Data Entry Case Management

Vashion L. Person

********@*****.***

PROFESSIONAL SUMMARY

Health Information Management specialist with over 20 years’ clerical administrative office experience including, but not limited to, imaging, scanning, email, data entry, customer service, Internet research, phones.

Knowledge, Skills and Abilities: MS Office/Office 365, Excel, MS Teams, Outlook, Google, SharePoint, PowerPoint, Slack, Skype, Zoom, Avaya, Salesforce, OnBase, EPIC, Windows, CareConduit, LIMS, HealthRules. Strong problem-solving/critical thinking skills, data entry, attention to detail, medical records, administrative support, effective communication skills, multi-tasking expert.

PROFESSIONAL EXPERIENCE

Medical Monitoring Specialist, Remote-Sedgwick Government Solutions 2/26/24-Present

•Creating WTC-3 certification requests for members, researching ICD 10 and CPT codes, medical records, data entry, outbound calls to members and providers to assist in completion of certification.

•Collaborating as an integral member of the WTC-NPN case management interdisciplinary team through clear communication via email, Teams, and phone, and resource coordination to meet the shared goal of creating and nurturing a caring environment, supporting a better quality of life for the Member and reducing health care costs for the Program.

•Assists RN Case Manager and Social Worker through contact with Members for assigned cases in obtaining records and documenting case management activities in case management software program. Sometimes working under pressure to resolve cases quickly.

•Notify case management team in a timely manner of identification of problems encountered by Member in obtaining services or supplies.

•Working independently, multitasking, and adjusting priorities

•Performing other duties, as needed, to meet the needs of the business

Care Coordinator, Contract, Remote-Rose International 3/20/23-2/23/24

•Creating WTC-3 certification requests for members, researching ICD 10 and CPT codes, medical records, data entry, outbound calls to members and providers to assist in completion of certification.

•Collaborating as an integral member of the WTC-NPN case management interdisciplinary team through clear communication via email, Teams, and phone, and resource coordination to meet the shared goal of creating and nurturing a caring environment, supporting a better quality of life for the Member and reducing health care costs for the Program.

•Assists RN Case Manager and Social Worker through contact with Members for assigned cases in obtaining records and documenting case management activities in case management software program. Sometimes working under pressure to resolve cases quickly.

•Notify case management team in a timely manner of identification of problems encountered by Member in obtaining services or supplies.

•Working independently, multitasking, and adjusting priorities

•Performing other duties, as needed, to meet the needs of the business

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Provider Data Specialist, Remote-GeneDx 7/2022-3/2023

•Reviewed Ordering Account Issues, medical records, and resolve Ordering Provider and Ordering Facility Issues.

•Processed data entry of information from OnBase documents via LIMS and Salesforce, utilizing Microsoft Word, Excel, Adobe Acrobat. Researching information for providers using NPI registry and Internet search.

•Communicated with Sales Director, Sales Representatives, Customer Service, and Genetic Counseling Assistants via Microsoft Outlook to verify information entered into LIMS and Salesforce.

•Contacted outside lab representatives to verify information entered into the LIMS database for specific patients with strict adherence to HIPAA laws.

Provider Data Specialist 2, Contract, Remote-Rose International 4/2022-6/2022

•Interacted with provider relations within Baylor Scott and White Health Plan, including working on end-to-end provider claim, ease of use of provider portal and future service enhancements.

•Responded to physician, hospital and ancillary provider inquiries and requests for services associated with the resolution of provider complaints, claim processing, appeals issues, and various operational concerns.

•Assisted data analyst in reviewing medical records and provider directories in order to maintain data integrity, complete provider adds/changes/terms, demographics. Loading contracts.

•Monitored status of resolution through maintaining detailed documentation of issue and action to date.

Intake UM Coordinator, Remote-WellMed Medical Management 8/2021-1/2022

•Processed prior authorizations, notifications, and other provider service requests received via incoming calls in the call center, faxes, and portal submission, handling expedited authorizations, authorization updates and status checks and confirming member eligibility. Worked with ICD-9, ICD-10 and CPT codes.

•Enacted excellent customer service, including the ability to handle escalated callers. Dual monitor environment. Met/exceeded metrics. Database research

•Reviewed medical records and performed all other related duties as assigned, in accordance with HIPAA compliance.

Senior Data Entry Clerk, Contract, Remote-Rose International 1/2021-6/2021

•Organized and maintained UnitedHealth Group Enterprise Insurance Services department email inbox, 30-50+ emails per day. Executed responding to certificate of insurance form requests, lease review and determining correct requirements to enter onto certificate of insurance forms and data abstraction.

•Ensured accuracy of forms and some form builder tasks, also utilizing data entry, working in Microsoft Outlook, Excel, and Word. Database research.

•Analyzed and interpreted data, tracking and monitoring files. Created and distributed spreadsheets from data or existing spreadsheets.

•Responded to and oversaw internal and external customers in a timely manner via email, phone, and Microsoft Teams.

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Case Investigator, Contract, Remote, Rose International 11/2020-12/2020

•Initiated outbound calls to people who have tested positive for COVID-19 and answered incoming calls, as needed.

•Identified individuals who have come in contact with people who have tested positive for COVID-19 and gather contact information, discussed the implications of the positive diagnoses, explained isolation expectations.

•Entered data into computer databases and verify accuracy of data.

•Communicated with coworkers through Microsoft Outlook, Microsoft Teams, and Slack.

•Utilized multiple computer systems, tracking files through CFM system.

Data Operations Assistant, Remote-Radius Global Solutions LLC 3/2020-11/2020

•Handled file imports and exports, file transfers/CFM system, and remittances.

•Accounted for each process, logging and following through each procedure to ensure accuracy.

•Executed high-volume data entry and exchange of information, using Microsoft Word, Microsoft Excel and Outlook.

•Communicated issues and client correspondence to the Data Operations Manager.

•Trained co-workers on various accounts and processes.

eHIM Specialist III, Allina Health 10/2019-3/2020

•Answered high-volume inbound calls, transferring calls, responding to and following up on release of information requests from patients and facilities, retrieval of voicemails and follow through of messages.

•Entered release of information requests via fax queue (OnBase) and MyChart and processed release of information requests from patients, medical facilities, and other entities.

•Tasked with processing of medical claims, data entry, MVA-AUC, MVA-1500, WC-AUC, WC-1500, MVA-MOD-22, UB-04, and HCFA forms. Familiarity with ICD and CPT codes.

•Operated OnBase, Microsoft Word, Excel, Outlook, SharePoint, and PowerPoint, as well as Adobe Acrobat, and EPIC electronic health record system.

•Scanned and indexed medical records, documentation, medical terminology, and accompanying documents,

•Sorted, scanned, and distributed interoffice mail.

eHIM Specialist I, Allina Health 2/2019-10/2019

Processed and managed high-volume data entry, medical records and files to be imaged, scanned, and indexed into an electronic patient chart.

Interacted daily in EPIC electronic health record system, Excellian, Microsoft SharePoint, Outlook, Excel, and Word, Adobe,OnBase.

Logged information and other data entry tasks onto Excel spreadsheet.

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Healthcare Department Assistant, Remote-Mayo Clinic 5/2017-2/2019

Responded to email inquiries, data entry, printing letters using Microsoft Word, Excel, and Outlook with some calendar maintenance.

Carried out QA tasks consisted of processing various types of reports in M*Modal. Transcription modules (Fluency Editor and Manager), proofreading reports, filling in blanks, and correcting errors, medical documentation, medical terminology

Accessed medical records in EPIC electronic health record system, routing messages, and creating patient encounters in EPIC.

Tracked inbound and outbound calls in the Mayo Clinic Rochester and Mayo Clinic Health Systems call center as a customer service agent.

Administrative Assistant, Goldstein Museum of Design 10/2018-01/2019

•Served as initial contact for visitors and guests at front desk. Answered the main phone line; served as primary resource for general information and referred calls as appropriate.

•Reviewed, sorted, and distributed incoming mail, monitored and ordered office supplies.

•Coordinated on-site events with staff and off-site events with Advisory Board and worked at events.

•Hired, trained, and supervised undergraduate student gallery staff. Approved and arranged student work schedules, completed and maintained volunteer agreement documentation, and maintained records of volunteer hours.

•Initiated and processed reimbursements, invoices and other business documents (i.e., purchasing card transactions, cash handling, employee reimbursements, parking and postage charges) through the Financial Services team. Maintained financial records and reconciled with the accounting department monthly. Worked closely with the Financial Services team regarding budget and finance issues, and resolution of problems.

•Collected and processed membership applications, deposited donations, maintained membership tracking and database, and managed renewal programs.

Healthcare Documentation Specialist, Remote-Mayo Clinic 5/2015-5/2017

•Transcribed/edited reports for Mayo Clinic Rochester Pain Clinic, Physical Medicine and Rehabilitation, Spine Center, Sports Medicine, and Orthopedics Departments using Fusion Player, Synthesis, and Shorthand.

•Worked with Microsoft Word, Outlook, Excel, and EPIC electronic health record system and processed and managed medical records, medical documentation, medical terminology

•Exceeded or department minimum productivity standards and QA review percentages.

•Reached 100% accuracy during QA two months in a row.

EDUCATION

Certification in Administrative Secretary

Dental Assistant (not completed)

Herzing University - Minneapolis, MN

High school diploma

Theodore Roosevelt High School - Gary, IN

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