Mission Hospital Medical Records

Prescila E. Fox

**** ******* ***** ******, ********** 99004

509-***-**** ***********@*****.***

EXECUTIVE SUMMARY

An experience in medical environment and retail: purchasing, accounting, inventory, managing/supervising, record analysis, quality assurance, financial counseling, familiar with HIPAA rules and regulations, Health Information Management/Medical Records/Patient Financial Services experience at Mission Hospital/Saint Joseph Ministry. Extremely familiar with the financial assistance options, payment plans, insurance benefits, liability estimation, and government programs in use at Mission Hospital. Equally at ease counseling patients who require financial assistance, as well. Possess deep knowledge of Mission Hospital medical finance procedures and policies, to ensure all related work is completed rapidly and with high accuracy. Highly competent in analyzing the pricing of medical procedures and billing, as well as generating reports and feedback required by higher management.

PROFESSIONAL EXPERIENCE

Asianside Variety Store (Oceanside, CA)

Supervisor/Manager (11/2019-02/2023)

Organizing the company’s management structure to streamline workflow communication and performance

Collaborating with the department to identity, interview and hire employees

Instructing employees following the store guidelines

Organizing training and professional development opportunities for all employees

Evaluating employee performance information, creating goals and setting deadline

Delegating tasks to employees and making adjustment regarding vacation, time off or emergencies

Addressing inquiries and complaints from customers

In charge of daily accounting, money transfer (International through RIA & Western Unio) accounts payable, accounts receivable, sales, cashiering, inventory and weekly purchasing of merchandise

Serve as customer service regards customer satisfaction and details

Opening and closing of the store

RCS/Mission Hospital Regional Medical Center (Mission Hospital), Mission Viejo, CA

HIM/Medical Record Analyst (04/2012-10/2017)

Analyze for chart deficiencies according to analysis procedures within the department accuracy rate policy

Link identified deficiencies to the appropriate physician for authentication and/or completion

Verify medical record completion and monitor the re-analysis queue to ensure all medical records are completed appropriately and timely manner

Perform image quality review to ensure the scanned record is legible, accurate, complete, includes all interfaced documents

Understand the operation and be able to demonstrate knowledge relating to the system of record

Answer phone calls and respond to customer and clinician requests and questions

Familiar with HIPAA regulations

Health Information Management/Medical Records Technician

Perform indexing processes within the performance level set at 97% accuracy

Attend and participate in department meetings and responsible for all information communicated at the meetings

Perform quality and auditing of records in compliance with hospital regulations

Participate in Employee Engagement Surveys and Impact Plans

Maintain complete and up-to-date documentation and files at all times

Assist in routine office duties

Demonstrate and understand the operation of the HIM job function in the MediTech system

Maintain logs and calendar to ensure efficient performance of the position

Financial Counselor/Charity Coordinator/Financial Assistance Coordinator (11/2006-10/2012)

Oversee Financial Assistance Program processes

Conduct patient screening for financial assistance under the Medical Services Initiative

Provide financial advice and counseling (Medical Services Initiative and MediCal programs)

Review completed financial assistance applications to ensure accuracy, and manage applications through the approval process

Develop price quotes for medical procedures for patients with financial assistance needs

Prepare summary reports for all medical bills exceeding $100,000 (Monthly budget of 5M)

Analyze account balances and develop appropriate resolutions

Perform monthly analysis of all applicants for financial assistance

Develop payment arrangements for patients who are not receiving 100% assistance

Coordinate with the Case Management, Billing, Financial Services, and Credit and Collections departments in accordance with Mission Hospital Financial Assistance policies

Collect and process all payment receives from patients through mail and calls (i.e. $250K/month quota between me and financial counselors)

Price Quote Estimator using CPT, ICD-9/10, and Description

Marine Corps Community Services, Camp Pendleton, CA

Point-of Sale Program (Essentus, Inc) Department Coordinator 5/2006-11/2006

Created and analyzed Inventory Adjustment report

Developed department Payroll and Salary Expense Reports

Reconciled results of Merchandise Shrinkage Report

Performed Audit Check on merchandise transfers

Assisted Manager in meetings with high level executives

Inventory Management/Audit Coordinator 3/2002-2/2006

Analyzed documents and vouchers for completeness and accuracy

Prescribed corrections for discrepancies on paperwork

Maintained records, files, and all documentation

Composed routine memos to vendors

Systems Integration and Management, Inc, San Diego, CA (Defense Contractor)

Systems Analyst 2/2001-2/2002

Collected and Consolidated Field Plans

Utilized Department of Defense web applications

Drafted and reviewed Engineering Change Requests

Gathered and analyzed Installation Data from multiple sources

Created reports and maintained Microsoft Access databases

Office Manager (US Navy SPAWAR PMW-151) 9/1997-2/2001

Provided primary support to the Program Managers

Created administrative procedures

Planned and coordinated internal meetings and conferences

Arranged business travel for employees

Completed reporting on employee expenses, travel, time-cards, and schedules

US Department of State (American Embassies Jordan and Singapore)

Switchboard/Mailroom Supervisor/Courier (Classified Documents) 10/1994-8/1997

Directly supervised 10 foreign national employees and handled all administrative needs

Managed all switchboard and mailroom functions

Ensured regulations were followed by embassy personnel and employees

Responsible for the pickup and storage of incoming classified documents

Wrote standard operating procedures for the switchboard operation

Created detailed billing reports on telephone usage by embassy departments

Marine Corps Community Services, Camp Pendleton

Inventory Management/Audit Coordinator 3/1990-10/1994

Audited daily activities of department

Liaised with vendors to resolve misshipments

Tracked incoming/outgoing merchandise transactions

Maintained supplier profiles

Ensured completeness of purchase order documentation

EDUCATION

Saddleback College: Medical Terminology, Reimbursement Methodologies, Electronic Health Record, Ambulatory Coding, ICD-9/10

MiraCosta College: Associate’s Degree track (Business Management)

Columban College: Computer Science and Computer Programming

Luzon Technical Institute of Technology: Office Procedure

Regional Occupational Program: Microsoft Office

Certified MSI Application Taker (Mission Hospital)

Assorted Training in Continuing Education (Mission Hospital)

TECHNOLOGY

Mission Hospital Computer Applications: Medi-Tech, Chartmaxx, Craneware, Passport, and the MSI/M-Cal Website

Microsoft Office (Word, Excel, PowerPoint, Access, and Outlook)

Internet Research Applications and Email

AWARDS

Mission Hospital Awards: Employee of the Month (8 awards), Excellence Award (3 awards), Dignity Award (1 awards), Service Award (2 awards)

Former holder of US Government Top Secret clearance

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