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.
