Front Office Coordinator/ Health Information Data Entry

HEALTHCARE REVENUE CYCLE CHARGE CAPTURE LOAN ORIGINATOR

“I will find happiness in the journey of reaching my goals.”

CAREER SUMMARY

Forward thinking health information and revenue cycle services professional with expertise in facility and professional fee revenue cycle operations; proficient in scheduling, health information/records management, client services/support, insurance verification and training; advanced knowledge of privacy and confidentiality principles

PROFESSIONAL EXPERIENCE

NORTH PARK HEART AND VASCULAR Dallas, TX

Medical Records / Front Desk Coordinator/ Scheduler 2023-current

•Assemble file and maintain patient medical records and financial records in a confidential and secure manner

•Ensure accuracy when scanning and filing documents and completes within 24 hours of completed visit including physician reports to referral sources.

•Print patient schedule and pull patient charts daily.

•Ensure appropriate signatures are included on all necessary chart and admissions data in accordance with FMCNA policies and procedures.

•Provides information to parties engaged in research or study projects involving patient care and utilization of services in accordance with policy.

•Coordinates collection processing maintenance storage retrieval documentation and distribution of medical records per policy and procedure.

•Assures documentation of logs of medical record release.

•Schedule and input all appointments scheduling module in a timely and efficient manner.

•Assure all pre-procedure/preoperative activities are scheduled or completed.

•Complete front-end process of billing procedure ensuring all information is entered into the computer registration module.

•Performs Insurance Verification process and completes all required processes for prior authorizations or other actions required by payor.

•Facilitates the admission process by professionally greeting all patients and visitors and obtain patient identification and insurance information to initiate admissions process.

•Communicate all changes about procedure and insurance which is identified during patient visit to appropriate internal parties and directly to the patient record immediately.

COMPLETE SURGERY HOUSTON NORTHWEST Houston, TX

Medical Record Coordinator/ Release of Information 2021-2023

•Collaborated with physicians to complete health record documentation timely and accurately

•Compiled data and created reports for corporate and administrative use

•Applied HIPAA Privacy/PHI regulation knowledge, appropriately handing patient information

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•Evaluated levels of care, locations, diagnoses, patient identification, provider signatures, dates of service, and scheduling cases

•Ensured compliance with medical/legal requirements and standards, reviewing medical records for accuracy and completeness

•Recorded and filed patient data into the patient medical records

•Validated all requests for protected health information according to HIPAA privacy and PHI

•Reviewed electronic and paper medical records to supply information requested

•Released records and medical affidavits timely, updated database for accounting of disclosures

•Handled a variety of phone calls from providers, attorneys, insurance companies and patients

Patient Liaison/ Insurance Verification/ Scheduling 2019-2021

•Handled new patient intake, signed in-returning patients and advised clinical staff of patients present in office awaiting examination

•Maintained financial accuracy collecting deposits, fees, and verifying payment cards against identification; calculated billing units and reimbursement amounts

•Reviewed patient cases per week, verified insurance coverage information and determined appropriateness of payers to protect organization and minimize risks

•Assisted Financial Maintenance Team in peak periods ensuring timely completion of their tasks

•Provided telephonic outreach to patients for payment or payment arrangements

•Maintained knowledge of current insurance plans and any plan changes or updates

•Managed assigned portfolio, working closely with service teams to coordinate patient course

•Scheduled appointments for patients via faxed referrals, over the phone, and in person

•Coordinated patient appointment time with staff hours to schedule appointments and tests appropriately, maintaining hard copy documentation and diagnostic filings

•Delivered patient information, appointment results and insurance information to other office staff for reporting and billing purposes

•Assisted with new staff orientation and training and participated in ongoing performance evaluation in collaboration with senior staff

HERMANN DRIVE SURGICAL HOSPITAL Houston, TX

Charge Capture Specialist 2016-2019

•Partnered with clinical departments for complete, accurate and compliant charge capture

•Increased data-entry productivity by maintaining detailed logs of data projects, identifying issues and monitoring improvements

•Organized, sorted and checked Epic input data against original documentation; evaluated source documents to locate information needed for each data entry field

•Maintained optimal quality levels to prevent critical errors and support performance targets

•Corrected data entry error to prevent future issues such as duplication or data degradation

•Assisted with other projects related to the Revenue Cycle department when needed and participated in special projects assigned by management

BAYLOR ALL SAINTS MEDICAL CENTER Fort Worth, TX

Revenue Cycle Specialist 2014-2016

•Entered patient billing information utilizing PATCOM and CPM software systems

•Reconciled charge entry utilizing charge description master when reviewing Cypress reports

•Performed audit of charges for accurate data entry and charge capture

•Tracked, trended and reported errors in order to improve accurate charge capture

•Trained a staff of 5 specialists in data entry and charge entry process

•Coordinated with internal and external auditors for requested information and/or reports

•Organized and retained daily charge capture reconciliation room certification forms

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BAYLOR ALL SAINTS MEDICAL CENTER

Fort Worth, TX

Health Information Management Associate III 2009-2014

•Analyzed medical records for completeness and accuracy and regulatory compliance

•Monitored records for deficient dictated or transcribed reports; compiled deficiency statistics

•Assured availability of transcribed reports and other documents for physician signature

•Performed timely follow up to assure chart completion within regulatory timeframes specified

•Notified supervisor weekly of deficient charts; updated weekly delinquent logs

•Filed documentation into medical records

•Checked surgery schedule daily and weekly and pulled charts for nursing review

•Filled medical record request from physician offices, attorneys, state and/or federal agencies

•Logged all communication for medical record requests while ensuring patient confidentiality

•Confirmed validity of all requests for release ensuring each request was appropriately signed • Received and responded to telephonic and written inquiries

EDUCATION/LICENSE/CERTIFICATION

HOUSTON COMMUNITY COLLEGE Houston, TX

Degree: Associate in Art 2017 -2018

TARRANT COUNTY COLLEGE Fort Worth, TX Degree Pursued: Paralegal Studies 2008

INDUSTRY SPECIFIC SOFTWARE/APPLICATIONS

Microsoft Office Advantx AdvancedMD

MedHost Allscripts 3M Clinical Documentation

Meditech HST Pathways Fax/Scanner/Copier

Secure-Dox Vision File Bound

ESSENTIAL SKILLS

Ethical Problem-solver Professionalism Multi-tasker Administrative Adaptability Web Conferencing Zoom, Teams, WebEx Social Media Savvy HIPAA Relationship- building Team-oriented Notary Public Independent worker Active Listener Ambulatory Surgery Medical Terminology ICD-10 Knowledge CPT Knowledge

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