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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Accountable Healthcare Specialist with a passion for developing compassionate patient care. Willing to offer an entrepreneurial attitude with proven abilities and years of experience in business planning, marketing and operational management. A diverse background in Pharmacy, Optometry, Ophthalmology, and Clinic operations that developed excellent communication skills and the ability to quickly build relationships with patients. Looking to add set skills and experience to a company that will enable advancement and the opportunity to exhibit managerial expertise and further a future degree in Healthcare Administration Management.

Skills
  • Clinic operations
  • Insurance billing and coding
  • Pharmacy operations management
  • Staff development
  • Team leadership
  • Project coordination
  • Data management familiarity
  • Effective leader
  • Administration knowledge
  • Insurance Verification
  • Pre-authorizations
  • Medical terminology
  • Pharmaceutical sales and services
  • Medicare and Medicaid process
  • New Hire Onboarding
  • Team collaboration
Education
Expected in 2024
Bachelor of Science: Health Care Administration Management
Southern New Hampshire University - Manchester, NH,
GPA:
Expected in 2016
Associate of Science: Applied Science
College Of Southern Maryland - MD,
GPA:
  • Completed Associates Degree in Arts and General Studies 
  • Graduated with 3.0 GPA 
  • Continuing education in Health information Management 
Expected in 2011
High School Diploma:
American History High School - Newark, NJ
GPA:
  • Graduated with 4.0 GPA
  • Graduated magna cum laude
Additional Information

Fluent in Spanish 

  • Oral 
  • Written 
Work History
08/2022 to Current
Program Coordinator II East Carolina University Greenville, NC,
  • Scheduled and supervised staff meetings to discuss new ideas and update participants on program details and milestones.
  • Motivated and directed staff to align operations with organizational mission using appropriate training initiatives and presentations.
  • Maintained tight production timetables and quality standards to give audiences exceptional offerings.
  • Conducted orientation sessions and organized on-the-job training for new hires.
  • Developed departmental systems and procedures to better align workflow processes.
  • Trained staff during demonstrations, meetings, conferences and workshops.
  • Analyzed effectiveness of training programs at all levels and recommended updates.
  • Led daily, weekly and monthly coaching, counseling and feedback sessions.
  • Managed new employee orientation training process for more than 4 employees.
  • Trained new hires to perform cross-training exercises with experienced workers.
  • Coordinated technical training and personal development classes for staff members.
  • Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
  • Worked different stations to provide optimal coverage and meet production goals.
  • Participated in cross-functional team-building activities.
  • Took on additional job duties during unexpected backlog, resulting in meeting project target date.
  • Established open and professional relationships with team members to achieve quick resolutions for various issues.
01/20 to 08/2022
Program Coordinator I Mercy Healthcare Healdton, OK,
  • Initiate Authorization requests for inpatient emergent input or output services.
  • Research Claims inquiry specific to set department or authorization
  • Assess and monitor inpatient census
  • Process emergent requests related to Skilled nursing facilities, Rehab and URGENT IP admissions.
  • Screen for eligibility and benefits
  • Maintained tight production timetables and quality work
  • Entered data in systems, attached medical records and facesheets to authorizations.
  • Met production and TAT times at company expectancy
  • Motivated and directed staff to align operations with organizational mission using positive feedback and teamwork.
  • Obtained authorizations from multiple insurance carriers for various levels of care.
  • Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
  • Supervised and maintained all utilization review documentation through Truecare.
  • Performed prior authorization review of services requiring notification.
  • Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
  • Devise or identify solutions for irregular requests and issues.
  • Communicated with healthcare team members to plan, implement and enhance treatment strategies.
  • Reported findings to quality departments after conducting routine restraint audits and worked with team to devise corrective actions for deficiencies.
  • Demonstrated ability to advocate for and strive to protect health, safety, and rights of patient.
11/2018 to 07/2020
Ophthalmic Assistant Ipg Photonics Corporation Davenport, IA,
  • Administered eye medications for dilation and treatment.
  • Obtained and recorded patient medical history, including prior surgeries, family medical issues and past ocular history.
  • Reviewed surgical plans and patient charts in order to prepare correct paperwork.
  • Checked patient vision, field, fundus and other aspects for the ophthalmologist.
  • Noted present complaints, medications and vital statistics like blood pressure and pulse rate.
  • Perform and document visual acuities (Distance and Near) using snellen chart, finger count, hand motion and light perception.
  • Perform and document eye pressure using tonometry, slit lamps, Goldmen perkins for patient with glaucoma or suspicion of glaucoma.
  • Perform Optic Nerve scans on patients being treated for macular degeneration, glaucoma and other optic and macula diagnosis.
  • Proficient in OCT, Fundas photography, lensometry, topography, Pacheymetry, keratometry, visual fields.
  • History taking in regards to ocular, family, systemic illness, medications, allergies, and preparation of the EHR.
  • Evaluate pupils for nerve or brain abnormalities
  • Properly sterilize optical equipment
01/2018 to 11/2018
Optical Technician Aerie Pharmaceuticals, Inc. Detroit, MI,
  • Administered optical lens and frame sales, ensured insurance billing, and computed all charges and credits.
  • Inspected eye wear lenses through a manual Lensometer
  • Fitted and adjusted eyeglasses and contact lenses.
  • Educated patients about proper contact lens care, visual hygiene and safety.
  • Trained patients to safely insert and remove contact lenses.
  • Used lensometers to measure and record patients’ lens power.
  • Accurately measured bridge and eye size, vertex distance, temple length, pupillary distance and optical centers of eyes.
  • Helped patients select frames according to desired style and color.
  • Recommended lenses, lens coatings and frames to suit client needs.
  • Managed patients' primary eye care health with professionalism and skill.
  • Adjust glasses and perform minor eyeglass repair
  • Provided complete patient eye care, refraction and eyeglass and contact lens distribution services.
  • Filed exams and materials through insurance 
  • Provided patient education on proper care for eye treatments. 
  • Assisted with Cataract, Yag and other eye surgery scheduling and education to patients.
  • Expert in contact lenses and RGPS 
  • Provided examination, diagnosis, and treatment of visual disorders.
  • Collected insurance information and provided the best sales options for patients
  • Recommend specific lenses, coatings and frames to the our clients based on their needs and preferences.
05/2017 to 01/2018
Clinical Manager Umass Memorial Health Care Clinton, MA,

This company sold to Family Eye Care Center 

  • preliminary case history including current medical conditions. Visual acuities, dial in, phoropter, color vision and drop instillation. • Special testing – visual fields, fundus photography, slit lamp photography, optec vision screener.
  • Delivered effective onboarding and training to new and existing employees and ensured that all staff members were cross-trained in other job roles.
  • Reviewed operational policies and recommended solutions and change to the medical director.
  • Monitored all phone calls and scheduled appointments.
  • Maintained the clinic’s records and files, utilizing proper techniques to keep patient data confidential. 
  • Performed administrative tasks such as processing insurance information, setting appointments and preparing prescriptions and other documents to be signed by the Optometrist.
  • Maintained a sanitary work environment by disinfecting equipment, disposing of used supplies and cleaning exam rooms. 
  • Authorized drug refills and provided detailed prescription information to pharmacies.
08/2015 to 2018
Certified Pharmacy Technician Company Name City, State,
  • Counted, measured and compounded medications following standard procedures.
  • Reviewed and verified customer information and insurance provider information.
  • Maintained proper drug storage procedures, registries, and records for controlled drugs.
  • Communicated with prescribers to verify medication dosages, refill authorizations and patient information.
  • Resolved non-routine issues like third party billing, computer system and customer service issues.
  • Supervised 3 pharmacy technicians and coordinated day-to-day assignments.
  • Worked closely with Pharmacy Care Representatives (PCRs) in providing excellent patient care.
  • Displayed patient-oriented and comprehensive clinical pharmacy services and pharmaceutical care.
  • Implemented standard procedures for mixing, packaging and labeling pharmaceuticals to ensure quality, security and proper disposal.
  • Translated pharmacy communications for spanish speaking customers nationwide.
  • Correctly completed pharmacy paperwork, including daily and weekly reports.
  • Receptively answered customer questions and helped locate desired items in the pharmacy.
  • Assisted the pharmacists with checking in and pricing drug orders, third party transactions and relevant paperwork.
  • Assisted other pharmacy staff with drug inventory, purchasing, and receiving.
  • Collected co-payments or full payments from customers.
  • Restocked automated medication dispensing equipment.

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Resume Overview

School Attended

  • Southern New Hampshire University
  • College Of Southern Maryland
  • American History High School

Job Titles Held:

  • Program Coordinator II
  • Program Coordinator I
  • Ophthalmic Assistant
  • Optical Technician
  • Clinical Manager
  • Certified Pharmacy Technician

Degrees

  • Bachelor of Science
  • Associate of Science
  • High School Diploma

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