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Medical Data Entry Clerk Resume Example

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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 2005 Primed 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 2016 Pacific 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 2004 HDI 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, 2012 AAPC Online Learning
Associate of Arts : Liberal Arts and Sciences, 2006 San Joaquin Delta College － Stockton, CA
Associate of Science : Natural Sciences, 2001 San Joaquin Delta College － Stockton, CA
45 credit hours : Biology California State University, Hayward － Hayward, CA
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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

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Medical Data Entry Clerk

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Posted 1121 days ago