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Clinical Certificiation Coordinator Resume Example

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CLINICAL CERTIFICIATION COORDINATOR
Professional Summary

Accomplished [Job Title] with strong leadership abilities honed as [Job Title] in [Branch] . Strong abilities in team leadership and project management backed by [Skill] and [Skill] . Known for [Area of expertise] and commitment to achieving goals. Proficient Combat Medic with [Number] years of expertise in providing emergency and routine healthcare services to enlisted personnel in United States [Branch] . Highly organized, proactive and detail-oriented with extensive knowledge of medical terminology and practices. Skilled at managing medical records and inventory, performing assessments and conducting training simulations to maintain readiness. Performs well under pressure and stays calm and professional in all situations. Resourceful [Job Title] successful delivering top-notch tactical training while mentoring and providing assistance. Diligent communicator showcasing skills in team leadership, task prioritization and mission preparation. Looking to take on civilian position working for growing company. [Job Title] with over [Number] years of successful experience in [Skill] and [Skill] . Recognized consistently for performance excellence and contributions to success in [Industry] industry. Strengths in [Skill] and [Skill] backed by training in [Area of study] . Enthusiastic [Job Title] eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of [Task] and [Task] and training in [Skill] . Motivated to learn, grow and excel in [Industry] . Senior [Job Title] and outstanding performer in [Skill] and [Skill] within [Industry] . Proven success in leadership, operational excellence and organizational development with keen understanding of elements of [Type] business. Recognized for inspiring management team members to excel and encouraging creative work environments.

Skills
  • Ability to type accurately and neatly
  • Proficient in Microsoft Office Suites (Word, PowerPoint, Excel, publisher)
  • Strong Communication Skills, Progress
  • Computer applications, Routing
  • Counseling, Self-starter
  • Customer relations, Technical assistance
  • Clients, Telephone
  • Client, Phone
  • Customer service, Trainer
  • Database, Type
  • Department of Health, Websites
  • Designing, Workflow
  • Documentation
  • Email
  • Fax
  • Financial
  • Focus
  • Forms
  • Image
  • Insurance
  • Leadership
  • Medical Terminology
  • Mental health
  • Access
  • Excel
  • Mail
  • Microsoft Office Suites
  • Outlook
  • PowerPoint
  • Publisher
  • Windows Operating System
  • Word
  • Office machines
  • Office Management
  • Organizational
  • PACS
  • Excellent people skills
  • Personnel
  • Policies
  • Problem Solver
  • Medical records
  • Medication Administration
  • Mission execution
  • Project organization
  • Team management
  • Operational improvement
  • Problem resolution
  • Business operations
  • Process improvement
  • MS Office
  • Supervision
  • Performing needs assessments
  • Patient histories
Work History
04/2016 to Current
Clinical Certificiation CoordinatorBarnes Jewish Healthcare – St. Louis, Missouri
  • To obtain a challenging position with unlimited opportunities where I can use my exceptional organizational, leadership, customer service and support skills that will further promote department concepts and development in a medical institution.
  • Highly trustworthy, ethical and discreet; committed to superior customer service.
  • Confident and poised in interactions with individuals at all levels.
  • Self-starter and able to work independently as well as a cooperative team member.
  • Resourceful in completing projects and able to multi-task effectively.
  • Capabilities include:Strong Communication Skills Energetic and Positive AttitudeTact and Professionalism Strong Work EthicsCompassionate Reliability and DiscretionCustomer Focus and Service Oriented Office Management.
04/2016 to Current
Clinical Certification CoordinatorBarnes Jewish Healthcare – St. Louis, Missouri
  • Initiate inpatient admit notifications online and/or contact insurance Payors for authorization approvals.
  • Identify and document inpatient clinical discharges, approvals, and denials from onsite Payor logs in ECIN and Soarian.
  • Filter and update daily MS-DRG Report and send to the appropriate assigned Medicare case manager.
  • Ensure patient authorization documentation is accurate and complete for inpatient financial clearance.
  • Handle 75+ patient and customer phone calls per day, giving friendly and polite service to ensure calls are directed to the appropriate case manager or social worker within the department.
  • Submit inpatient requests, check status, update prior authorizations and notifications on provider websites.
  • Verify all inpatient insurance statuses with the Financial Services Team.
  • Filter the Observation Encounters Missing Charges Report; Calculate hours for all emergency room patients listed in outpatient observation status then enter and post Charge batch in Soarian.
  • Provide accurate information to general inquiries in a timely manner via telephone, email, or fax.
  • Respond and escalate all inbound calls to the appropriate case management staff.
  • Update, manage and email the Case Management schedule to all department staff.
  • Maintain a medical record tracking system within the medical treatment facility; Request and mail all medical records for insurance Payor review.
08/2010 to 03/2016
Outpatient Radiology Senior RegistrarBarnes Jewish Healthcare (Outpatient Radiology) – St. Louis, Missouri
  • Responsible for day-to-day operation of Picture Archiving and Communication System (PACS) equipment including image workflow, archiving, auto-routing and pre-fetching.
  • Coordinated retrieval and forwarded patient x-ray films to and from other medical offices as needed.
  • Processed radiology requests, reports and x-ray films.
  • Investigated, identified and assisted in solving specific operational problems within PACS, worked closely with technical staff, radiologists and referring physician offices.
  • Provided ongoing training to team members in the process of patient registration and workflow.
  • Monitored and worked closely with new team members' performance and noted areas for improvement.
  • Collaborated on BJH Soarian patient access workgroup.
  • Facilitated orientation and training for new department personnel.
  • Handled high volumes of inbound and outbound calls from physician offices and patients.
  • Assisted incoming patients to hospital, scheduled appointments, and prepared necessary insurance forms.
  • Responsible for ensuring a positive patient experience throughout the registration process including handing patient complaints.
01/1998 to 01/2008
Transitional Case ManagerSAINT LOUIS CONNECTCARE – St. Louis, Missouri
  • Researched statewide database to ascertain Medicaid eligibility and location on STD/HIV/AIDS clients.
  • Collected, verified and established client eligibility for programs available that address identified needs, including programs administered by the Department of Health.
  • Provided technical assistance to the public, providers and case management agencies regarding programs and interpretations of policies and procedures.
  • Identified needed services (mental health, housing, general counseling needs) with clients to evaluate progress; Contacted multiple agencies to ensure continuity of care can be provided for the individual.
  • Assisted in designing and revising Positive Start Program forms to improve program efficiency.
  • Delivered various STD medications to local health departments in the outstate area.
  • Conducted interviews with Missouri's state prisons with incarcerated HIV positive individuals on gaining access to a range of medical, social, family and support services they needed to become self-sufficient upon their return to the community.
  • Provided prevention education and counseling on risk-reduction behaviors, state statues regarding the spread of HIV, and the importance of treatment adherence to the HIV positive incarcerated population.
  • Attended training sessions to enhance job performance.
Education
Associate of Science DegreeSouthwestern Illinois College
GPA: 3.7
No DegreeSouthern Illinois University Edwardsville - Edwardsville, IL
Jewish College of Nursing - Saint Louis, Missouri
Associate of Business AdministrationHickey College - St Louis, MO
Accomplishments
  • Documented and resolved [Issue] which led to [Results] .
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Collaborated with team of [Number] in the development of [Project name] .
  • Supervised team of [Number] staff members.
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Resume Overview

Companies Worked For:

  • Barnes Jewish Healthcare
  • Barnes Jewish Healthcare (Outpatient Radiology)
  • SAINT LOUIS CONNECTCARE

School Attended

  • Southwestern Illinois College
  • Southern Illinois University Edwardsville
  • Jewish College of Nursing
  • Hickey College

Job Titles Held:

  • Clinical Certificiation Coordinator
  • Clinical Certification Coordinator
  • Outpatient Radiology Senior Registrar
  • Transitional Case Manager

Degrees

  • Associate of Science Degree
    No Degree
    Associate of Business Administration

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