Organized healthcare administrative professional with experience in call center operations and medical records management. Manages high-volume calls, verifies insurance information, and maintains accurate patient records while ensuring HIPAA compliance. Delivers timely administrative support in fast-paced environments through strong communication and problem-solving skills.
Overview
3
3
years of professional experience
2
2
Certifications
Work History
ADMINISTRATOR/Medical Records Specialist
Greater Vision Counseling & Consulting
Southern Pines
05.2025 - 06.2025
Managed scheduling for counseling sessions and consultations with clients.
Provided administrative support to therapists and consultants.
Maintained client records in compliance with privacy regulations and standards.
Coordinated effective communication between clients and counseling staff to enhance service delivery.
Assisted in preparing materials for workshops and group sessions to ensure productive engagement.
Monitored emails, sorted mail and distributed correspondence accordingly.
Performed data entry tasks into computer databases from paper documents.
Maintained organized filing system for important documents, improving accessibility and compliance.
Ensured that all paperwork was completed accurately before submission deadlines.
Call Center Representative/Insurance Verification Specialist
Integrated Pain Solutions
Southern Pines
07.2024 - 09.2024
Verify patient insurance eligibility and benefits prior to scheduled services
Contacted insurance companies to confirm coverage details, deductibles, co-pays, co-insurance, and out-of-pocket maximums, ensuring patients received accurate financial information
Ensured timely acquisition and recording of prior authorizations and referrals to facilitate patient care.
Communicate coverage details and financial responsibility to patients
Coordinate with billing department regarding benefit limitations or coverage issues
Identify and resolve insurance discrepancies before patient appointments
Ensured compliance with HIPAA and healthcare privacy regulations, protecting patient confidentiality and safeguarding sensitive information
Followed up on pending authorizations and approvals to expedite patient access to necessary services and minimize delays in care
Assist with denied claims related to eligibility or authorization issues
Outreach Medical Records Retrieval Agent
CIOX HEALTH, Health Information Managment
Remote
05.2022 - 06.2024
Initiate outbound calls to healthcare providers, hospitals, and clinics to request medical records
Followed up on outstanding medical record requests to secure timely receipt of records
Coordinate with provider offices to obtain required documentation for claims processing, audits, or care management
Maintained accurate tracking logs of record requests and follow-up activities to ensure accountability
Verify patient information to ensure correct record retrieval
Upload, scan, and index received medical records into internal systems
Review records for completeness and compliance with request requirements
Ensure adherence to HIPAA and confidentiality guidelines when handling protected health information (PHI)
Communicated professionally with provider offices to resolve missing or incomplete documentation, facilitating smoother operations
Education
Certification - Business Administration Technology
Lyndon B. Johnson Job Corps Center
Franklin, NC
04-2017
GED -
Kittrell Job Corps Center
Henderson, NC
01-2014
Skills
Insurance verification
Claim processing
HIPAA compliance
Record management
Data entry
Scheduling
Customer communication
Languages
English
Full Professional
Certification
First Aid
Timeline
ADMINISTRATOR/Medical Records Specialist
Greater Vision Counseling & Consulting
05.2025 - 06.2025
Call Center Representative/Insurance Verification Specialist
Integrated Pain Solutions
07.2024 - 09.2024
Outreach Medical Records Retrieval Agent
CIOX HEALTH, Health Information Managment
05.2022 - 06.2024
Certification - Business Administration Technology
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Medical Coding Specialist/ Diagnostic Scheduler / Medical Receptionist/ Medical Records at LSU Health Sciences Center New OrleansMedical Coding Specialist/ Diagnostic Scheduler / Medical Receptionist/ Medical Records at LSU Health Sciences Center New Orleans