Theresa Young

Dedicated and results-oriented professional with over 18 years of experience in health information management and patient access. Proven track record in optimizing workflows, ensuring compliance with regulations, and enhancing data integrity. I am skilled in investigating and resolving issues, analyzing information, and making informed decisions.

Strong communicator with a focus on customer service and collaboration, adept at managing multiple tasks in fast-paced environments. Seeking to leverage my expertise in claims management and customer relations to contribute to a dynamic team.

Health Information Specialist - Avera Health - Sioux Falls, SD

(2025-10)

• Lead the retrieval, reconciliation, and maintenance of patient medical records across both paper and electronic systems, ensuring completeness and accuracy.
• Prepare and process documents for scanning, organizing, and verifying images to maintain searchable and auditable records.
• Provide frontline customer service by responding to inquiries from patients and staff, coordinating record requests, and managing the release of information.
• Conduct quality reviews of electronic health record (EHR) documentation, abstract clinical data, and identify documentation deficiencies for correction.
• Monitor record integrity by performing identity edits and merges, enforcing HIPAA and institutional privacy policies.
• Analyze claims activities and prepare detailed reports for clients and management, ensuring transparency and accuracy in claims processing.

Admitting/Registration Representative - Southwest Healthcare, Corona Regional Medical Center - Corona, CA

(2025-06 - 2025-08)

• Managed admitting and registration operations, including patient intake, demographic validation, insurance verification, and co-pay collection.
• Ensured accurate patient and insurance data to support timely billing and eligibility determinations, reducing errors and improving efficiency.
• Delivered prompt and professional customer service by handling follow-up communications, resolving registration issues, and supporting clinical teams to maintain efficient patient flow.
• Developed and maintained effective working relationships with patients, insurance providers, and healthcare professionals to facilitate smooth operations.

Patient Access Representative - Sanford Health - Sioux Falls, SD

(2025-02 - 2025-03)

• Managed insurance eligibility, prior authorization, and referral processes for medications and procedures, ensuring timely approvals.
• Prepared and submitted documentation to third-party payers, coordinating with healthcare providers to secure necessary authorizations.
• Verified patient registration and benefit coverage, clearly communicating deductibles and out-of-pocket costs to patients.
• Streamlined insurance validation workflows and collaboration with clinical teams to expedite patient requests and reduce authorization errors.

Psychiatric Social Clerk - Kaiser Permanente - Corona, CA

(2007-08 - 2025-02)

• Provided confidential administrative and clinical support to senior psychiatric leadership, including patient intake interviews and appointment scheduling.
• Maintained professional communication across departments and with external partners to improve care coordination and information flow.
• Mentored and trained new psychiatric social clerks to enhance orientation and team performance, fostering a collaborative work environment.
• Coordinated community outreach projects, led Unit-Based Team meetings, and developed presentations for meetings and conferences to promote health education.

Account Manager - Argent Mortgage Company, LLC - Southern & Northern CA, NV, AZ

(2004-10 - 2007-08)

• Managed a diverse portfolio of broker relationships across multiple states, delivering high-touch account servicing and support.
• Reviewed and prepared loan files, ensuring all documentation was complete and accurate to facilitate underwriting decisions.
• Maintained daily communication with brokers, underwriters, and internal teams to resolve issues and expedite file processing.
• Provided exceptional customer service and business development support, significantly increasing revenue through strategic relationship management.

Diploma - Corona High School