M D
@md03
Experienced healthcare revenue cycle and release-of-information specialist.
What I'm looking for
I am an experienced healthcare revenue cycle professional with strong release-of-information expertise, bilingual in French and English, and proficient with Epic, Allscripts, UPMC and Star. I have a proven track record in patient access, claims submission, billing, collections, insurance verification, and clinical record abstraction across hospitals and payer organizations.
I deliver accurate, timely work under quota-driven conditions and tight deadlines, focusing on compliance with HIPAA and payer rules while providing high-quality customer service. My background includes roles at major health systems and payers where I improved processes, handled complex eligibility and specialty payer interactions, and supported revenue integrity.
Experience
Work history, roles, and key accomplishments
Business Office Coordinator
DeKalb Medical/Emory Healthcare
Dec 2016 - Present (8 years 9 months)
Managed patient-facing business office operations including payment processing, call handling, mail and records distribution, and office supply management to support revenue cycle functions.
Release of Information Specialist
CIOX Health
Aug 2016 - Dec 2016 (4 months)
Organized and reviewed patient medical records for accuracy and completeness, abstracted and coded clinical data, and ensured compliance with electronic records procedures and documentation standards.
Release of Information Specialist
HealthPort
Sep 2015 - Dec 2016 (1 year 3 months)
Processed medical record requests timely and accurately while ensuring HIPAA compliance and safeguarding patient privacy in release of information workflows.
Patient Access Representative
Avery Partners
Jan 2016 - Jun 2016 (5 months)
Verified insurance eligibility, updated demographics, scheduled and registered patients in EMR, posted charges and payments, and created/submitted claims across multiple specialty clinics in a production-driven environment.
ROI / Care Review Processor
Molina Healthcare
Dec 2012 - Mar 2014 (1 year 3 months)
Handled release of information and care review tasks, maintained compliance with ROI standards and HIPAA, and used Microsoft Office tools to support administrative and recordkeeping functions.
Verification Specialist
Humana
Mar 2011 - Nov 2012 (1 year 8 months)
Managed claims follow-up, corrections, resubmissions and appeals, reviewed aged trial balances, and executed account and contractual adjustments to resolve payment and collection issues.
Patient Account Representative
CyMetrix
Jun 2008 - Dec 2010 (2 years 6 months)
Collected on commercial, Medicaid, Medicare and workers' compensation accounts, followed up on denials and underpayments, and coordinated with payers, attorneys and patients to resolve balances.
Claims Representative
United Healthcare
Dec 2004 - Aug 2006 (1 year 8 months)
Provided customer service for insurance verification, eligibility and claim status inquiries, and managed new and open claims to resolution in a high-volume call environment.
Education
Degrees, certifications, and relevant coursework
Strayer University
Bachelor of Science, Criminal Justice
2017 - 2017
Completed coursework toward a Bachelor degree in Criminal Justice at Strayer University in Atlanta in 2017.
Mountain View College
Associate study (credit hours), Health Information Management
2009 - 2011
Completed 63 college credit hours in Health Information Management courses at Mountain View College from 2009 to 2011.
Richland College
Certificate, Office Administration
2005 - 2007
Completed continuing education coursework and obtained a Unit Coordinator/Office Secretary certificate at Richland College between 2005 and 2007.
Alderson Broaddus College
1994 - 1996
Attended Alderson Broaddus College from 1994 to 1996 (no degree specified).
Ribambele High School
High School Diploma
1991 - 1994
Attended Ribambele High School from August 1991 to May 1994.
Availability
Location
Authorized to work in
Job categories
Interested in hiring M?
You can contact M and 90k+ other talented remote workers on Himalayas.
Message MFind your dream job
Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!
