Franklin Soriano Jr

• As the center of clinical charge capture I'm responsible for monitoring our Hematology/Oncology outpatient clinic, Bone Marrow Transplant and Radiation Oncology missing documentation, professional fee and other charges related.
• Reviews, analyzes and coordinates charge capture activities including verifying missing documentation and charges.
• Evaluation/resolution of billing edits and ad hoc reporting.
• Collaborates with departments to ensure accurate charging.
• Collaborates with appropriate staff to make sure to enter missing documentation and charges on time.
• Participates in projects and audits to improve processes related to billing and charge entry.
• Responsible for SOLIMAR report- Incorrect encounter or DOS entered by social workers, Dietician and NP's (phone call).
• Releasing charges in a timely manner.
• Responsible for updating patient demographics.
• Confers with patients and third party payors to ensure the eligibility and authorization of services.
• Verifying insurance eligibility.
• Requesting and follow up and authorization that has been denied.

Medical Records Clerk

November 2009 to June 2016

• Files current and non - current in designated volumes/areas according to alpha chart order filing system.
  Files and loose outpatient documents/records and files in patient chart.
• Pulls charts as requested by telephone, computer, request lists and for scheduled appointments.
• Assembles and arranges discharged patients records and insert tabs according to pre-established chart order. Places records in permanent folders. Pre-assembles thinned portions of charts of patient hospitalized for long periods of time. Prepares new patient charts.
• Answer telephone, takes and relays messages, and complies with requests for medical records according to established policy and procedure; locates and retrieves records sends via messenger.
• Operates computer terminal to locate sign out medical records of patients admitted to inpatient/outpatient care units send to appropriate unit or department as directed. May require calling the division or clinic to obtain charts which need to be returned to the Medical Record Division.
  Analyzes clinical documentation to accurately assign date of visit and correct encounter information.
• Reviews documentation at patient discharges.
• Works at Patient Identification Desk when assigned, using hospital’s patient information computer system.
• Pulls, sorts, and delivers charts of patients scheduled for clinic visits.
• Purges inactive records from active files and send to outside storage facility.
• Scan active files on regular basis for misfiles to ensure accurate filing system.
• Serves as a messenger when needed and transport medical records or other related material to and from hospital areas.
  
  

• Responsible for scheduling and triaging inpatient appointment.
• Responsible for communicating with RN's in the floor for timely pick up and any instructions.
• Triage physician phone calls to minimize delays and increase efficiency.
• Lead responsibilities, such as assisting supervisor with staffing issues, problem solving.
• Transporting patients to and from the medical center, getting outpatients changed and ready for their MRI, walking patients to and from the scanners and helping to position on the scanner.
• Maintaining clean rooms and help with inventory
• Will participate in MR safety and ensure that patients and the area are always MRI safe.

• Responsible for triaging patient for Ambulance bay and walk in patient.
• Follow up patient any lab results and Imaging procedure.
• Communicate with the ED providers when the patient is coming in.
• Processes, transfers discharges using the Admit-Discharge-Transfer (ADT) system in the electronic medical record, including event management.
• Answers appropriately routes internal &external telephone calls.
• Orders materials &supplies for the unit. As needed, per Unit, collects equipment & medication.
• Answers call system; follows up w/ the nurse, patient and/or family as appropriate.
• Makes follow-up appointments for patients as necessary.
• In conjunction w/ Discharge Coordinator, organizes transfers to skilled nursing facilities, including printing relevant sections of the patient chart.
• Prepares discharge packets other documents for patients.
• Maintains the unit's business equipment, including maintaining appropriately charged wireless carts.
• Arranges for special maintenance or repair of the unit's business equipment.
• Updates the unit's white board. - Maintains the Minimum Medical record.
• Assists unit personnel in the use of the electronic medical record other systems; may act as the unit resource for computer-related issues.
• Acts as greeter for the unit, greeting new patients their families.
• Coordinates discharge times, contacts family members w/ pending discharge times, assists facilitate a timely discharge when the patient is ready.
• Initiates unit's downtime procedures when necessary.
• Communicates w/ other units/departments.
• May support Environmental Services in the data entry into the ADT system the status of clean dirty beds.
• May help to facilitate co-pay collections by communicating w/ the Admitting office when family members are present on the unit, relaying information to Admitting or to the patient/family, etc.

• Assists in locating facilities appropriate for patient’s needs: contacts skilled nursing facilities, Long Term Acute care and Acute Rehab Facilities to determine bed availability and communicates with the case management team • Assists patients with Durable Medical Equipment (DME) as needed to meet the home care needs of the patient as ordered by the physician and meeting payer requirements.

• Contact insurance companies/ medical groups to acquire authorization for post-acute services when applicable

• Meets with patients and families to offer transportation options and coordinates the trip. • Assists and advocates for patients to acquire housing, food, insurance, public entitlements, legal representation and other community resources or linkages as applicable to the individual’s needs

• Makes post discharge appointment in collaboration with the patient/family performs follow-up on post discharge matters as required

• Evaluates patient needs/requests; reports observation and brings urgent and/or crisis situations to the attention of the team immediately

• Consults and cooperates with other professionals and agency personnel to aid them in recognizing the significant social components of health care and understanding their impact on patients and their families

• Provides indirect care in the Telemetry/Med-Surg department setting
• Monitors cardiac rhythms via direct cardiac screen or telemetry monitors
• Maintains logbooks and patient information for ADT tracking.
• Assists at the unit station as assigned
• Answer telephone calls
• Enter laboratory orders
• Preparing charts for admission
• Update charts
• Separate the chart for billing and medical records
• Order entry ( Laboratory)
• Answer call lights

• Collect, assemble, check and file resident charts as required.
• Ensure that incomplete records/charts are returned to nursing service for correction.
• Assist in developing procedures to ensure records are properly completed, coded, signed, indexed, etc., before filing.
• Maintain a record of authorized information taken from charts/records, i.e., type information, name of recipient, date, department.
• Collect charts, assemble them in proper order, and inspect them for completion.
• Purge medical records files on a yearly basis.
• Answer telephone inquiries concerning medical records functions.