Seeking a position to enhance my skills and abilities in Business Administration that offers professional growth while being resourceful, innovative and flexible. Accomplished operations management professional bringing over 7 years' experience and advanced abilities in team building and workflow improvements. Innovative and analytical with excellent project management skills.
Microsoft Office expertise
Clear oral/written communication
Excellent multi-tasking ability
to Current Anthem, Inc./Healthcare Solutions – Atlanta,
Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
Communicate directly with provider offices in pursuit process by requesting medical record information and coordinating the exchange of files for Hedis Review.
Work with the Service Associate II to book appointments, verify information and communicate with provider offices making requests for medical record information, maintain department tracking log, and Abstractor calendars.
Advance knowledge in Medical record filing system within the department is required.Assist abstractors with utilizing research within the company's claims and medical record systems and locating where members received care.
Document Imaging Specialist08/2016
to 02/2017 EDCO Health Information Solutions – Duluth,
Handled documents of all conditions and prepared documents for scanning to include removing fasteners, taping and fixing tears and all other things needed to ensure the document will properly scan.
Converted documents into the company database, Solarity, with an average of 95% accuracy.
Promptly electronically filed patient's charts with a scanning an average of 300 documents per hour.
Corresponded with physicians of incomplete and pending records to be completed.
Analyzed information to identify document types and sorted documents per job instructions.
Exceeded over the 85% minimum performance standards.
Adapted to working under pressure with little or no supervision.
Correctly redacted Protected Health Information (PHI) and Personally Identifiable Information (PII), in compliance with CMS and HIPPA regulations.
Jr. Healthcare Business Analyst12/2013
to 01/2016 Health Port Technologies – Alpharetta,
Gathered and documented existing client processes and data using Microsoft Excel to perform gap analysis between client's system and Salesforce system to access client's readiness.
Identified specifications for billing and accounts receivable requirements, performed gap analysis and presented information to technical team to identify system requirements.
Developed operational processes for increase company organization, productivity and performance for all HEDIS and Risk Adjustment projects.
Served as a project management analyst on multiple initiatives involving maintenance and systems changes for HIPAA implementation.
Research 100 accounting issues daily and make appropriate corrections or adjustments.
Health Information Audit Coordinator02/2011
to 10/2013 Outcomes Health Information Solutions – Alpharetta,
Coordinated medical records requests via phone or email in accordance with all state and federal guidelines as well as HIPAA requirements for 16 Medical facilities and over 200 providers.
Accurately prepare and distribute over 200 medical record audit packets monthly.
Executed weekly meeting to all Major clients.
Act as a Liaison between the Health care providers and the Health Insurance companies.
Administered clients' information in the database systems.
Leveraged advanced skills and training to support operational needs of multiple departments.
Handled all incoming business and client requests for information.
Coordinated special projects and managed schedules.
Bachelor of Science: Small Business Management CurrentUniversity of Phoenix-
Delta Mu Delta (DMD). University of Phoenix Lambda Sigma Chapter of the International Business Honor Society