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CVTiana Cook

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22 views6 pages

CVTiana Cook

Uploaded by

rspl.ritesh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Tiana Cook

Medical Professional
Tucker, GA 30084
tianacook9_5ny@indeedemail.com
+1 404 643 7468

Proficient medical and clerical professional. Extensive leadership experience ,front /back office
knowledge, and team player enthusiast. Looking to be a part of a healthy and productive work
environment.

Willing to relocate: Anywhere


Authorized to work in the US for any employer

Work Experience

HEDIS Specialist Medical Records Custodian


Magnolia Medical Clinic - Norcross, GA
July 2022 to Present
• Manage all quality care gaps and HEDIS measures.
• Oversea all appointments for quality measure opportunities.
• Manage several CMS and commercial insurance incentivized programs.
• Maintain ledgers and accurate financial records of medical record payments.
• Prepare and adhere to all legal, life insurance, medical insurance, Social Security, and Short /Long
Term disability record requests.
• Complete appointment agendas for commercial insurance companies.
• Schedule patients for annual wellness visits.
• Oversee ACO patients and requirements.
• Coordinate, complete, and update management on clinical quality metrics and HEDIS processes and
results.
• Establish and maintain an action plan to improve HEDIS scores.
• Implement a process to request and evaluate member compliance reports for each HEDIS measure,
including evaluating improvement opportunities
• Collaborate with providers and internal departments on rate investigation and validation activities,
including maintaining all evidence, documentation, and changes.
• Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor
oversight for timeliness and quality.
• Conduct a quality audit and maintain all data and process controls to ensure compliance.

Remote Medical Records Specialist and HEDIS Manager


Palm Beach MD - Boca Raton, FL
August 2017 to Present
• Transfer patient files into accessible medical records.
• Communicate effectively with MD, ARNP, MA & RN through electronic medical software and
interpersonally.
• Virtually assist all staff as needed with various responsibilities.
• Run daily reports.
• Provide medical billing and coding assistance.
• Maintain knowledge of ICD-9 and ICD-10 coding.
• Comply with HIPAA Laws and Regulations.
• Assist with patient triage in preparation for telemedicine appointments
• Maintain relationships with rehabilitation, pharmaceutical, and imaging center representatives.
• Oversee patient check-in, check-out, referrals, authorizations, scheduling, medical clearances, email
correspondence, and medication refills.
• Evaluate billing via classified software including HHA Xchange, Availity, and Edge Med.
• Maintain and oversee all medical records requests including HEDIS quality measures.
• Post and maintain proper financial records of all medical record request invoices and HEDIS payments.

Office Manager
Angelic Clinical Services - Loganville, GA
July 2021 to July 2022
• Answering phone calls/voicemails and responding to them in a timely manner
• Having a positive and professional attitude and appearance at all times
• Managing home visits and office scheduling/appointments
• Vitals and Triage
• Scheduling and managing appointments
• Maintaining electronic faxes and scanning paperwork into patients' electronic medical records
• Checking in patients and collecting co-pays
• Perform insurance verification
• Reporting of results to patients in a professional manner
• Complying with OSHA regulations
• Assisting the medical provider with medical data entry such as recording details for patient visit
encounters, CPT codes, and ICD-10 codes into the EMR.
• Managing laboratory inventory and correspondence.

Office Manager
Home Care Partners of Florida - Boca Raton, FL
December 2019 to February 2021
• Oversea and manage all financial responsibilities including payroll and accounts receivable
• Supervised office staff
• Handled general office administration
• Preform all HR related task including i9 verification, applicant screening and hiring.

Per Diem Health Screener


Quest Diagnostics - Boca Raton, FL
March 2018 to January 2020
• Perform basic waived testing technical procedures on blood samples and complete required quality
control.
• Provide exceptional customer service at all designated health screenings.
• Maintain accurate, complete, and legible records.
• Comply with all designated safety policies and procedures in the work area, including the use of
applicable protective equipment when necessary to prevent exposure to potentially infectious agents.

Unit Secretary
Abbey Delray Assisted Living - Delray Beach, FL
January 2018 to September 2018
• Perform health center administrative responsibilities.
• Answer multiple high volume incoming calls.
• Oversee and document patient admission, discharge, and expirations
• Comply with HIPAA laws and regulations.
• Assist with dementia, hospice, and long-term care rehabilitation patients.

Medical Scanner/Receptionist (EMR Specialist)


Healthy Partners Primary Care - Jupiter, FL
September 2016 to May 2017
• Transferred entire patient inventory files into electronically accessible records.
• Organized all medical transcriptions and documents including prescription logs, insurance
correspondence, and progress notes acquired during the duration of patient history.
• Handled multiple phone lines.
• Communicated with pharmacies to verify prescription and E- prescribe orders.
• Assisted with Medical Billing and Coding. Handle specialist referrals for patients.

Medical Records Clerk


Holy Name Medical - Teaneck, NJ
January 2013 to July 2016
• Performed scanning functions on documents while maintaining the integrity of the batch assembly and
monitoring images for completeness and legibility.
• Assisted with the daily operations of the department and related projects/processes.
• Performed verification and indexing of images for quality completeness and batch identification.
• Responsible for correctly prepping, scanning, and analyzing patient health information

Marketing Assistant
Grace Culture Marketing - New York, NY
August 2008 to December 2013
Collaborate with web, multimedia, and graphic design staffs to create multimedia web sites that
conform to brand and company visual format.Assist team members to integrate and complement
marketing strategies across multiple sales channels.Coordinate sales or other promotional strategies
with merchandising, operations, or inventory control staff to ensure product catalogs are current and
accurate.Assist with all clerical and data reports.

Education

Diploma in Hemodialysis Patient Care


Atlanta Technical College - Atlanta, GA
August 2009 to May 2010

Associate's degree in Business Management


Atlanta Metropolitan College - Atlanta, GA
August 2005 to May 2007

High school diploma in College Preparation


Mundy'S Mill High School - Jonesboro, GA
May 2005

Skills
• 70 wpm (10+ years)
• claims (5 years)
• Data Entry (10+ years)
• Excel (10+ years)
• operations (8 years)
• Billing (4 years)
• coding (4 years)
• Management (4 years)
• EMR (10+ years)
• Scheduling (10+ years)
• Marketing (5 years)
• Customer Service (10+ years)
• Office Management (5 years)
• eClinicalWorks (3 years)
• ICD-9
• ICD-10
• Medical Billing (3 years)
• CPT Coding (3 years)
• Medical Coding
• Medical Records (6 years)
• Insurance Verification (5 years)
• Medical Terminology (10+ years)
• Vital Signs
• Transcription
• Medical Office Experience (10+ years)
• Office Administration (10+ years)
• 10 Key Data Entry
• Triage
• HIPAA
• Experience Administering Injections
• Patient Care
• Medical Scheduling
• Quality Assurance
• Phone Etiquette
• Clerical Experience
• Laboratory Experience
• Cerner
• Supervising Experience
• Caregiving
• Accounting
• HEDIS
• Time management
• Medical receptionist
• Microsoft Office
• Problem-solving
• Team Work
• Flexibility
• Reliability
• QuickBooks
• Medical office management
• EMR systems
• Athenahealth
• Office manager experience
• Practice management
• Spanish
• English
• Anatomy Knowledge

Certifications and Licenses

Driver's License

CPR Certification

Notary Public
September 2022 to October 2026
Certified Notary Public

Additional Information

SKILLS
Microsoft Word, PowerPoint, Outlook, Excel efficient. Switchboard Operations.
10 key
70 wpm
Medical terminology knowledgeable
Insurance Policies and claims knowledgeable
Data Entry
Advanced Computer Knowledge
EClinicalWorks
Practice Fusion
Athena
Care Continuity

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