Veronica Sutherland Email & Phone Number

San Antonio, Texas, United States

Conduct regular training sessions for team members, enhancing theirknowledge in various organizational systems.Perform comprehensive credentialing and process Onboarding documentation for existing/new healthcare providers, ensuring compliance in accordance with organization standards and JTC.Communicate with healthcare providers and external agencies to obtainrequired information and resolve any discrepancies.Conduct regular audits of credentialing files to… Show more Conduct regular training sessions for team members, enhancing theirknowledge in various organizational systems.Perform comprehensive credentialing and process Onboarding documentation for existing/new healthcare providers, ensuring compliance in accordance with organization standards and JTC.Communicate with healthcare providers and external agencies to obtainrequired information and resolve any discrepancies.Conduct regular audits of credentialing files to ensure compliance and accuracy and maintain detailed reports on credentialing activities, providing insight to leadership.Assisted the team through two Joint Commission audits, achievingperfect scores with no findings.Microsoft Office · Microsoft Excel · Microsoft Outlook · Microsoft Word · Microsoft OneDrive · Microsoft OneNote · Adobe Acrobat · Foxit PDF · USMON · SalesForce · MDSTAFF · MD-APP · TRICOR · I3Screen · NPDB · NPPES · Concur · Intellicentrics · Symplr · Vendormate · HealthTrust/VPRO · TrueAccess · RepScrubs Show less

San Antonio, Texas, United States

Process claims and perform follow ups on collection process from insurance companies.High level of discretional, interpersonal skills.Knowledge of medical terminology.Interact with external/internal customers as necessary to resolve problems.Obtain status of outstanding claims.Ensure timely and accurate processing of re-bills to the appropriate insurance companies.Submit appeals based on denials from payor.

San Antonio, Texas, United States

Daily routine calls to patients requesting updated information for billing services. Document patient feedback. Make detailed notes on patient’s accounts after correspondence for patient, insurance, attorney, etc.Utilize different software to access patient accounts, such as: AdvancedMD, ModMed, Kareo, and NextGen. Follow up on claims with insurance companies and forward to the Reimbursement Specialist. Possess the ability to organize.

San Antonio, Texas

Request, upload and log Medical Records. Assist the billing department with filling requests for medical records, as well as scanning denials in patient accounts. Prepare medical records for submission to insurance for appeals. Maintain quality results by following facility standards. Maintain continuity of work operations by documenting and communicating actions, irregularities, and continuing needs. Maintain patient confidence by keeping patient records information confidential… Show more Request, upload and log Medical Records. Assist the billing department with filling requests for medical records, as well as scanning denials in patient accounts. Prepare medical records for submission to insurance for appeals. Maintain quality results by following facility standards. Maintain continuity of work operations by documenting and communicating actions, irregularities, and continuing needs. Maintain patient confidence by keeping patient records information confidential. Assist the Legal Administrative Assistant with submitting applications for NPI’s, as well as setting up UPS business boxes for new companies and weekly calls for forwarding. Skills and Abilities: Time Management Organization Attention to Detail Quality Focus Professionalism Internal Communications Reporting Skills Show less

Gather, review, and enter/edit patient info and insurance. Scan in all documents, including patient ID and insurance cards. Review admission packet with patients and collect consent for treatment. Provide routine counseling to patients concerning patient's rights and responsibilities and provides information dealing with living wills and durable health care powers of attorney. As well as explain estimated insurance benefits and patient share calculated by insurance verifier… Show more Gather, review, and enter/edit patient info and insurance. Scan in all documents, including patient ID and insurance cards. Review admission packet with patients and collect consent for treatment. Provide routine counseling to patients concerning patient's rights and responsibilities and provides information dealing with living wills and durable health care powers of attorney. As well as explain estimated insurance benefits and patient share calculated by insurance verifier. Register and direct patients to appropriate departments and provide patient with identification label. Assure patients are provided with a high level of patient satisfaction though interactions, discussions, and recognition of team members.Attend all required Safety training programs and Town Hall meetings. Disburse mail to corresponding departments. Manages difficult or emotional customer situations. Show less

Pull schedule for the week to prepare charts for future visits. Place pending incomplete charts in physicians lounge to ensure physicians are completing charts in a timely fashion.Assemble, scan, and audit files for proper filing, to include physician signature, date, and time using Meditech. As well as maintain proper safeguards of medical records. Maintain a close working relationship with medical and hospital staff; assuring a high level of physician satisfaction with the HIM… Show more Pull schedule for the week to prepare charts for future visits. Place pending incomplete charts in physicians lounge to ensure physicians are completing charts in a timely fashion.Assemble, scan, and audit files for proper filing, to include physician signature, date, and time using Meditech. As well as maintain proper safeguards of medical records. Maintain a close working relationship with medical and hospital staff; assuring a high level of physician satisfaction with the HIM department.Provide information on medical records, and answer inquiries in accordance with the law via fax, e-mail, and phone. Relay telephone messages and operate software to assist with patient(s) needs. Receive and respond to written, telephonic or personal requests for medical information in accordance with established procedures. Use word processing software to store, retrieve, and print a variety of standardized documents.Update patient information as requested. Separate and file medical documentation including loose documents into the patient medical record folders according to established procedures. Prepare medical records for transfer to retirement center in accordance with procedures. Provide general information to patients concerning hours of operation of the various clinics and established operating procedures with respect to appointment. Retrieve and deliver patient medical records to physicians, clinics, patients upon request. Utilize Meditech to efficiently and accurately track the movement of each patient medical record while under the control of the physician, clinic, outpatient/inpatient records section or the patient. Always participate in hospital and Business Office meetings. Prepare weekly, monthly and other necessary reports in accordance with deadlines. Show less

Ensure prompt entry of significant events occurring with youth and enter into Youth Care treatment software to include house data, youth behavior and progress and medication logs. As well as establish and maintain positive and professional relationships with community agencies and government officials. Participate in key professional and community organizations as youth advocate.Document USDA food program data for each meal. Ensure compliance with all licensing regulations and contract… Show more Ensure prompt entry of significant events occurring with youth and enter into Youth Care treatment software to include house data, youth behavior and progress and medication logs. As well as establish and maintain positive and professional relationships with community agencies and government officials. Participate in key professional and community organizations as youth advocate.Document USDA food program data for each meal. Ensure compliance with all licensing regulations and contract requirements. Implement treatment plans for youth and maintain youth reports and documentation in Youth Care treatment software, Kaleidacare.Ensure basic needs of hygiene, nutrition and clothing are met for each child. Assist with cooking and serving daily meals and cleaning of home environment, ensuring a safe and secure environment. Dispense medication to each youth as directed by the pharmacist, as well as maintaining Medication Administration Records.Teach youth social, self-help, academic, independent living, problem solving, personal hygiene, money management and employment skills to maximize skill development and independent living. Counsel youth through personal problems using rational problem solving techniques. Observe, document and consult with youth care staff on youth behaviors and progress.Provide for moral, spiritual and educational development of youth. Organize and participate in indoor/outdoor recreation with the children (ages 12-18). Support and assist youth with school homework and projects. Provide transportation to school, jobs, medical appointments and recreation activities, when needed. Assist the Therapeutic Home Supervisors in providing documentation, services and treatment needs to youth. Display positive role modeling and leadership for youth by exhibiting skills taught in Model of Care. Show less

Audit files for proper filing, maintain proper safeguards of medical records, and retire out-of-date medical records. Provide routine counseling to patients concerning patient's rights and responsibilities and provide information dealing with living wills and durable health care powers of attorneys. Update patient information as requested. File medical documents into the patient medical record folders according to established procedures. Prepare medical records for transfer to… Show more Audit files for proper filing, maintain proper safeguards of medical records, and retire out-of-date medical records. Provide routine counseling to patients concerning patient's rights and responsibilities and provide information dealing with living wills and durable health care powers of attorneys. Update patient information as requested. File medical documents into the patient medical record folders according to established procedures. Prepare medical records for transfer to retirement center in accordance with procedures. Retrieve and deliver patient medical records to physicians, clinics, patients upon request. Utilize CHCS to efficiently and accurately track the movement of each patient medical record while under the control of the physician, clinic, outpatient/inpatient records section or the patient.Discharges patients. Pulls patient status card and posts discharge time, date, and relocates within control file. Accepts, describes, and signs receipts for funds and valuables from patients being admitted and deposits in night depository. Completes forms for patients who are authorized convalescent leave or passes and obtains signature of physician, Admissions Officer of the Day, and individual.Verifies patient's eligibility for DEERS and prepares medical record folder for each patient admission and input in the CHCS. Provides information to patients concerning eligibility requirements for DEERS. Provides patient identification label for each folder and codes medical record according to the established filing system. Makes extensive searches to locate missing records. Verifies patient's name, social security number, and unit address. Review each medical record returned from outpatient clinics and verify that required information and forms are completed and presented in the correct order. Show less

Associate'S Degree, General Studies

Diploma, Patient Administration Specialist, 68G