Fair Hearing & Administrative Support Professional
Resume:
Angela Thompson
Jacksonville, FL *****
***************@*****.***
Professional Summary
• I enjoy receiving the knowledge of learning new things, and ideas
• Meeting new people
• Learning more about the Company
• Overall Customer satisfaction
Authorized to work in the US for any employer
Willing to relocate to: Jacksonville, FL
Authorized to work in the US for any employer
Work Experience
Fair Hearing Specialist / Mailroom Coordinator
Acentra Health-Tampa, FL
April 2024 to January 2026
Generate documents for providers for a fair hearing against Insurance Companies when they deny certain medications or equipment that patient needs.
Also worked in the mailroom, print denial letters or approval letters from the Que print and mail them. Conduct monthly audit for postage meter machine.
Conduct inventory 3 times a week.
Order my office supplies
Put tickets in for Service Techs to service machines. I work on labeling docs triage in Eqsuite.
Send letters to Medical Directors: in another project, I work on Residential discharges. Maintain Queues fo FSP initial and continued admin review. Maintain Queue sending notification emails on eligibility end dates to facilitate on kids parents On continuing enrollment
Ending title Fair Hearing Coordinator
Phone Pursuit
Elevance Health-BCforward staffing-Indianapolis, IN January 2024 to April 2024
Phone pursuit of outbound of patients to call various facilities to verify and request medical records for the HEDIS Project
HEDIS HSF Reviewer - Remote-Contract
Elevance Health Lan Soft Staffing-New Jersey
January 2023 to April 2023
• Chart auditor • Pull Client list from the Z drive. • Use different EMR Systems for audit. • Production from 35-50 per day • Report to Lead the amount charts audited at the end of the workday. • Use Epic, Athena, Cerner, for chart auditing
Production Agent - Remote
Wipro LLC-East Brunswick, NJ
March 2022 to September 2022
• Customer Service
• Outbound calls
• Obtain Client call list
• Call Facility
• Verify Patients credentials
• Request itemized bill
• Data entry
• Smart Sheet
• Clinical Point
• Webex [phones]
• Teams
• Documentation
• Email tracking sheet to Supervisor after each shift Customer Service Representative-Hiregy Staffing Contract Premier Administrative Solutions-Clearwater, FL
October 2020 to January 2021
• Customer Service
• Answer phones
• Assist Clients with Insurance benefits
• Assist Providers with eligibility of benefits for Clients
• Data Entry
• Nice in contact.com
• People 2.0
• Multiplan.com (Providers Phonebook)
• Neo Note System
• AWA-American Worker’s Association
• E123 System
• Insurance verification
CSR 1 -Customer Service Rep 1
CIOX Health / Advent Health-Clearwater, FL
August 2020 to October 2020
• Data Entry
• Processing Records request
• Audit ROI Request
• Risk Assessment
• Processing HEDIS Request
• Cerner System
• Athena System
• Ultipro System
• CIOX Academy System
• HealthSource
• Outlook accomplishments: Receiving the knowledge and learning from Iron Mountain Company Epic ROI System
• Power Chart
• Athena
Data Entry (Contract)
22ND Century Technologies Staffing-Iron Mountain Inc-Jacksonville, FL October 2019 to March 2020
• Data Entry
• Processing Records request
• Audit ROI Request
• Risk Assessment
• Processing HEDIS Audits
•
• Outlook accomplishments:
Receiving the knowledge and learning from Iron Mountain Company Epic
ROI System
Production Agent -Remote - Contract
Iron Mountain Inc-22ND Century Staffing-Jacksonville, FL October 2019 to March 2020
• Data Entry
• Process Records request.
• Audit ROI Request.
• Risk Assessment.
• Processing HEDIS Audits.
• Outlook accomplishments:
• Receiving the knowledge and learning from Iron Mountain Company Epic.
• ROI System.
Medical Records Coordinator (Contract)
Conviva Care Solutions, LLC-ALL Medical Staffing-Jacksonville, FL June 2019 to August 2019
• Medical Terminology
• Entering Medical information
• Scanning
• Process mail
• Print out Prescriptions and distribute to Medical Assistants for processing
• Request and Process Medical Records releases forms
• Attend morning meetings
• Upload medical records into the system and send to Doctors for review
• Trinity system (EMR)
• Process PFF files (separate referral from consult)
• Process Radiology reports
• Data entry
2nd Grade Substitue Teacher
HCMC INC-Jacksonville, FL
October 2018 to August 2019
2nd grade substitute teacher for Early drop off Care and Extended Day Program. Help them with their homework, Spelling, Math, etc last day of school 5/31/2019 Chart Abstractor
Md Abstract Inc-Jacksonville, FL
August 2017 to June 2018
• Move records from one system to another
• Abstract meds, Cardiology, labs, Demographics
• Also work Power Chart, Athena System, Nextgen System, and Mission Health System HIM Assistant - (Contract)
Mayo Clinic -Aerotek Staffing Agency-Jacksonville, FL June 2016 to January 2017
• HIMS Assistant
• Customer Service answering phones and send patient to appropriate extension
• Prepping records, scanning records into share drive
• Indexing records and send to Doctor for review3
• Check mail
Administrative Assistant (Contract)
Florida Blue - Alluvion Staffing-Jacksonville, FL
April 2016 to May 2016
Responsibilities:
• Customer service
• Calling Doctors Office and Hospital facilities to retrieve record's
• Have morning meetings
• Use spread sheet in Microsoft Excel
• Use of system called Altegra and Wit to see if records were received Accomplishments:
Microsoft Excel ; Altegra
HEDIS Project
Skills Used:
Customer Service
Clerical
Phone skills
Scanning records
Scheduling Ds. appointments
Faxing records to Hospital
Medical Records Specialist
NRTH FL OBGYN, LLC-Jacksonville Beach, FL
November 2005 to August 2015
• Retrieved and sorted mail
• Pulled charts for the next day
• Filed charts at the end of every business day
• Continually scanned records and documents
• Downloaded sonogram reports and pictures and sent to doctors for review
• Worked with patients during check in and check out
• Scheduled appointments both follow up and new
• Completed chart audits for HEDIS
• Assisted Attorneys and Insurance Companies with processing incoming Subpoenas
• Assist Drs. with Circumcisions on Newborns
• Medical Assistant
• Medical Information
• Enrollment Process
• Insurance Verification
• Checked mail,assorted, and distributed to proper destination Accomplishments:
Obtained award for Employee Of the Month because of my ability to go above and beyond and Customer Relations and processing Insurance and HEDIS chart audits in a timely manner Skills Used
EMR/EHR
ALSCRIPTS
Assisting in scanning letters to Practice Administrator Medical Records Specialist
NRTH FL OBGYN, LLC-Jacksonville Beach, FL
November 2005 to August 2015
• Retrieved mail and sorted mail.
• Pulled charts for the next day.
• Filed charts at the end of business day.
• Scanned records and documents.
• Downloaded sonogram reports and pictures and sent to Doctors for review.
• Assisted with check in and check out of patients.
• Scheduled follow up and new appointments.
• Chart audits for HEDIS.
• Processed incoming Subpoenas from Attorneys and Insurance Companies.
• Assisted Drs. with Circumcisions on Newborns.
• Medical Assistant.
• Medical Information.
• Enrollment Process.
• Insurance Verification.
• Checked mail, assorted, and distributed to proper destination.
• Accomplishments:
• Obtained award for Employee of the Month due to going above and beyond, Customer Relations, and processing Insurance and HEDIS audits in a timely manner.
• Skills Used: EMR/EHR ALSCRIPTS.
• Assisted Practice Administrator in scanning letters. Store Manager
Family Dollar-Jacksonville, FL
June 2003 to October 2004
• Effectively provided outstanding customer service to all patrons
• Completed all store openings and store closings
• Completed all bank drops
• Ensured responsibility for all money within the store
• Effectively handled hiring and terminating of all employees for the store
• Created schedules for employees
• Created and had weekly meetings with all employees
• Conducted all inventories of merchandise
• Conducted audits
• Completed unloading truck from deliveries within a 24- hour period of time Accomplishments continually worked with other stores to effectively change over the stores during the holiday season
OTC Pharmacy Manager
Super Walmart-Jacksonville, FL
June 2002 to October 2003
• Completed daily inventories for the store
• Completed all ordering and stocking of freight
• Conducted market research weekly with competitors
• Developed report for supervisor detailing the findings during research
• Completed merchandising
Accomplishments:
Knowledge of medical needs of products for patients Meeting new people
Fair Hearing Coordinator
Education
Diploma
Enterprise Highschool-San Bernardino, CA
March 2005 to December 2005
Medical Assistant in Medical (Diploma)
Concorde Career College-Jacksonville, FL
January 2004 to December 2005
some college Medical Assistant Diploma 2005
Skills
• Medical billing
• Store management
• Billing
• HIPAA
• Oracle
• Clerical experience
• Medical Terminology
• Patient observation
• Microsoft PowerPoint
• Medical records
• Fashion retail
• Retail sales
• Enrollment Process (9 years)
• Teaching
• Typing
• Medical coding
• Experience Administering Injections
• Csr
• Customer support
• Documentation review
• Laboratory Experience
• Medical documentation
• Athenahealth
• Proofreading
• Vital Signs
• Driving
• Referral coordination
• Home health
• Hotel experience
• Telemarketing
• Assist with Circumcisions (9 years)
• Recruiting
• Salesforce
• Decision making
• Databases
• Ehr
• Schematics
• Help Desk
• SharePoint
• Cash Handling
• Organizational skills
• Auditing
• Cash register
• Cpr
• Medical Assistant (10+ years)
• Analysis skills
• Google Docs
• Accounts receivable
• Live chat
• Patient interaction
• Medical administrative support
• Medical collection
• Data entry
• pulling charts for next day (10+ years)
• Database management
• Cerner
• Managed Care
• Supervising Experience
• WAN
• ICD coding
• Windows
• Restaurant experience
• Web accessibility
• Lexis-Nexis
• Project management
• Customer service
• Microsoft Word
• Regulatory compliance
• Medicare
• Microsoft Excel
• Active Directory
• EHR systems
• EMR Systems
• Adobe Acrobat
• Insurance verification
• Phlebotomy
• Interviewing
• Cash handling
• ServiceNow
• Medical Scheduling
• Mobile devices
• Human resources
• Sales
• Word processing
• Assist Doctors with Patients (10+ years)
• Time Management
• Writing skills
• Medical office experience
• Marketing
• Quality Assurance
• UltiPro
• Maintaining patient confidentiality
• Employee Orientation
• HEDIS
• Office management
• VPN
• Salesforce Cloud
• HTML5
• Management
• Anatomy knowledge
• Customer inquiry handling
• Microsoft Windows Server
• Microsoft Office
• Record keeping
• ICD-9
• Market research
• Warehouse Experience
• EMR/EHR
• Computer operation
• Banking
• Front desk
• Epic
• ICD-10
• Medical receptionist
• Microsoft SharePoint
• Filing
• Power BI
• Remedy
• Conflict management
• Guest services
• Retail management
• Medical Information (10+ years)
• Front Desk
• Triage
• Research
• CPT Coding
• Patient Care
Certifications and Licenses
Driver's License
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