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Compliance Coordinator Resume Example

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Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Veteran Compliance Officer with expertise in statutory and regulatory research and analysis. Exceptional knowledge of the legal code and its requirements and prohibitions. History of leveraging comprehensive internal auditing to promote incontrovertible compliance. Seeking to further my career with a company that combines patient care excellence and administrative skills to meet patient needs and organizational sustainability.

Skills
  • Strong verbal and written communication skills.
  • Excellent organization and analytical skills. Ability to function independently or as a team member.
  • Extensive healthcare compliance and quality assurance experience.
  • Expertise with Medicare and Medicaid reimbursement, fraud, and abuse laws as applied to insurance plans.
  • Continuing education on Medicare ends Medicaid regulatory standards.
  • Familiarity with HIPPA privacy laws, FCPA, export control acts.
  • Ability to develop and implement training activities and compliance control procedures.
  • Maintain a high degree of integrity, independence, and confidentiality.
  • Analytical skills
  • Auditing
  • Database
  • Drafting
  • Forms
  • Insurance
  • Inventory
  • Personnel
  • Processes
  • Quality Assurance
  • Safety
  • Sales
  • Workflow
  • Written communication skills
  • Compliance reviews
  • Project coordination
  • Records management expert
Experience
Compliance Coordinator, 12/2013 to 12/2016
Paramount Equity Mortgage Los Angeles, CA,
  • Responsible for monthly and annual surcharge forms, payment history, and reconciliation assistance.
  • Amend and rewrite insurance plan documents to ensure Affordable Care Act compliance.
  • Review and maintenance of SBC.
  • Plan document database maintenance and reconciliation.
  • Work with account managers to assure group plan compliance with applicable Affordable Care Act laws and regulations.
  • Group plan document drafting, including Flex, HRA, HSA, and PPO plans.
  • Conducted investigations of alleged non-compliance, including auditing and monitoring plan activities.
  • Work with plan account managers to assure privacy and successful mitigation of identified risks.
  • Responsible for compiling and entering verified data into the group plan database to assist in the transition from paper-based workflow to database-driven processes.
  • Kept up-to-date records of developments in Affordable Care Act legislation to maintain and implement compliance programs and inform employees of changes to company policy.
  • Documented collections amounts and status and maintained information in organizational database.
  • Studied regulations to ascertain all requirements and delivered necessary training to clients.
  • Worked with small and medium enterprises to draft documents, monitor attendance and conduct audits.
  • Enforced regulations by reviewing federal and state laws to confirm compliance.
Executive Administrative Assistant & Secretary, 12/2011 to 12/2012
Elwyn Hacienda Heights, CA,
  • Organized and maintained company records bills, expense reports, batching, inventory, safety reports, Quality Assurance Reports.
  • Completed requests for high-level Executive Personnel such as meeting requests, presentation assistance, organization of sales pamphlets.
  • Assisted with the implementation of new Masterpoint and Centerpoint software transition.
  • Prepared and updated office records, spreadsheets and presentations to support executive needs and enhance office efficiency.
  • Opened, sorted and responded to routine correspondence on behalf of business leaders to facilitate communication and streamline processes.
  • Streamlined back office services for clients to promote proper functionality and positive user experience.
  • Restocked office and break room supplies to maximize team productivity.
  • Supported office needs including taking messages, scanning documents and routing business correspondence.
Certified Nursing Assistant, 12/2010 to 12/2011
Terrace At The Grove Park City, STATE,
  • Assisted living patient care support.
  • Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
  • Fostered relationships with patients, caregivers and healthcare teams to achieve individual care plan targets.
  • Responded to patient alarms and needs-assessment requests to identify course of treatment.
  • Documented information in patient charts and communicated status updates to interdisciplinary care team.
  • Assisted patients with shaving, bathing and oral hygiene to promote healthy habits and overall wellness.
  • Documented patient intake and dietary requirements, also assisting with feeding and monitoring.
  • Managed and maintained patient rooms, shared-living areas and nursing stations.
  • Facilitated activities of daily living, including personal hygiene management, feeding and ambulation.
Education and Training
Bachelor of Science: Healthcare Management, Expected in 08/2021
to
Herzing University - Menomonee Falls, WI,
GPA:
High School Diploma: , Expected in 2007
to
Belvidere High School - Belvidere, IL,
GPA:
Certifications
2010 Certified Nursing Assistant 2021 Certified Specialist in Managed Care

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Resume Strength

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Resume Overview

School Attended
  • Herzing University
  • Belvidere High School
Job Titles Held:
  • Compliance Coordinator
  • Executive Administrative Assistant & Secretary
  • Certified Nursing Assistant
Degrees
  • Bachelor of Science
  • High School Diploma

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