Experience

Transcarent

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Senior Health Information Specialist/Medical records specialist

  • Nov 2018 - Present

  As a records specialist I am responsible for identifying, retrieving, and delivering patient medical records to our clinical teammates. The Medical Record Specialists will collaborate with internal and external healthcare providers to retrieve and upload medical records into our Electronic Medical Record System (EMR). Collect, review and organize incoming records to create surgery files and present to the top surgeons nationwide. As a records specialist I am responsible for identifying, retrieving, and delivering patient medical records to our clinical teammates. The Medical Record Specialists will collaborate with internal and external healthcare providers to retrieve and upload medical records into our Electronic Medical Record System (EMR). Collect, review and organize incoming records to create surgery files and present to the top surgeons nationwide.



BEACON MEDICAL SERVICES GROUP LIMITED

• United Kingdom
• Hospitals and Health Care
• 1 - 100 Employee

• Bilingual Customer Service Representative

  • Aug 2014 - Jun 2016

  Insurance specialist (dedicated to a single large insurer or several smaller insurers) followed disciplined protocols to deal with all payment issues. Using computer-based work flows and work queues, our specialists continually pursue claims until provider services are properly paid. Beacon’s comprehensive billing services include: physician credentialing administration, insurer contract negotiation assistance and administration, Fee schedule development, Insurance and demographic verification, electronic billing and remittance processing , secondary claims submission, bilingual customer service, third party payer and collection follow-up, timely refunding of excess payments, insurance underpayment and denial management; resubmissions and appeals, patient complaint reviews and analysis of client financial and provider productivity reports to identify opportunities for improvement. Show less



DENVER HEALTH AND HOSPITAL AUTHORITY/OBHS

• United States
• Medical Practices
• 1 - 100 Employee

• Bilingual Clerical Support Specialists III

  • Jan 2012 - Aug 2014

  Under minimal supervision, performs a variety of clerical duties for the managed care. Assist with insurance benefits, qualifications and eligibility for members. Ensures optimal utilization of resources (rooms, equipment, inventory, and staffing). Conducts verifying of insurance benefits, authorization, and patient responsibility. Assisted with provider relations helped providers and clinics processing claims and with understanding insurance benefits. A clerical specialist trained for state insurance plans, employer insurances, and COBRA. Used computer skills and phone skills daily. Most recent training was on the healthcare reform and the impact it would have on the company's insurance plans. Show less



Clear Choice Dental, Implants, Dentures, Braces Perth

• Australia
• Medical Practices
• 1 - 100 Employee

• Bilingual Call Center Agent

  • Apr 2011 - Jan 2012

  The Dental Implant Consultant receives incoming calls, schedules qualified consultations and answers questions from potential prospects. This position provides prospects with information about dental implants and the Clear Choice methodology. Bonding and establishing a rapport with prospects is essential. The Dental Implant Consultant will provide a high-level of customer service. The primary responsibility is to schedule qualified consultation appointments. Additional knowledge about the operations of the dental implant center and working with the other team members in a friendly environment is also part of this position. Show less