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
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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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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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