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

Established auditor of employee human resource records, systems and processes. Assistant experienced in managing data for employers, providers and clients distributing information across organization. Analyze data, ensure security, organize and classify, maintain records and contribute to team efforts. Expertise in information technology, technical understanding, documentation, reporting, customer service and process improvement. Dynamic Human Resources professional bringing years of experience providing guidance on human resources topics and challenges. Committed to supporting recruiting, and developing, engaging and retaining talented staff. Sophisticated in communicating and collaborating effectively by relying on excellent interpersonal skills, outstanding customer service and solid expertise in human resources management. Proficiencies offering proven skills in HR administration. Dedicated to promoting efficient business operations and high productivity by onboarding well-qualified candidates and minimizing employee turnover. History of driving advancements in training, productivity and team motivation through proactive approaches. Goal-driven Healthcare Administration professional well-versed in recruiting, training and managing employees to provide exceptional resident services. Highly organized and hardworking with excellent planning and program management skills. Astute professional highly skilled in pharmacy operations and improving performance metrics. Multi-talented practice specialist consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity.

Skills
  • Payroll Management
  • Performance appraisals
  • Regulatory compliance
  • Records review
  • Pre-employment screening
  • Candidate sourcing
  • Benefits and compensation
  • Background check conduction
  • Conflict resolution
  • Training and development
  • Recruitment/staffing
  • HRIS
  • Medical transcription
  • Insurance claims
  • Completing insurance forms
  • EMR / EHR
  • Monitoring patient progress
  • Patient Assessments
  • Assisting with physical exams
  • Medical billing and coding
  • Patient Scheduling
  • Medical Records Management
Education
Saint Leo University Newport News, VA Expected in 3/2019 MBA : Human Resources Management - GPA :
Saint Leo University Langley Air Force Base, Expected in 3/2014 Bachelor of Science : Human Resources Management - GPA :
Certifications

Professional Human Resources Management Certification

Currently Pursuing

Work History
Amita Health - Credentialing Assistant
Wamego, KS, 08/2017 - Current
  • Assist the Credentialing Coordinator with implementing and monitoring procedures related to audit compliance,
  • Maintained accuracy, completeness and security for medical records and health information
  • Accreditation and licensure credential, re-certification for medical and clinical providers insurance panels & Hospitals
  • Provide informational sessions and onboard for new clinical hires (Therapist, Physicians Assistants, Certified Nurse Midwives, CRNA's, Nurse Practitioners) in the credentialing process
  • Work closely with practitioners to help each obtain privileges at assigned healthcare facilities
  • Track expiration dates on documents and communicated with appropriate staff to ensure that files were received before expiration
  • Collaborate with management to build and implement effective, modern employment policies
  • Obtained NPI numbers for providers and facilities and updated existing profiles
  • Received and evaluated applications to look for missing and inaccurate information
  • Conducted primary source verifications such as background checks and board certifications
  • Counseled leadership and offered actionable initiatives to reduce compliance-related issues addressing equal employment opportunity and sexual harassment
  • Improved project success rates with solid staff coaching, performance monitoring, quality assurance and effective problem resolution
  • Collaborated with management to build and implement effective, modern employment policies
  • Organized information by studying, analyzing, interpreting and classifying data
  • Maintained current understanding of state and federal policies such as EEO and ADA
  • Reduce expenses by analyzing compensation policies and implementing competitive programs while ensuring adherence to legal requirements
  • Maximized team knowledge and productivity by effectively training, monitoring and directing employees in application of best practices and regulatory protocols
  • Reviewed charts and flagged incomplete or inaccurate information
  • Set, enforced and explained HR policies to team members to cultivate compliant and satisfied workforce
  • Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, office cleaning and bookkeeping
  • Troubleshot and resolved problems with HR software to enhance production support and minimize downtime
  • Administered benefits programs, analyzed compensation and other competitive data and prepared budgets
  • Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency
  • Communicated with potential hires to provide clarity on expected tasks, compensation and policies
  • Conducted annual salary surveys and developed, analyzed and updated company salary budget
  • Reduced expenses by analyzing compensation policies and implementing competitive programs while ensuring adherence to legal requirements.
  • Migrated legacy HRIS system to new technology to minimize business impacts.
Hampton Newport News Community Services Board - Credentialing/Billing Specialist Patient Coordinator Medical Records Technician Optician
City, STATE, 10/2008 - 07/2017
  • Interacted and communicated easily with department personnel and public. Communicated effectively with staff, patients and insurance companies by email and telephone
  • Maintained accuracy, completeness and security for medical records and health information
  • Researched and compiled statistical data to support cost control and care improvement initiatives
  • Managed system conversion and maintained minimal downtime during updates
  • Identified new methods to optimize medical records management
  • Used classification manuals to gain additional knowledge of disease and diagnoses processes
  • Increased team efficiency by implementing 3 process improvements
  • Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations
  • Organized department in accordance with administrative guidelines in order to provide specified medical records
  • Organized department in accordance with administrative guidelines in order to provide specified medical records
  • Served on the medical records team and collaborated on strategic planning, decision making, goal setting, and operational changes to align department
  • Strategically planned methods to achieve operational goals and targets
  • Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs
  • Utilized to manage and confirm patient data, such as insurance, demographic and medical history information
  • Trained direct reports on department procedures and policies to maximize department effectiveness
  • Kept accurate log of all requests for medical information and records
  • Reviewed charts and flagged incomplete or inaccurate information
  • Developed and managed database to gather and streamline information throughout department
  • Operated within budgetary constraints, participated in development of annual budget forecasts and reconciliation of operating budget
  • Provided supportive link between external customers and internal operations
  • Managed quality assurance program including on site evaluations, internal audits and customer surveys. Utilized to manage and confirm patient data, such as insurance, demographic and medical history information
  • Maintained optimal staffing levels by tracking vacancies and initiating recruitment and interview processes to identify qualified candidates.
  • Developed strategic relationships with patients by delivering advanced medical knowledge.
  • Set, enforced and explained HR policies to team members to cultivate compliant and satisfied workforce.
  • Collaborated with management to build and implement effective, modern employment policies.
  • Maximized team knowledge and productivity by effectively training, monitoring and directing employees in application of best practices and regulatory protocols.
  • Assisted senior management with making key decisions by developing and submitting performance and compensation reports with status updates and improvement recommendations.
  • Interviewed candidates and conducted background checks and verification.
  • Worked alongside global business leader to deploy new training strategies.
Hampton Roads Otolaryngology Associates - Practice Patient Specialist
City, STATE, 05/2000 - 08/2007
  • Monitored flags and resolved urgent items with accuracy and efficiency.
  • Contacted patients after insurance was calculated to obtain payments.
  • Maintained office inventory and organized supplies for efficiency and expected needs.
  • Reviewed daily care slips for doctors.
  • Used Biling Software to schedule appointments.
  • Helped enhance unit operations by continuously delivering accurate, efficient care and maintaining performance objectives.
  • Collected vitals and biological samples to support diagnostic plans and ongoing assessment strategies.
  • Upheld confidentiality requirements and regulatory compliance guidelines in all areas.
  • Monitored, tracked and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
  • Liaised between hospital departments to facilitate effective communication.
  • Organized medical charts for patients by assembling new admission pages and adding appropriate pages to charts.
  • Recognized and reported abnormalities and/or changes in patients' health status to MD, RN, case manager.

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Resume Overview

School Attended

  • Saint Leo University
  • Saint Leo University

Job Titles Held:

  • Credentialing Assistant
  • Credentialing/Billing Specialist Patient Coordinator Medical Records Technician Optician
  • Practice Patient Specialist

Degrees

  • MBA
  • Bachelor of Science

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