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Medical Support Assistant Resume Example

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MEDICAL SUPPORT ASSISTANT
Summary
I am seeking a challenging, rewarding Business Administration position utilizing my education and 10 years of experience with health care, private insurance, revenue management, and customer service.
Skills
  • Knowledge of IHS Eligibility
  • Purchased Referred Care/Contract Health
  • Medical Billing, Claims, and Reimbursement
  • RPMS/EHR systems
  • Patient Referrals and Pre-Authorization
  • AHCCCS, Medicaid, Medicare, Private Insurance
  • Marketing, Advertising, Public Relations
  • Revenue Management
  • Excellent Customer Service
  • Knowledge of HIPAA Privacy Act
Experience
Catholic Health InitiativeRedwood City , CAMedical Support Assistant12/2015 to Current
  • Verify PRC/Contract health eligibility, Medicaid, Medicare (part A, B, and D), VA benefits, and Private Insurance resources for reimbursement.
  • Participate in Purchased Referred Care review for determination of payment for medical services.
  • Obtain pre-authorizations for radiology services, MRI, MRA, CT scans, ICD-10 diagnostic coding.
  • Identify patient IHS eligibility, establish new patient charts, schedule patient visits in adult primary care and pediatric clinics.
  • Confirm patient demographic data, obtain CIB/Tribal enrollment verification, and input into IHS database.
  • Knowledge of medical terminology, procedures, RPMS/EHR systems, Vista imaging, Emdeon software, AHCCCS eligibility database.
Department Of Veterans AffairsJacksonville , NCContact Representative12/2011 to 11/2015
  • Provide excellent customer service for Emergency Room and Express Care Departments.
  • Verify patient private insurance, AHCCCS, and Medicare resources for reimbursement.
  • Update patient files, create new charts, re-establish old files, and obtain all necessary info for RPMS system.
  • Determine patient eligibility, demographics, and financial work history.
  • Pre-screen patients being medically transported out of hospital.
Nuview HealthBoca Raton , FLContract Health Administrative Assistant02/2009 to 05/2009
  • Determined eligibility status, monitored payment for services, process accounts payable and receivable for contract health patients in the Fort Defiance IHS service area.
  • Provided customer service to incoming patients, filed claims, and updated patient data in RPMS system.
  • Updated provider federal DUNS numbers within the area for payment of services.
State Of OhioHamilton County , OHProperty Loss Claims Representative II12/2006 to 12/2008
  • Monitored, managed, and disbursed insurance claim funds for the repairs of homeowner properties damaged by natural disasters throughout the United States.
  • Received, deposited, and endorsed checks for national GMAC Mortgage Company.
  • Disbursed draw checks for GMAC and Select Portfolio Services.
  • Monitored vested interest in property for Fannie Mae and Freddie Mac financial lenders. 
  • Conducted extensive property damage analysis through inspection of properties, high level interaction with homeowners, contractors, insurance companies, adjusters, inspectors, and financial lenders.
Chandler Regional HospitalCity , STATEMedical Collection Specialist06/2006 to 09/2006
  • Filed medical claims for in-patient and out-patient hospital services and/or equipment.
  • Experienced in medical UB-92 and HCFA 1500 claim forms, HCPC, CPT, ICD-9 coding.
  • Negotiate collections from third party payers on patient accounts and patient appeals.
  • Knowledge of HIPAA Privacy Act, and policy collection procedures.
Ortho-Rehab, IncCity , STATERevenue Management Collection Specialist02/2004 to 03/2006
  • Filed medical claims for orthopedic durable medical equipment.
  • Collection of insurance payment for medical equipment provided.
  • Determine in-network and out of network reimbursement.
  • Account Receivable collection average of $75,000 monthly.
Jonathan Olcott Attorney Law OfficeCity , STATELegal Assistant02/2001 to 03/2003
  • Filed lawsuits, defaults, and motions for judgments in Arizona Justice Courts.
  • Prepared legal documentation, filings, and correspondence related to homeowner association litigation.
  • High level interaction with homeowners, property management, accountants, and HOA board members.
  • Management of 180 homeowner cases throughout the state of Arizona.
Education and Training
BACHELOR DEGREE::Business Administration
August 2011Fort Lewis College
Magna Cum Laude Top Honors Graduate 3.53 GPA
Marketing, Consumer Behavior, Advertising/Public Relations, Managerial Economics, Managerial Accounting, Strategic Management, Operations Management, Financial Management, Business Statistics, Organizational Behavior, Real Estate Investment
Skills
  • Microsoft Office Excel, Word, Access, PowerPoint, Outlook, Publisher
  • Knowledge of RPMS, EHR systems
  • 65 WPM, 10-Key experience
  • Accounts payable and receivable
  • Contract negotiations
  • Problem Solving
  • Technical communication
  • @Risk Statistical Analysis Software, POM program experience. 
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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:

75Average
Resume Strength
  • Completeness
  • Word choice
  • Measurable results
  • Strong summary
  • Clear contact info
  • Typos

Resume Overview

School Attended

  • Fort Lewis College

Job Titles Held:

  • Medical Support Assistant
  • Contact Representative
  • Contract Health Administrative Assistant
  • Property Loss Claims Representative II
  • Medical Collection Specialist
  • Revenue Management Collection Specialist
  • Legal Assistant

Degrees

  • BACHELOR DEGREE: : Business Administration
    August 2011

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