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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Summary

Organized Admin Coordinator bringing excellent communication skills and proactive nature, with proven history of performing with integrity and efficiency. Committed to optimizing administrative resources to meet business objectives and leveraging strengths to maximize team performance. Offering 5 years of experience in leadership and administrative support roles.

Skills
  • Schedule Coordination
  • Quality Assurance
  • Microsoft Office Suite
  • Handling Customer Complaints
  • Complex Problem Solving
  • Inventory Oversight
  • Microsoft Office
  • Customer Service Management
  • Office Equipment Management
  • Attention to Detail
Experience
10/2018 to Current
Admin Coordinator The Tjx Companies, Inc. Woodinville, WA,
  • Maintaining a working knowledge of Medicaid/Medicare and Managed care organizations (MCOs).
  • Manage inbound and outbound calls with MCOs regarding authorizations.
  • Verify current insurance coverage through DMAS.
  • Maintain professional communication with MCOs and employees.
  • Maintain tracking of authorizations requests/approvals and key authorizations into the Electronic Health Record (EHR).
  • Assist with billing errors and other administrative task.
  • Managed administrative processes and prepared key reports and documentation.
  • Managed daily communications with staff to disseminate schedules and overviews, program updates and announcements.
  • Prioritized tasks to meet deadlines for policy and program initiatives.
  • Facilitated and coordinated administrative support for Mental health case management program.
  • Tracked statistics, failures and resolution detail data in Excel spreadsheet.
12/2017 to 10/2018
Referral Specialist Banner Health Sun City, AZ,
  • Entered confidential patient information and updated electronic records in database.
  • Assisted patients by answering questions and providing information regarding referrals.
  • Tracked referral request progress and resolved issues to maintain smooth processing.
  • Managed and obtained insurance authorizations for patient referrals from physicians.
  • Aided clinical team to support administrative needs for clinical referrals.
  • Coordinated referral orders for patients
  • Communicated with insurance representatives to gather information and verify patient benefits to determine clearance for physical and occupational therapy services.
  • Developed productive working relationships with numerous insurance company representatives.
  • Reviewed referral details and expectations with providers and patients and requested new referrals when necessary.
  • Prioritized referrals according to urgency and adhered to appropriate referral deadlines.
  • Managed up to 80 patient referrals daily through multi-line telephone system.
  • Coordinated referral orders for patients of therapy provider.
  • Gathered and verified insurance requirements to meet payer requirements.
  • Liaised with healthcare facility personnel, insurance representatives, physicians and vendors for smooth communication.
  • Verified documents and associated records to catch and resolve discrepancies.
  • Answered questions and resolved concerns raised by both patients and specialists.
10/2016 to 12/2017
Patient Access Representative Mary Bird Perkins Cancer Center Natchez, MS,
  • System-Performs check in and check out process for patients as well as schedule appointments for 2 primary care doctors as well as 40 Multi-Specialty Doctors.
  • Provide assistance to all patients by performing insurance verification to ensure all patients insurance is current for billing purposes.
  • Ability to manage multiple projects such as answering phones, listening, effective communication while working in IDX charts.
  • Created a custom Microsoft Excel-based inventory database that monitors inventory levels with the Mayland Clinic to ensure ordering levels will not exceed the current fiscal budget.
  • Assisting PAR team with the interviewing process by scheduling candidates and making sure that all interview packets are ready to go for each leadership member.
  • Manage daily levels of the message pool in Cerner to make sure all patients questions are answered by doctors in a timely manner.
  • Send out notifications for team meetings through Microsoft outlook.
  • Help Create packets for team meetings.
  • Printing labs and processing them for patients.
  • Attending to Doctors request via Cerner pool, emails and telephone calls.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Verified demographics and insurance information to register patients in computer system.
  • Organized and maintained records by updating and obtaining both personal and financial information from patients.
  • Assembled registration paperwork and placed identification bands on patient.
  • Applied knowledge of payer requirements and utilized on-line eligibility systems to verify patient coverage and policy limitations.
  • Processed patient responsibility estimate determined by insurance at pre-registration.
  • Responded to patient concerns and inquiries professionally and efficiently.
07/2015 to 10/2016
Unit Secretary Ardent Health Services Cushing, OK,
  • Order supplies for the unit so the staff can have the proper equipment for day to day operations.
  • Assisting nurse manager assistant with special projects and reports.
  • Executed clerical tasks and assisted with all unit duties as directed.
  • Provided patient information to facilitate timely admissions and discharges.
  • Managed unit call reception and routed calls to correct department.
  • Answered phone calls to provide assistance, information and medical personnel access.
  • Monitored unit supply levels and notified management of ordering needs.
  • Oversaw collection of admission, billing and processing documents to meet organizational expectations.
  • Maintained strong and trusting rapport with patients and all healthcare staff to build relationships.
Education and Training
Expected in 03/2020
M.B.A: Admin, Business Administration
Walden University - Minneapolis, MN
GPA:
Expected in 11/2013
High School Diploma:
Everest University - Orlando, FL
GPA:
Expected in 06/2008
Medical Billing and Coding:
Thomas Jefferson High School - Richmond, VA
GPA:
Expected in 07/2015
:
Ashworth College - Norcross, GA
GPA:

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Resume Overview

School Attended

  • Walden University
  • Everest University
  • Thomas Jefferson High School
  • Ashworth College

Job Titles Held:

  • Admin Coordinator
  • Referral Specialist
  • Patient Access Representative
  • Unit Secretary

Degrees

  • M.B.A
  • High School Diploma
  • Medical Billing and Coding

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