Quality Audit Specialist/OK IVA Team and HEDIS Measuring Specialist for BCBS of OK

Custodian of medical records, working with insurance companies to accurately give diagnosis and procedure codes in order to receive prior authorizations in a timely, sometimes STAT manor. Coding and documenting medical records for authorization and/or billing purposes. Knowledge in medical terminology, scheduling procedures and clinic appointments. Coding diagnoses and procedures, collecting and distributing in house mail, ordering supplies, managing faxes, assessing and distribution of faxes keeping the highest regard of HIPAA.

*Work directly with and manage field service technicians.*Receive, manage and assess service calls daily.*Dispatch technicians according to location, with time management to insure quality customer service. *Customer service for over 4000 customers in dispatching with a 4 hour response time.*Prepare paperwork and create contracts for new and existing customers.*Set up and schedule new customer installs and maintain all follow up appointments, adhering to procedures in preventative maintenance within a specified time frame.*Work directly with the leasing companies to process new leases, expedite lease cancellations and prepare equipment to be returned.*Organize and maintain file system as well as file all correspondence and other records.*Shipping and receiving of equipment, parts and supplies.*Monthly Inventory and reports*Competent in the use of standard software applications such as Microsoft Word and Excel, as well as the operation of standard office equipment.

*Work in conjunction with the sales and marketing department to develop detailed customized client contracts. *Create Maintenance and Leasing contracts for all new and existing customers.*Responsible for customer service calls, for financial and product issues and make recommendations for improvement. *Liaison between two primary company entities and vendors to ensure product and financial compliance.*Invoicing and collections.

*Liaison between doctor and patients. *Work closely with physicians.*Take and record patient history, measuring patient vitals and documenting patient charts accurately. *Assist physicians with patient exams and procedures. *Administer patients injections as directed by the physicians, phlebotomy and running lab tests.*Medical Terminology Proficient

*Scheduling appointments, assess patient phone calls and prioritize appointments in a fast paced medical office. *Work with medical assistants to maintain and record office codes and procedures, to ensure accurate medical billing. *Managing, copying and requesting of medical records per HIPAA guidelines. *Preparing and scanning patient charts. *Collection of patient co-pays and apply to patient accounts. *Money managing and reporting end of day reports. *Data entry and multi-line incoming calls daily.

*Work closely with billing; scheduling patient surgeries. *Code times and procedures for accurate billing. *Register patients and prepare new patient paperwork.*Document patient insurance and prepare patient charts. *Work closely with physicians in the surgery unit. *Answer multi-line phones and assessed calls on a daily basis.