LiveCareer-Resume

Assistant Paralegal resume example with 12+ years of experience

JC
Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Summary

Certified Paralegal with excellent office management and client relation skills seeking a position within a legal department where working knowledge of legal and medical terminology, general law and legal proceedings could be expanded upon

Highlights
  • Microsoft Office.
  • Medical and legal terminology.
  • RMV and legal research using Lexis/Nexis, Westlaw, and state RMV system.
  • Community outreach and educational resource coordination.
  • Electronic Medical Record system (EPIC).
  • HIPAA privacy requirements.
Accomplishments

Detail orientated with excellent research and reporting skills who works well independently or as part of a team. I have the decision making, organizational and ethical abilities needed to succeed in this profession.

Experience
11/2012 to Current Assistant/Paralegal Hope Credit Union / Hope Enterprises | College Station, AR,
  • Performs computerized and law library research to obtain and gather case-relevant data and materials.
  • Assist attorney and client with communication/draft review during times of schedule conflicts.
  • Liaison between attorneys, client and government agencies.
  • Reports directly to attorney with broad ranged responsibilities that encompass complex cases from research to appeals phase.
11/2013 to 07/2014 Core Claims Processor/Medicare Preferred Carenational | La Porte, IN,
  • Responsible for the timely and accurate processing of Medicare Preferred claim inventory.
  • Used basic analytical and problem solving skills.
  • Responsible to fully examine and resolve all problem codes initially assigned to each claim.
  • Knowledge of managed care concepts and a strong understanding of CPT, ICD-9 (ICD-10), HCPCS coding guidelines and CMS1500 & UB04 billing forms.
  • Exposed to and required to deal with highly confidential and sensitive material and expected to adhere to corporate compliance policy, department guidelines/policies and all applicable laws and regulations at all times.
  • Responsible for other duties and special projects as assigned.
06/2010 to 11/2013 Member Service Representative Common Spirit | Williston, ND,
  • Responsible for maintaining a positive customer experience from prospective members through post enrollment, identifying areas for improvement and ways to sustain the learning's over a period of time.
  • Responsible for research and resolution of identified issues.
  • Responsible for increasing satisfaction among members who have had to call in multiple times without a resolution, and to prevent escalation, unnecessary call volume, and open issues throughout the Call Center.
  • Efficiently and effectively processed member/provider calls, including: accessing the most appropriate source of information; proficiently resolving the members concern; accurately documenting the complete encounter and maintaining a professional and supportive attitude throughout the call.
  • Demonstrated strong written (e.g., documents calls accurately and comprehensively) and verbal skills.
  • Provided orientation, by telephone, to new members regarding Tufts HP HMO, POS and PPO benefits, eligibility and enrollment policies and procedures.
  • Employed active listening skills, demonstrates patience, and is able to handle difficult members tactfully, courteously and professionally.
06/2008 to 02/2010 Medical Assistant Cambridge Health Alliance | City, STATE,
  • Performed phlebotomy as needed and acted as the departments back up phlebotomist.
  • Identified presenting complaint and prepared for visit according to protocol, ordered, stocked, cleaned and maintained exam rooms.
  • Performed and reported findings gathered during health history, obtained vital signs, and processed specimens according to provider orders.
  • Typed correspondence at physicians request, faxed prescriptions, printed school and camp forms and sent out missed and upcoming appointment letters.
  • Collected urine and blood specimens for drug testing, following program requirements.
  • Performed and documented Quality Control testing on all required equipment.
  • Additional tasks as requested.
06/2008 to 03/2010 Patient Access Rep II Cambridge Health Alliance | City, STATE,
  • Provided clerical and clinical support services to department providers Performed vital signs, weights, heights, lengths, and head circumference.
  • Assisted providers with exams and procedures as need.
  • Performed basic computer skills such as order entry for lab requisitions and clinical inventory requests.
  • Monitored and maintained clinical supplies ordered and accurately transmitted information onto worksheets/log books.
  • Answered phones, triaged calls, scheduled appointments, completed registrations accurately, verified patient eligibility using NEHEN, collected and processed co-pays, processed referrals.
  • Trained direct and temp new hire personnel.
Education
Expected in 2005 A.S | Criminal Justice Bunker Hill Community College, Charlestown, MA GPA:

Criminal Justice

Expected in 2007 B.S | Criminal Justice Boston University, Boston, MA GPA:

Criminal Justice

Expected in 2008 Certificate | Medical Assistant/Allied Health Medical Asst. Certificate Bunker Hill Community College, Charlestown, MA GPA:
Expected in 2009 Certificate | Paralegal Studies Paralegal Certificate Bunker Hill Community College, Charlestown, MA GPA:
Skills

Legal research and review, medical coding, claims processing, member benefits and enrollment. Order supply and supply room stocking, excellence customer service and phone etiquette. Document review, letter drafting (legal and medical), advanced problem solving skills, works well independently and as a team player, great organizational skills.



By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • Bunker Hill Community College
  • Boston University
  • Medical Asst. Certificate Bunker Hill Community College
  • Paralegal Certificate Bunker Hill Community College

Job Titles Held:

  • Assistant/Paralegal
  • Core Claims Processor/Medicare Preferred
  • Member Service Representative
  • Medical Assistant
  • Patient Access Rep II

Degrees

  • A.S
  • B.S
  • Certificate
  • Certificate

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: