and/or community members
Navigate the health and human services system
Advocate for individual and community needs
Bridge the gap between communities and the health and social service systems
Build individual and community process
2022-September 2023, MSDH, Louisville, MS
Public Health Program Specialist III
COVID recovery and resiliency response by supporting and assisting priority populations at high risk of contracting Coronavirus by reducing barriers to testing and services
Provide direct services by promoting culturally health information to providers, patients, and/or community members
Navigate the health and human services system
Advocate for individual and community needs
Bridge the gap between communities and the health and social service systems
Build individual and community process
2021-2022, MS Division of Medicaid, Starkville, MS
Benefits Specialist I
● Assist in establishing public assistance programs to clients
● Oversee and determine high value claims, benefits, and/or eligibility for clients ● Manage estates by reviewing legal, medical, occupational and other factors to develop cases based on certain factors
● Perform case management work on assigned cases
2012-2020, Winston County Tax Assessor’s Office, Louisville, MS
Deputy Clerk
● Collect and process land, mobile home, and personal property tax payments ● Process tag registration and title changes for automobiles
● Collect and process solid waste payments
● Enter data by using spreadsheets and other computer applications
● Issue letters to customers and troubleshoot questions and concerns
● Count out and balance payment drawer daily
2011-2012, Career Center-East Central Community College, Louisville, MS Administrative Assistant and Classroom Proctor
Assisted with all office/clerical duties
Assisted customers with workforce training information
Developed resumes for customers
Proctored classes through the use and operation of teleconferencing equipment
Assisted with day-to-day business operations
2010-2011, Neshoba County General Hospital-Nursing Home, Philadelphia, MS Outpatient Medical Coder
Abstract clinical information for a variety of medical records
Assigned appropriate ICD-9 and CPT codes to patient records
Analyzed, entered and manipulated database & confirmed appropriate DRG assignments
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2008-2010, Neshoba County General Hospital-Nursing Home, Philadelphia, MS Medicare Specialist
Performed collection activities on accounts
Followed up with third party payers, insurance carriers and patients in order to adjudicate and obtain payment on claims
Processed and worked account receivable reports
2007-2008, Accountemps, Memphis, TN
Patient Account Representative
Processed and filed medical claims to HMO’s and PPO’s
Followed up on accounts for reimbursement in a timely manner
Compiled and processed reports accurately
2006-2007, UAHC Health Plan of TN, Memphis, TN
Provider Inquiry Specialist
Settled appeals filed by providers on claims
Followed up on appeals to ensure payments and adjustments returned in a timely manner
Compiled daily reports utilizing Microsoft Excel for reporting to managers
2001-2006, Regional Medical Center, Memphis, TN
Patient Account Representative
Edited UB-92’s and HCFA 1500’s before electronically submitting to HMO’s and PPO’s
Processed charges on all orthopedic accounts
Followed up on accounts for payments, adjustments, and any corrections ● Entered clinic charges into the Nextgen system from fee tickets
Assigned ICD-9 and CPT codes to medical records for processing
2000-2001, Agency Services Inc., Memphis, TN
Claims Assistant
Assist claims processors by entering demographic information into computer system
Filed, copied, and pulled information from patient’s files needed to process claims
Faxed information
Answered and returned phone calls to patients and third party administrators
Education
2004-2007, Bachelor of Science in Healthcare Administration, University of Phoenix 2001-2003, Medical Coding Diploma, Baptist College of Health Science
Skills
Certified in CPR
Certified COVID-19 Trainer
Lifestyle Coach Trainer
Chronic Disease (Diabetes) Self-Management Trainer
Certified in Blood Pressure Self-Monitoring
Work keys certified with a Silver Certification
CCS, CCS-P, CPC, CPC-H, CPC-P eligible
Collector of Revenue I and II Certification
References
Rusty Foster
Chancery Clerk
Winston County
Darlene Bane
Tax Assessor
Winston County
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