Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary
Experienced Healthcare Administrator with a educational background in Healthcare Management with strong clinical and people skills. Detail-oriented with extensive experience performing medical clerical duties and patient screenings in a busy healthcare setting.Patient-focused with over 9 years experience working in a busy medical office working with diverse populations. Very Responsible and resourceful with excellent communication skills demonstrated by 9 years of experience in healthcare.
Education and Training
Expected in 2016 Master of Science | Public Health Argosy University, , Georgia GPA: GPA: 3.7
Coursework in Health Services Coursework in Human Resource, Community and Public Health   GPA: 3.7
Expected in 2012 Bachelor of Science | Healthcare Management Clayton State University, , Georgia GPA: GPA: 3.3
GPA: 3.3 Coursework in Healthcare Policy, Services, Health and Human Services and Human Resources and Management 
Expected in 2013 | Phlebotomy National Healthcare Association, , Georgia GPA:
Professional Accreditation and trained Phlebotomist
Expected in May 2006 Certified Nursing Assistant----- | , , GPA:
Skill Highlights
  • Conflict resolution
  • Personal and professional integrity
  • Relationship and team building
  • Staffing management ability
  • Proven patience and self-discipline
  • Government relations knowledge
  • Financial aptitude
  • In-depth claims knowledge
  • Claims analysis and review specialist
  • Critical thinking proficiency
  • Strong work ethic
  • Healthcare billing proficiency
  • Strong medical ethic
  • Problem resolution ability
  • Extensive medical terminology knowledge
  • Complex problem solving skills
  • Microsoft Office Suite
  • Budgeting and financial management
  • Strong decision maker
  • Documentation procedures expert
  • Calm and level-headed under duress
  • Medical terminology knowledge
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Medical Manager Software
  • Managed care contract knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • HIPAA compliance
  • Strong planning skills
  • Qualified in specimen collection/processing
  • Training and development
  • Personnel records maintenance
  • Regulatory compliance
  • Exceptional interpersonal skills


Regulatory compliance, Specimen handling, Staff training/motivation/development, HIPAA compliance, HMO, indemnity, and commercial insurance, Medical and clinical services, Medical terminology, Patient relations, Phlebotomy, Policy development and implementation, Private practice experience, Quality assurance standards, Patient-focused care Excellent interpersonal skills Time management Detail-oriented Effectively interacts with patients and families. Charting and record keeping

Professional Experience
07/2014 to Current Lab Administration Compliance Speciliast Usmm | South Bend, IN,
  • Supervised and evaluated the activities of medical, nursing, technical, clerical, service, maintenance and other personnel.
  • Kept abreast of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes and financing options.
  • Carefully selected, developed and retained qualified staff, as well as trained 6 new staff annually.  
  • Created annual goals, objectives and budget and made recommendations to reduce costs.
  • Administered, directed and coordinated the activities of the agency.
  • Served as liaison between management, clinical staff and the community.
  • Directed the installation of improved work methods and procedures to achieve agency objectives.
  •  Ensured the accuracy of public information and materials.
  • Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.
  • Provided thorough supervision for day-to-day operations of facility in accordance with set policies and guidelines.
  • Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed.
  • Diligently monitored the QA (Quality Assurance) program to improve performance and maintain high standards of care.
  • Organized and led weekly personnel meetings with 10 team members.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Provided administrative and laboratory leadership to the staff and helped improve annual error rate from 60 percent to 20 percent.
  • Plans, organizes, directs and coordinates a statewide clinical laboratory service.
  • Develops and establishes laboratory goals, policies, programs and plans.
  • Appraises needs for laboratory services; develops new, additional or different laboratory service programs.
  • Responsible for validating, entering, and finalizing sales agreements to ensure external clients are billed correctly and accurately.
  • Supervises the preparation and maintenance of laboratory records and reports; summarizes laboratory activities, accomplishments and needs.
  • Develops and implements policies, procedures and performance standards designed to ensure efficient laboratory operation.
  • Interprets or verifies difficult or unusual analyses; plans and supervises the performance of special tests and projects.
  • Consults with physicians, hospital personnel and independent and hospital laboratory personnel regarding common laboratory problems.
  • Medical / financial data is processed and analyzed accurately and in a timely manner.

07/2012 to 01/2014 DENIAL MANAGEMENT SPECIALIST Good Samaritan Society | West Fargo, ND,
  • Resolves billing issues by answering questions to determine and recommend how outstanding accounts should be processed and provides follow up when necessary.
  • Thoroughly investigated past due invoices and minimized number of unpaid accounts.
  • Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Acquired insurance authorizations for procedures and tests ordered by the attending physician.
  • Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.  
  • Researches and reviews billing systems to make sure patient information is accurate and up to date; Communicates with internal personnel, third party payers, employer groups and attorneys to obtain correct patient account information.
  • Identifies and reports trends in carrier payments and denials, which includes maintaining a database of insurance carrier requirements.
  • Maintains knowledge of current government and carrier regulations relevant to the industry.
  • Accurately and efficiently processes billing paperwork, prepares reports and sends invoices.
  • Must maintain patient confidentiality and follow guidelines as outlined by HIPAA.
2011 to 07/2012 FRONT AND BACK OFFICE SPECIALIST Apex Systems | Mesa, AZ,
  • Provided support services for patients by taking vitals, phlebotomy, and taking chief complaints.
  • Utilized Practice Fusion for medical billing and coding purposes.
  • Scheduled and confirmed doctor appointments and collected patient information and payments.
  • Answered phones and registered patients.
  • Triaged to partner facilities utilizing Practice Fusion.
  • Provided nursing care in accordance with resident care policies and procedures.
  • Ensured that the safety and well-being of the residents was maintained.
  • Measured and recorded residents' fluid intake and output.
  • Provided medication reminders to residents.
  • Provided patient transportation to doctor appointments.
to Lab Analyst Castle Medical LLC | City, STATE,
  • Appropriate codes are used and complete information is input.
  • Attention to detail of specimen information to assure all information is entered accurately.
  •  Clarified and documented all acceptable specimens on lab requisition form.
  • Ensures appropriate storage, racking, and tracking of specimens; retrieves specimens in a timely manner for add-on testing.
  • Follows established laboratory safety practices.
  • Verifies and labels specimens and aliquots as required according to department procedures.

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


Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

How this resume score
could be improved?

Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:


resume Strength

  • Personalization
  • Target Job

Resume Overview

School Attended

  • Argosy University
  • Clayton State University
  • National Healthcare Association

Job Titles Held:

  • Lab Administration Compliance Speciliast
  • Lab Analyst


  • Master of Science
  • Bachelor of Science
  • Certified Nursing Assistant-----

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

*As seen in: