Medical Records Customer Service
Resume:
CONTACT
Phone
Address
*****.*.******@*****.***
Grand Island, Florida 32735
SKILLS
• Teamwork and collaboration
• Customer service
• Friendly, positive attitude
• Multitasking
• Problem-solving
• Attention to detail
• Time management
• Multitasking Abilities
• Dependable and responsible
• Computer skills
• Critical thinking
• Flexible and adaptable
• Task prioritization
• Microsoft office
• Knowledge of CPT Codes
EMR/EHR such as Epic, Cerner,
Meditech, Allscripts, One
Content, Dignity Health, eClinical
Works, Patient Keeper and
Expanse Live
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REFERENCES
References available upon request
PROFESSIONAL SUMMARY
Experienced in dispute resolution and provider enrollment with a strong background in HIPAA compliance and project management. Skilled in developing communication strategies and managing multiple projects while ensuring data integrity and timely completion. Eager to leverage expertise in a Dispute Resolution Coordinator/Provider Enrollment role to contribute to organizational success. EXPERIENCE
Dispute Resolutions / Provider Enrollment
Sound Physicians Inc.
Dispute Resolution Coordinator
Sound Physicians Inc.
Mar 2025 – Present
Background Checks: Conducted thorough background checks, including verification of licensure, education, training, work history, and other credentials for providers.
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HIPAA Compliance: Ensured compliance with HIPAA privacy regulations when sharing protected health information between healthcare providers.
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System Updates: Updated systems with changes in provider information, such as address changes or license expiration dates.
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Provider Follow-Up: Followed up with providers via telephone or email regarding missing records or incorrect documentation.
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Medical Records Acquisition: Obtained medical records from previous physicians and other healthcare providers for patient evaluation purposes.
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Records Fulfillment: Fulfilled requests for medical records from third-party providers in accordance with HIPAA regulations.
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Communication Strategies: Developed effective communication strategies with third-party insurance providers to promptly resolve denied or underpaid claims.
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Collaborated with Team Members: Worked effectively with coworkers to complete tasks, fostering a collaborative work environment.
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Met Deadlines: Consistently met deadlines while maintaining high-quality deliverables, ensuring project success.
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Project Management: Managed and coordinated multiple projects simultaneously, ensuring timely completion and adherence to objectives.
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Software Proficiency: Skilled in using various software applications and programs, including Microsoft Office, Salesforce, and Credential Stream, to enhance productivity and streamline processes.
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Sep 2022 – Present
US
Prepared Medical Records and Remits: Pulled and organized medical records and remits to support arbitration processes, ensuring clinicians and doctors receive proper financial reimbursement for medical care provided.
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Developed Standard Operating Procedures (SOPs): Authored SOPs for arbitration purposes, demonstrating the level of care provided by clinicians and physicians.
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TAMMY L. O'BRIEN
D i s p u t e R e s o l u t i o n C o o r d i n a t o r / P r o v i d e r E n r o l l ment Data Entry (Temporary)
Sound Physicians Inc.
Personal Protection Agent/Residential
Security Agent
Cormax
Personal Protection Agent/Residential
Security Agent
GS1Group Inc.
Armed Guard
PSC/A-Team (Armed)
Created Curriculum Vitae (CVs): Composed CVs for clinicians and physicians, highlighting their education and training to substantiate their professional qualifications and support arbitration cases.
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Extracted Information from EMR/EHR Systems: Obtained relevant information from Electronic Medical Records (EMR) and Electronic Health Records
(EHR) sites, including medical records and Explanation of Benefits (EOBs) for appropriate dates of service to support claim dispositions.
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Performed Data Entry: Accurately documented provider information in system databases, ensuring data integrity and accessibility.
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Provider Communication: Communicated effectively with providers to gather necessary documentation for enrollment, facilitating smooth and efficient processes.
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Jan 2022 – May 2022
US
Medical Records Management: Pulled medical records for upload to the United Health Care Portal, ensuring all necessary documentation was accurately prepared.
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Portal Uploads: Successfully uploaded pulled medical records to the United Health Care Portal, maintaining data integrity and compliance with healthcare standards.
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Mar 2021 – Sep 2022
Woodland, CA
Executive Protection: Provided executive protection, armed security, and residential in-house security for high net worth individuals.
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Residential Security: Delivered residential security services for ultra high net worth individuals, ensuring their safety and privacy.
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• Licensing: Hold current California armed and unarmed security licenses. First Aid and CPR: Certified in advanced first aid, CPR, and AED, maintaining up-to-date training to handle emergencies effectively.
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Jan 2020 – Sep 2022
US
Executive Protection: Provided executive protection, armed security, and residential in-house security for high net worth individuals.
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Residential Security: Delivered residential security services for ultra high net worth individuals, ensuring their safety and privacy.
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• Licensing: Hold current California armed and unarmed security licenses. First Aid and CPR: Certified in advanced first aid, CPR, and AED, maintaining up-to-date training to handle emergencies effectively.
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Jan 2020 – Sep 2022
West Hills-Panorama City
School Security: Provided security for 400+ students at a high-profile Jewish school, prioritizing their safety and ensuring all Standard Operating Procedures
(SOPs) were followed.
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Accountability: Ensured all students and staff were accounted for and that only approved personnel were on the premises.
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Hospital Security: Delivered security services during COVID-19, ensuring supplies were secure and employees and staff were safe.
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Patrols: Conducted walking patrols to prevent break-ins and secure equipment and vehicles.
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Event Security
Allied Universal
Executive Protection /Armed Guard
LSI
Armed Security Contractor
Covered 6
Military Police
Tennessee State Guard
Operations Supervisor/Assistant Project
Manager/Project Manager
Stark Corp
Jan 2019 – Sep 2022
Greater Los Angeles Area
Event Security: Ensured the safety and protection of high-profile and high-net- worth clients attending red carpet events, including movie premieres and television appearances.
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Perimeter Watch: Managed deployment and coverage of perimeter watch for movie premieres, overseeing press check-in and escorting deployment to the red carpet.
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Crowd Control: Provided crowd control for autographs and pictures, ensuring orderly interactions between clients and fans.
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Studio Security: Delivered security services at Fox Studios for television and movie filming, maintaining a secure environment.
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Corporate Event Security: Provided security for Fortune 500 companies and their employees during major social and business-related events, ensuring adherence to Standard Operating Procedures (SOPs) and the safety of all attendees.
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Jan 2019 – Sep 2021
Greater Los Angeles Area
Event Security: Ensured the safety and protection of high-profile and high-net- worth clients attending special events, including the Oscars and other high- profile gatherings.
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Bank Security: Provided security services for banks, ensuring compliance with Standard Operating Procedures (SOPs) and the safety of all employees.
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Corporate Security: Delivered security services in corporate settings, maintaining adherence to SOPs and ensuring the safety of all personnel.
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High-Risk Facility Overwatch: Served as overwatch for a high-risk facility in Los Angeles during the 2020 civil unrest, ensuring the security and safety of the facility and its occupants.
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Jan 2020 – Dec 2020
US
Business and Client Safety: Ensured the safety of Beverly Hills businesses, clients, and locals.
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Election Support: Served as backup security in Beverly Hills before, during, and after elections.
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Crowd Control: Managed crowd control during protests, maintaining order and safety.
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Jan 2005 – Dec 2020
Nashville, TN
State of Tennesse Guard : Provided security and training support to the Tennessee National Guard during state emergencies and natural disasters.
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Event Security: Worked security at state holiday events, providing crowd and traffic control for Tennessee residents and distinguished guests.
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Veteran Funerals: Attended military veteran funerals for veterans without family, ensuring they were respectfully laid to rest in veteran cemeteries.
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Training: Attended Military Police training monthly, participated in annual emergency response training with the Tennessee Emergency Management Agency, and completed online classes with the Federal Emergency Management Agency.
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Jan 2020 – Dec 2020
Wyoming
Armed Guard
Inter-Con Security (Armed)
Office Manager
Tennessee Tech Food Pantry
Gate Security Guard
Covered Six
Multi-State Management: Managed operations, duties, hiring, training, and development of 40+ locations across three states (Minnesota, Michigan, and Ohio) for face mask enforcement and security detail.
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Scheduling: Monitored and created schedules for all agents, ensuring optimal coverage and efficiency.
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Training and SOP Implementation: Developed training guidelines and implemented all Standard Operating Procedures (SOPs) to maintain high standards of security.
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Day-to-Day Operations: Managed all day-to-day operations at site locations, ensuring positive implementation of all security functions.
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Sub-Contractor Coordination: Collaborated with sub-contract companies to fill vacant positions, maintaining seamless operations.
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Jan 2020 – Dec 2020
San Bernardino
Armed Security: Provided armed security services for a large contractor, ensuring the safety and protection of high-risk facilities.
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Theft and Threat Deterrence: Implemented theft and threat deterrence measures, both domestic and nondomestic, to safeguard high-risk facilities.
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Jan 2017 – Dec 2019
Cookeville, TN
Administrative Support: Provided administrative and clerical support for food pantry donations, outreach, and charitable giving, assisting over 10,000 Tennessee Tech students, faculty, staff, and community members.
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Donation Processing: Conducted food pantry donation intake processing, ensuring food safety and quality, and inventoried items in pantry storage.
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Assistance Coordination: Facilitated requests for food pantry assistance and coordinated the distribution of food pantry items to those in need.
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Inventory Management: Updated and monitored inventory reports, submitting supply requests to Tennessee Tech charitable organization support.
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Volunteer Management: Managed a team of twenty volunteers, coordinating requests, fulfillment, and promoting food pantry services to students, faculty, staff, and community members.
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Jan 2019 – Nov 2019
Hidden Hills, CA
Gate Security: Monitored and provided gate security at the point of entry for Hidden Hills, a private gated community with over 2,000 residents, during the night shift.
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Guest Validation: Validated guests at the point of entry and notified homeowners of guest arrivals through the main gate.
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Emergency Response: Notified proper authorities regarding emergency situations and suspicious activity for over 500 homes.
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Community Information: Provided information regarding special events and activities within the community and reminded residents of new policies.
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EDUCATION
Certification in Body Guard
Covered Six
Computer science in Cyber Security
Tennessee Tech University
Simi Valley, CA
Cookville, TN
Computer Science in Cyber Security
Nashville Community College
Nashville, TN
Contact this candidate