I am a detail-oriented Healthcare Operations and Medical Records Specialist with 8+ years of experience supporting U.S. healthcare organizations across Behavioral Health, Substance Use Disorder Treatment, Gastroenterology, Physical Therapy, Weight Management, Durable Medical Equipment (CPAP & Ostomy), Home Healthcare, and Healthcare Benefits Administration.
My experience includes medical records management, documentation review, records retrieval, quality assurance, insurance verification, prior authorizations, revenue cycle support, medical billing support, and healthcare administration. I have worked extensively with Commercial Insurance, Medicare, Medicaid, Medicare Advantage, and Managed Care plans while maintaining HIPAA compliance and supporting providers, clinicians, and administrative teams.
I specialize in reviewing and organizing medical records, identifying documentation discrepancies, coordinating record retrieval, maintaining audit-ready files, and ensuring accurate, complete, and compliant documentation. I also have experience preparing operational reports, tracking KPIs, coordinating workflows, and supporting cross-functional healthcare teams in fast-paced remote environments.
***Areas of Expertise***
- Medical Records Management & Retrieval
- Documentation Review & Quality Assurance
- Clinical Documentation Auditing
- Information Verification & Online Research
- Revenue Cycle Management (RCM)
- Insurance Verification & Benefits Investigation
- Prior Authorization Processing
- Medical Billing Support
- Claims Follow-up
- Patient Scheduling & Referral Coordination
- HIPAA Compliance
- Data Entry & Document Management
- Workflow Coordination & Administrative Support
- Provider & Insurance Communication
***EMR / Healthcare Systems***
- Athenahealth
- Brightree
- Lightning Step
- Notenetic
- Shrenote
- RevolutionEHR
- Availity
- Emdeon
- OneSource
- OneHealthPort
- CSToolbox
- eviCore
- AIM Provider Portal
- NaviNet
- PracticePal / Aloha
- Commercial Insurance & Provider Portals
- Productivity Tools
- Microsoft Office (Excel, Word, Outlook)
- Google Workspace (Docs, Sheets, Drive, Gmail)
- Adobe Acrobat
- Microsoft Teams
- Slack
- Zoom
I am known for my strong attention to detail, analytical thinking, and ability to manage confidential information with accuracy and professionalism. I enjoy reviewing documentation, researching information, solving problems, and improving workflows that support efficient healthcare operations. I work well independently, adapt quickly to new systems, and take pride in delivering reliable, high-quality results.