Medical Records Customer Service
Resume:
ES
EMMANUEL SENOR
Personal Summary
Results-driven professional with 12 years of experience, known for reliability, thoroughness, and strong communication skills. Dedicated team player with a positive attitude, adept at meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new challenges to enhance the organizational brand. Experienced in medical records auditing, ensuring compliance and accuracy in healthcare documentation through advanced auditing techniques and knowledge of regulatory standards. Highly collaborative and adaptable to changing requirements, focused on achieving tangible results for high-quality documentation.
Work History
Zinnia Health and Wellness Center - Medical Records Auditor Patient Accounts
Delray Beach, FL
09/2024 - Current
Banyan Treatment Center / New Leaf Billing - Medical Records Auditor Pompano Beach, Florida
05/2021 - 08/2024
Maintained accuracy, completeness, and security for medical records and health information.
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Utilized electronic medical record systems to store, retrieve and process patient data.
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Tracked and monitored 20 -30 email requests for medical records release.
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Ensured timely completion of audit tasks effectively managing workload and prioritizing assignments according to urgency level.
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● Sorted and distributed 10-15 incoming and outgoing medical records. Communicated effectively with staff, patients, and insurance companies by email and telephone.
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Conducted 10-15 audits of patient medical records for compliance with regulatory requirements.
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Facilitated communication between departmental managers regarding any discrepancies found during audits of patient charts or other documents.
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**********@*****.***
Pompano Beach, FL 33069
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Education and Training
06/2013
Florida Barber Academy
Pompano Beach, FL
Certificate of Completion: Barbering
06/2000
Boca Raton High School
Boca Raton, FL
High School Diploma
Skills
● Administrative Support
● Customer Service Support
● MS Office, Word, Excel Proficiency
● Computer Savvy/ typing
● Data Entry / Word Processing
● Quick Learner
● Active Listening Skills
● Multi-Tasking
● Organizational growth
● Clinical documentation review
Banyan Treatment Center Admissions - Insurance Verification Specialist Pompano Beach, Florida
08/2019 - 04/2021
A. B. Direct Marketing Inc - Durable Medical Equipment Representative Boca Raton, FL
07/2017 - 05/2019
Rapid Relief Medical - Medical Records Clerk
Delray Beach, FL
10/2015 - 05/2017
The Rx Advocates, LLC - Customer Service Representative Boca Raton, FL
09/2015 - 10/2015
Developed 8-10 reports summarizing audit findings and recommendations for improvement.
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Evaluated policies and procedures related to Insurance Verification activities.
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Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
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Verified 10-15 patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
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Answered phone calls and messages for medical records auditors, physician, and all medical facility, scheduling appointments, and handling patient inquiries.
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● Verified 15-20 Patient Insurance Benefits
● Contact customers to confirm shipping address.
Entered customer interaction details in Noble Software to track requests, document problems and record solutions offered.
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Performed general office duties, including answering multi-line phones, routing telephone calls or messages to appropriate staff including filing paperwork, delivering mail, sorting mail, and helping patients.
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Obtained necessary signatures on information release forms to obtain medical and treatment records.
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Reviewed 20-25 medical records for completeness and filed records in alphabetic and numeric order.
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● Received 10-15 emails and faxes per day requesting for medical records.
● Responded to materials requests and retrieved necessary information. Contacted 20 25 insurance providers to verify correct insurance information and get authorization of approval for medications.
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● Updated 10-15 patient accounts and information on a daily basis. Maintain about 15-20 prescription refill requests on behalf of the patient.
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Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for- service and managed
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● Continuous improvement mindset
● Detail-oriented
care plans.
Responded to 5-10 customer email requests for products, services and company information.
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