Assistant/Paralegal Resume Example
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ASSISTANT/PARALEGAL
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
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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
Assistant/Paralegal12/2012 to CurrentHope Credit Union / Hope EnterprisesCollege 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.
Core Claims Processor/Medicare Preferred12/2013 to 08/2014CarenationalLa 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.
Member Service Representative07/2010 to 12/2013Common SpiritWilliston , 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.
Medical Assistant07/2008 to 03/2010Cambridge Health AllianceCity , 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.
Patient Access Rep II07/2008 to 04/2010Cambridge Health AllianceCity , 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
A.S: Criminal Justice2005Bunker Hill Community CollegeCity, State, USA
Criminal Justice
B.S: Criminal Justice2007Boston UniversityCity, State, USA
Criminal Justice
Certificate: Medical Assistant/Allied Health2008Medical Asst. Certificate Bunker Hill Community CollegeCity, State, USA
Certificate: Paralegal Studies2009Paralegal Certificate Bunker Hill Community CollegeCity, State, USA
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.
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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 : Criminal Justice 2005
B.S : Criminal Justice 2007
Certificate : Medical Assistant/Allied Health 2008
Certificate : Paralegal Studies 2009
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