Medical Data Entry Clerk Resume Example Primed Management Consulting Services/Hill Physicians Medical Group

MEDICAL DATA ENTRY CLERK

Summary

Results-driven data support specialist and health care administrative professional with over 10 years of experience providing diverse operations assistance in fast-paced environments. Possess excellent organizational, time management, and customer relations skills. Strong ability to communicate clearly and effectively with people of all levels.

Highlights

Time management
Problem resolution
Quality assurance
CPT, ICD-9 and HCPS codes

Data support management
Document control
Office administration
Medical Terminology

Experience

Data Support Specialist II
January 2005Primed Management Consulting Services/Hill Physicians Medical Group － San Ramon, CA

Researched incoming issues from internal departments regarding members information such as - eligibility, coordination of benefits, benefit information and historical data.
Provided data entry support for the maintenance of member demographics and contract data in IDX system and related databases.
Reviewed and evaluated system discrepancies received from monthly electronic batch audit reports and claims.
Processed and load member data from both internal and external data source document such as the HMO member eligibility reports, EDI enrollment queues and health plan sites.
Utilized multi-media technology to aid in research, to include but not limited to health plan sites, voice response systems, internet, e-mail, phone and fax.
Obtained problem resolution member information with internal and external staff.
Adjudicated claims according to HPMG guidelines.
Assisted with special projects and training.

Medical Data Entry Clerk
March 2014 to February 2016Pacific Medical, Inc. － Tracy, CA

Enter new patients into MedERP system and make changes to existing accounts as needed.
Verify patient eligibility and benefits.
Bill insurance companies electronically via Office Ally and/or Emdeon.
Identify account and work order issues.
Successfully work under pressure and meet deadlines.
Assist with training when needed.
Perform other duties as assigned.

Clinical Data Coordinator
October 2003 to December 2004HDI Recruiters/SuperGen, Inc － Dublin, CA

Entered data reported on case report forms (CRF's) into Clintrial database system.
Scanned case report forms into Acrobat system.
Verification of clinical trial data to prepare for statistical analysis.
Generated queries to identify any discrepancies between data entered and original case report forms.
Assisted other data coordinators to maintain protocol-specific procedures.
Performed other projects as assigned.

Education

Certificate : CPC Physician Based Medical Coding, 2012AAPC Online Learning

Associate of Arts : Liberal Arts and Sciences, 2006San Joaquin Delta College － Stockton, CA

Associate of Science : Natural Sciences, 2001San Joaquin Delta College － Stockton, CA

45 credit hours : BiologyCalifornia State University, Hayward － Hayward, CA

Resume Overview

Companies Worked For:

Primed Management Consulting Services/Hill Physicians Medical Group
Pacific Medical, Inc.
HDI Recruiters/SuperGen, Inc

School Attended

AAPC Online Learning
San Joaquin Delta College
California State University, Hayward

Job Titles Held:

Data Support Specialist II
Medical Data Entry Clerk
Clinical Data Coordinator

Degrees

Certificate : CPC Physician Based Medical Coding , 2012
Associate of Arts : Liberal Arts and Sciences , 2006
Associate of Science : Natural Sciences , 2001
45 credit hours : Biology

Medical Data Entry Clerk Resume Example

Resume Score: 90%

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