Adzener Rhett

Adzener Rhett Summerville, SC 29485 ￨ -|- Profile Accomplished Medical Professional specializing in medical billing, administrative support, and information management across various healthcare settings in fast-paced environments. Proficient in patient record management and multiple EMR systems, consistently ensuring accuracy and integrity. Extensive experience in insurance claims management, remote medical billing, and benefit verification, contributing to streamlined operations and successful claim resolutions. Efficiently manage administrative tasks, prior authorizations, and deliver highest quality patient care. Utilize strong time management and organizational skills to balance multiple tasks, ensuring quality assurance, compliance, and operational excellence. Core Competencies Information Management | Team Leadership & Mentoring | Medical Billing | Administrative Support | Medical Records Management | Insurance Claim Payments| Benefit Verification | Process Improvements | Quality Assurance Audits | Creative Problem-Solving | Strong Decision-Making | Cross-Functional Collaboration | Verbal & Written Communication | EMR Systems Professional Experience Remote Radiology Scheduler | Conifer Health Solutions | 2024 - Present Spearhead scheduling and coordination of radiology appointments for patients, managing high call volumes and effectively balancing inbound and outbound communication. Drive seamless transition from appointment setup to patient preparation. Enhance service efficiency by communicating with doctor’s offices to clarify orders and facilitate patient transfers to appropriate departments. Optimize organizational skills and exceptional attention to detail to maintain smooth clinic operations, ensuring patient needs are met. Prior Authorizations Representative | CTCA (Cancer Treatment Centers of America), City of Hope | 2024 Slashed amount of delays in patient care by streamlining the prior authorization process. Improved cross-functional collaboration by consistently updating Excel trackers and communicating progress, contributing to transparent and efficient operations. Strengthened accuracy and compliance of authorizations by managing medical record submissions and insurance communications. Remote Documentation Specialist/Administrative Assistant | Claimlogiq/Apixio | 2021 - 2024 Championed the integrity and accuracy of medical records by performing comprehensive quality assurance audits, achieving 100% compliance and adherence to healthcare standards across multiple EMR systems. Enhanced documentation processes by efficiently bookmarking and tracking medical records, streamlining record management, and improving accessibility for clinical teams. Boosted team capabilities through training and mentoring, skills development, and fostering teamwork and collaboration, fostering a high-performance work environment. Remote Medical Biller | Recruiting Solutions | 2021 Improved reimbursement rates and reduced claim backlogs by effectively resolving denied, unprocessed, and delayed claim payments, diligently following up with insurance companies, providers, and patients. Boosted document claim progress by efficiently navigating multiple EMR systems, ensuring accurate billing and reconciliation of accounts. Expanded revenue by promptly resolving denied claims and recovering funds for medical services, successfully filing appeals with insurance providers. Optimized in-depth knowledge of insurance payer portals to verify insurance coverage and benefits, ensuring compliance with payer requirements and HIPAA throughout process. Streamlined billing process, significantly improving overall claim processing efficiency in a remote environment. Remote Benefit Verification Specialist | Talentbridge | 2020 - 2021 Enhanced the operational efficiency of clinic and enabled smoother patient onboarding by expertly managing complex insurance verifications, and ensuring patients received accurate coverage information. Spearheaded patient confidentiality and HIPAA compliance by meticulously managing sensitive financial and health information throughout the benefit verification process. Registered Medical Assistant | Greenville Health System/AFC Urgent Care | 2014 – 2018 Drove seamless clinical operations, efficiently coordinating patient appointments and surgeries, accurately documenting vitals, medications, and health histories, and providing critical patient care support.. Enhanced the overall patient experience through strong interpersonal skills and high standards of patient care,, expertly administering injections, assisting with x-rays, and ensuring accurate medical record documentation. Streamlined clinic operations resulting in a smoother patient flow and timely medical care. Optimized medical knowledge to provide essential clinical support, maintaining high quality patient service and clinic efficiency. Allergy Specialist Manager | United Allergy Services | 2013 - 2014 Maximized efficiency through execution of high-level administrative and patient support, managing the maintenance of medical and staff records, appointment scheduling, and ordering and performing lab tests. Enhanced patient experience by expertly educating on payment plans and discussing solutions. Special Needs & Disabilities Living Support Specialist | Greenville County | 2007 - 2010 Enhanced quality of life for clients with mental and physical challenges by delivering exceptional care and emotional support, and building strong, trusting relationships. Strengthened client safety and well-being through diligent supervision, compassionate assistance, facilitation of community integration, and promoting independence. Improved client outcomes and satisfaction through delivery of high-quality care and consistent support. Education & Certifications Associate of Applied Science, Medical Assisting | ECPI College of Technology, Greenville, SC Medical Billing and Coding Diploma | Trident Technical College, Charleston, SC Technical Skills Microsoft Office | Cerner | iDOC | Citrix | Epic | JIRA | Salesforce