MIS Manager Resume Example D'veal FAMILY AND YOUTH SERVICES

MIS MANAGER

Professional Background

A challenging position, utilizing my abilities developed through my experience and education, with the opportunity for professional growth.

Skill Highlights

Type 60 wpm, 10-key
Fast learner - able to adjust and perform on any operating system
Excellent leadership and communication skills
Vast knowledge of medications, their uses and contraindications
Familiar with billing codes primarily for Medi-Cal/Medi-Care patients
Coordinated Accreditation processes
Multi-tasking - fast-paced environments

Accomplishments

Management Seminars Sexual Harassment Seminars Seminars for CE credits related to several areas of Healthcare Staff Training and Recognition Program - Member Service Seminars by CUNA League Services.

Professional Experience

MIS Manager05/2010 to CurrentD'VEAL FAMILY AND YOUTH SERVICES

Supervisory functions include training, creating and delegation of projects, and time and attendance management of the MIS and other departments' staff.
Maintain, complete, compile and distribute monthly reports for the CEO and other affected departments.
Correct billed claims that were denied and re-submit such claims for reimbursement.
Maintain regularly scheduled audits of financial folders to ensure all information is updated and correct for outside audit purposes.
Responsible for quality assurance on all information and charts compiled for clients we service.
Liaison between organization and Clinitrak (in-house data processor).
Problem-solve and answer any Clinitrak program inquiries.
Ensure that the practices, policies and procedures are in compliance with the Agency's expectation, licensing requirements, and County, State and Federal standards.
Communicate with medical staff and other service providing departments to streamline processes that involve clinical and financial information processes.
Responsible for Integrated Behavioral Health Information System (IBHIS) testing and conversion, and implementation of training for new managed-care processes.

Pharmacy Manager/Certified Pharmacy Technician/Accreditation Coordinator/HIPPA Officer11/2005 to 04/2010WEBSTER'S

Supervised all pharmacy technicians, data entry and pharmacy clerk staff to perform daily pharmacy dispensing procedures in such a manner as to achieve our goal of superior quality service.
Trained all pharmacy staff on new workflow system; problem solved issues, developed and implemented new policies and procedures.
Provided support to pharmacist and pharmacy staff regarding system program changes, client information and other requests deemed important to them.
Scheduled and managed 10 employees, ensuring adequate coverage on shifts.
Monitored pharmacy technicians for accuracy and supervised staff in the proper preparation of medications to be dispensed by the pharmacist.
Compiled, monitored and reconciled billing statements for insurance claims submitted electronically and through mail.
Performed quality control procedures on all claims to ensure accuracy of billing, resolving any billing code errors and prepared for resubmission any claims billed to Medi-Cal and/or Medi-Care and supplemental coverage.
Initiated and followed-up with insurance companies on Prior Authorization requests for treatment.
Contacted insurance companies for resolution on claims that were outside of regular billing parameters, i.e.
drug-drug interactions, duplicate therapies, vacation supplies and lost and/or stolen medications; also pharmacy benefits.
Maintained compliance with all Federal, State and Corporate regulations, performing insurance audits and verifying insurance billing.
Responsible for performing Human Resources tasks, such as interviewing, hiring and terminating employees.
Initiated regularly scheduled staff meetings.
Single-handedly acquired the pharmacy's accreditation successfully, in order to continue providing services to Medi-Cal/Medi-Care patients.
This involved creating and updating procedures to comply with CMS standards and also improved current processes.

Pharmacy Technician02/2000 to 11/2005WEBSTER'S

Reviewed doctor orders for completeness, legibility or missing information.
Deciphered prescriptions, entered data into pharmacy system for labeling, filled and labeled prescriptions with accuracy.
Made aware of drug interactions and brought them to the pharmacist's attention before dispensing medications.

Education and Training

Registered Pharmacy TechnicianNorth-West College

AAPasadena City College

DiplomaBlair High School

General Courses Ambassador Beauty College - Cosmetologist State LicenseGlendale Community College

BSCalifornia State UniversityLos Angeles

Bachelor's Degree: Health Care AdministrationAshford University

Skills

10-key, streamline, Agency, benefits, billing, charts, CMS, conversion, client, clients, data entry, financial, hiring, Human Resources, insurance, team-leader, meetings, mail, MIS, operating system, policies, problem-solver, processes, quality, quality assurance, quality control, fast learner, self-motivated, Supervisory, Technician, Type 60 wpm, well organized, workflow

Additional Information

PTCB Exam - Certified Registered Pharmacy Technician * Personal references are available upon request

Resume Overview

Companies Worked For:

D'VEAL FAMILY AND YOUTH SERVICES
WEBSTER'S

School Attended

North-West College
Pasadena City College
Blair High School
Glendale Community College
California State University
Ashford University

Job Titles Held:

MIS Manager
Pharmacy Manager/Certified Pharmacy Technician/Accreditation Coordinator/HIPPA Officer
Pharmacy Technician

Degrees

Registered Pharmacy Technician
AA
Diploma
General Courses Ambassador Beauty College - Cosmetologist State License
BS
Bachelor's Degree : Health Care Administration

MIS Manager Resume Example

Resume Score: 90%

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