I believe I have sufficient work experience to fill this position. I am a detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. I would appreciate the opportunity to show you. I am a quick learner and a hard, honest, and dependable worker. Please review my resume as soon as you can. I look forward to hearing from you! Thank you for your time!
Overview
22
22
years of professional experience
1
1
Certification
Work History
HIM Specialist/Routes
Datavant
03.2015 - 08.2024
Responsibilities:
HIM Information Specialist
Maintained direct relations with physician offices
Retrieved medical data for physicians and patients.
Followed all company policies and procedures to deliver quality work.
Catalogued patient data in clinical databases and registries according to regulatory practices.
Maintained records for all Prisma offices/hospital
On site and Remote Representative
Provided professional services and support in a dynamic work environment.
Collected, arranged, and input information into database system.
Performed software updates, upgrades and data backups.
Completed HEDIS Audits
Devised and implemented processes and procedures to streamline operations.
Maintained and filled Subpoenas/attorney requests
Updated yearly HIPPA requirements
Maintained HIM requests for Prisma Hospitals
Upheld HIPAA regulations and standards for protecting patient information.
Helped meet changing demands by recommending improvements to business systems or procedures.
Secured confidential patient information from unauthorized access.
Skills used:
Skilled at working independently and collaboratively in a team environment.
Demonstrated respect, friendliness and willingness to help wherever needed.
Customer service skills
Computer skills
Communication skills
Maintaining records
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Organizational skills
Teamwork
Multi-tasking
Hostess/Cashier/Maintenance
Buffalo Wild Wings
06.2014 - 03.2015
Responsibilities:
I worked two positions with BWW, Maintenance and Hostess.
As a Hostess:
Greeted customers warmly upon arrival and provided friendly and warm presence throughout dining experience.
Supported servers, food runners, and bussers with keeping dining area ready for every guest.
Worked with front of house staff to move tables and adjust seating to accommodate groups with special requests.
Minimized customer service complaints by expertly managing customer expectations during busy periods.
Organized, stocked and cleaned establishment's front lobby during shifts to maintain welcoming appearance.
Cross-trained to handle different restaurant roles, including bar, kitchen and to-go stations.
Trained new hostesses on customer service best practices and restaurant policies to maintain high standards of service.
Completed daily side work and opening and closing duties without fail.
Helped facilitate cooperation between service and kitchen staff to professionally meet guest needs and resolve problems.
As Maintenance:
Performed routine maintenance on equipment.
Managed maintenance of facility and grounds.
Performed yard maintenance attending to facility grounds.
Performed minor and routine maintenance or repairs.
Skills used:
Customer Service
Problem solving
Critical thinking
Teamwork
Multi-tasking
Organization skills
Physician Office Specialist
The Hand Surgery Center
03.2005 - 12.2006
Responsibilities:
Worked claims/collections and follow-ups
Logged claims
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Pre-certified DME for patients
Collaborated with customers to resolve disputes.
Pre-certified surgeries/procedures
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Responded to customer concerns and questions on daily basis.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Check in and checked out patients
Handled account payments and provided information regarding outstanding balances.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Worked directly with occupational therapists, scheduled appointments for them, maintained their records
Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
Maintained medical records when needed
Transitioned office to new office
Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Skills Used:
Customer service
Communication skills
Computer skills
Problem solving
Critical thinking skills
Medical Coding/billing
Multi-tasking
Teamwork
Physican Practice Specialist
Greenville Hospital System-Center For Womens Hospital
01.2003 - 03.2005
Responsibilities:
Check in and check out patients
Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Scheduled tests and procedures for patients needing additional or specialized care.
Provided prompt, polite and professional in-person and telephone customer service.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Reconciled daily payments received and prepared deposits for smooth office finances.
Received, recorded and filed medical payments by check, cash, and credit card.
Updated patient information and insurance details for accurate electronic medical records.
Compliance issues and education
Audited batches
Adhered to strict HIPAA guidelines to protect patient privacy.
Handled cash and balanced drawers at the end of the night
Patient referrals
Accomplishments:
Obtained pre-authorization from insurance companies ahead of medical services.
Earned my Certified Professional Coder certification
Skills Used:
Computer skills
Customer service skills
Communications skills
Teamwork
Problem solving/critical thinking
Deposit money
Medical Coding/billing
Education
Some college - Legal Studies
Greenville Technical College
Greenville, SC
02.2014
Skills
Data entry
Clinical support
HEDIS
EMR Systems
Medical terminology proficiency
Medical Coding
Epic
ICD-9
Auditing
CPT Coding
Medical Billing
Hospital Experience
Insurance Verification
Anatomy Knowledge
Documentation management
Clinical documentation
Electronic health records management
HIPAA compliance
Detail-oriented
Confidentiality
Problem-solving abilities
Multitasking Abilities
Professionalism
Organizational skills
Certification
Medical Coding Certification
Timeline
HIM Specialist/Routes
Datavant
03.2015 - 08.2024
Hostess/Cashier/Maintenance
Buffalo Wild Wings
06.2014 - 03.2015
Physician Office Specialist
The Hand Surgery Center
03.2005 - 12.2006
Physican Practice Specialist
Greenville Hospital System-Center For Womens Hospital