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

A skilled specialist with more than five years of experience in various areas of the healthcare field, IT, Scheduling, Billing, Coding and CNA.


Recognized for my ability to quickly learn new tasks/software and perform each job assignment with a strong sense of responsibility.


Qualified to follow up with insurance companies to verify insurance information and handle claims management.


I am currently looking for a full time position in an environment that offers a greater challenge, increased benefits for my family, and the opportunity to help the company advance efficiently and productively

Education and Training
Campbell High School Smyrna , Georgia Expected in 2006 Diploma : - GPA :
Atlanta Metropolitan State College Atlanta , Georgia Expected in Bachelor of Science : Biology - GPA :

Biology

Skill Highlights
  • Experience with HomeCare/Homebase Systems (Cerner, HCHB, AMS2, AMS3).
  • Knowledge of MS Word, Excel and Outlook. Knowledge of medical terminology, HIPAA Guidelines and Regulations.
  • Patient-oriented
  • Personal and professional integrity
  • Health care billing proficiency
  • Medical coding capability
Professional Experience
Midwest Health - Medical Records Clerk
Wellington, KS, 06/2015 - Current
  • Provided clerical support which included faxing, sorting orders and Plans of Care, Copying, filing, and follow up phone calls.
  • Faxed verbal orders/Plan of Treatments not received back in the mail in a timely manner.
  • Tracked and coordinated with appropriate internal personnel for missing documentation for Patient's charts.
  • Initiates the medical record by creating and processing the patient care record folder Notified Quality Manager/Clinical staff of orders/POTs received back with writing/alterations present.
  • Prepared packets and distributed for recertification.
  • Contacts the physician to resolve PECOS issues and consults with ED if unable to resolve.
  • Responded to requests for medical records; processed letters and reports; answered and directed telephone calls to appropriate staff.
  • Retrieved patient schedules from computer system; distributed lab reports to physicians, and materials to other departments; requested information from various departments; responded to correspondence requests.
  • May photocopy records and documents for billing and/or legal services; sends and receives information via facsimile machine Under immediate supervision, maintains patient files and statistics; responds to requests for medical records; performed clerical duties as needed.
  • Keeps supervisor informed of problems or issues; monitors supplies needed; performs other duties as assigned.
Avalon Healthcare Solutions - Intake Coordinator
Tampa, FL, 10/2014 - 06/2015
  • Coordinated information to patients, family members, physicians, SNF/hospital staff, the home health agency, and any other involved entities relating to the continuing care of patients in their homes.
  • Received referrals and advised patients, family members, staff, and physicians about programs available for patient care needs.
  • Utilized the agency's software system to facilitate the referral process by completing required workflow tasks, including but not limited to: process referrals, verify Medicare eligibility and payer source authorization.
  • Tracked pending referrals daily and consults with ED on patients whose pending status is greater than two weeks old.
  • Notified Account Executives of missing data required to complete the referral process.
  • Checked faxes routinely for referrals and orders.
  • Monitored ECIN/CuraSpan interfaces (if applicable) throughout the day for new referrals.
  • Ensures all referrals are accepted or declined within a maximum period of 2 hours.
  • Review Eligibility Alerts and Responses for Medicare and Medicaid Clients.
  • Requests F2F Encounter documentation, H&P, and Discharge summary if not received with referral.
  • Coordinates information with appropriate AccentCare location for any referrals received outside service area.
  • Communicates specific scheduling orders and requests to the Scheduler.
  • Completes a "Welcome to AccentCare" call to the patient/caregiver to verify patient demographic and physician and caregiver information.
  • Documents information in the EMR.
  • Scans appropriate client attachments, including but not limited to: H&P, Med Lists, Doctor's Orders, Discharge Orders, Discharge Information from Facilities, and F2F Documentation.
  • Ensures that each physician ordering care has a valid signature and associated information on the physician signature log.
  • Performs licensure and NPI check on new physicians and consults with the ED if either of the two cannot be verified.
  • Processes electronic workflow, coordination notes, and administrative tasks within the required timeframes.
Baptist Health Care - Business Office Specialist
Baker, FL, 11/2013 - 07/2014
  • Maintained patients medical records and data.
  • Entered patient information into AMS2/AMS3.
  • Scheduled appointments, registering patients.
  • Verified and continuously monitored Medicaid authorizations, approvals and visits.
  • Recorded and reported daily progress of patients with Clinical Manager.
  • Forwarded referrals to appropriate offices for review.
  • Assist and perform accurate submission of billing and payroll.
  • Maintained full knowledge of patients needs and geographical areas and relayed this information with Clinical staff (nurses and therapists).
  • Performed inventory control processes.
  • Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.
  • Designed electronic file systems and maintained electronic and paper files.
  • Planned meetings and prepared conference rooms.
Avalon Healthcare Solutions - Intake Coordinator
Tampa, FL, 10/2012 - 2013
  • Verification of insurance eligibility, addresses/phone numbers of patients
  • Entering patient referral information into Cerner/ HCHB
  • Scheduling appointments, registering patients MetroFax administrator duties
  • Keeping an accurate and detailed daily referral log Forwarding referrals to appropriate offices
  • Communicating with IT to ensure all new physicians and insurance data is properly added to HCHB system Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation
  • Responded to correspondence from insurance companies.
Harcros Chemicals - Customer Service Rep
Saint Paul, MN, 09/2012 - 10/2012
  • Handled incoming calls or inquiries from prospective customers or clients
  • Assisted customers effectively by solving customer disputes
  • Provided customer additional information or explained services Other duties related to the daily operations, as assigned
  • Tactfully handled confrontational or stressful interactions with customers data entry as required
  • Accurately captures customer information.
  • Confirmed that appropriate changes were made to resolve customers' problems.
  • Exercises sound judgment in issuing credits and making exceptions to customer policies to maintain high levels of customer satisfaction.
  • Extended customer subscriptions, offering discounts and promotions to ensure high customer retention rates.
Kroger - Customer Service Rep/ Accounting Personnel
City, STATE, 2009 - 09/2012
  • Handled incoming calls or inquiries from prospective customers or clients
  • Assisted customers effectively by solving customer disputes
  • Provided customer additional information or explained services Other duties related to the daily operations, as assigned
  • Tactfully handled confrontational or stressful interactions with the public Completes supporting paperwork and data entry as required
  • Accurately captures customer information.
  • Balanced books for entire store daily Oversaw deposits and payroll.
Skills
    Strong administrative assistant work ethic- supervision of others, telephone operator, work flow administrator, inventory control, forwarding legal issues,preparing letters, writing notes,ordering materialsStrong Health Care ethic- monitors patient charts, assisting with payroll, overseeing personnel accounts ,Processing orders, coding correctly
  • Scheduling and Moving appointments
  • Agency billing, caregiver, charts,
  • Extensive Clerical Background -copying, data entry, documentation, faxing, facsimile machine,filing, Excel, mail, Outlook, MS Word,
  • Knowledge of Insurance companies and authorization requirements- government, HomeCare, ICD-9, ICD-10 coding needed for insurance, medical terminology,

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Resume Overview

School Attended

  • Campbell High School
  • Atlanta Metropolitan State College

Job Titles Held:

  • Medical Records Clerk
  • Intake Coordinator
  • Business Office Specialist
  • Intake Coordinator
  • Customer Service Rep
  • Customer Service Rep/ Accounting Personnel

Degrees

  • Diploma
  • Bachelor of Science

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