Medical Records Coordinator with successful record of increasing department efficiency, reducing errors and eliminating bottlenecks. Diligent commitment to improving and streamlining processes for maximum productivity. In-depth knowledge of HIPAA constraints and chat management protocols.
Meticulous Medical Records Clerk with 25-year history processing medical records requests while delivering highest quality customer service. Builds rapport with staff and patients to foster smooth and effective department operations. Strong knowledge of Release of Information policies and procedures and HIPAA regulations.
Experienced Medical records versed in scanning, arranging and filing medical records in master file systems and individual patient vaults. Highly organized, efficient and detail-oriented team player with systematic approach. Dedicated professional skilled in organizing, validating and transferring records. Expert in EHR and learns new programs, systems and policies quickly to maximize contributions.
Reliable Medical Records Clerk with 25 years of experience receiving, routing, filing and delivering wide range of medical documentation. Energetic and focused with strong organizational skills.
Coordinate Medical Records release to process claim for payment
E-fax medical records to varies medical insurance companies
Assistant medical office with obtain medical necessity coverage
Identified new methods to optimize medical records management.
Kept accurate log of all requests for medical information and records.
Processed medical records requests from outside providers according to facility, state and federal law.
Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
Maintained historical reference by abstracting and coding clinical data such as diseases, operations, procedures and therapies with standard classification systems.
Uploaded records to patient's individual vault
Recorded patients' medical history, status, services provided and other information necessary for compliance with reporting requirements.
Researched and compiled statistical data to support cost control and care improvement initiatives.
Organized, planned and directed medical records movements per established policies.
Maintained accuracy, completeness and security for medical records and health information
Established and managed policies for completing, coding, signing and indexing records.
Interacted and communicated easily with department
Maintained patient records in compliance with security regulations.
Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
Uploaded physician progress notes, history and physicals into electronic medical records.
Reviewed charts and flagged incomplete or inaccurate information.
Gathered patient information by collecting demographic information from variety of sources.
Follow up on claim status
Call insurance companies to obtain claims
Follow up on claim denials
Troubleshoot insurance claims for processing
Identifying trends and payment issues
Ensure claims are submitted to correct insurance companies and provide any information that is needed to process the claim
Assist on any payment issues
Reviewed and verified data, including addresses, phone numbers, names, ages, and values.
Processed and recorded new policies and claims.
Checked documentation for accuracy and validity on updated systems.
Processed six invoices each hour and mailed documentation to clients.
Received and routed business correspondence to correct departments and staff members.
Calculated adjustments, premiums, and refunds.
Modified, updated and processed existing policies.
Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
Collected premiums and issued accurate receipts.
Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.
Prepared insurance claim forms or related documents and reviewed for completeness.
Notified insurance agents and accounting departments of policy cancellations and changes.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Posted payments to accounts and maintained records.
Communicated effectively with staff members of operations, finance and clinical departments.
Verified client information by analyzing existing evidence on file.
Maintained confidentiality of patient finances, records and health statuses.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Coordinated with contracting department to resolve payer issues.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Generated, posted and attached information to claim files.
Determined appropriateness of payers to protect organization and minimize risk.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Complete response history for claims to ensure that the claim is process correctly
Follow up on electronic claims
Executed billing tasks and recorded information in company databases.
Collected data to complete detailed financial reports for management.
Collected data to complete detailed financial reports and management.
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Checked insurance eligibility by making appropriate phone calls and online searches
Created improved filing system to maintain secure client data.
Determined proper codes for medical records and patient services.
Produced large volumes of client invoices using EPIC
Reconciled past due accounts achieving 60% reduction in outstanding invoices.
Followed up with appropriate parties to obtain prompt payments.
Kept all patient information secure and confidential.
Produced, distributed and tracked more than 360 monthly invoices for healthcare business.
Performed targeted collections on past due accounts aged over 180 and plus days.
Worked with supervisor and assisted intermediate biller to properly apply customer remittances.
Applied more than 60 payments per week.
Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Educated patients on eligibility and affordability options by offering insightful information.
Scheduled appointments with applicants to gather information and explain benefits processes.
Inputted all gathered information and researched data on applicants into computer system using Centrix
Developed extensive fact-checking and research skills as result of continuously reviewing different programs and options.
Managed processing of all benefits applications, including those for financial assistance
Assessed information gleaned from interviews, educational, and medical records, consultation with other professionals and diagnostic evaluations to identify clients' abilities, needs and eligibility for services.
Documented all communication with applicants and inputted information into system using Centrix
Answered incoming and make outgoing calls to patient
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