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

Seeking a position as Healthcare Administration Manager, Operation Manager. Dedicated, customer-focused administrative professional offering significant experience in self-directed positions requiring effective support, secretarial, and administrative abilities. Proven interpersonal, communications and multi-tasking skills. Adaptable team player recognized for willingness to learn and teach newly acquired skills.

Education and Training
Master of Science: Healthcare Services Administration, Expected in Present
Florida National University - Miramar, FL
GPA:

Healthcare Services Administration

Bachelor of Arts: Healthcare Services Administration, Expected in 2015
Florida National University - Miramar, FL
GPA:

Healthcare Services Administration

Associates of Arts: Healthcare Services Administration, Expected in 2013
Florida National University - Miramar, FL
GPA:

Healthcare Services Administration

High School Diploma: High School, Expected in 01/2008
Continental Academy - Miramar, FL
GPA:
Skill Highlights
  • Guest services
  • Inventory control procedures
  • Merchandising expertise
  • Loss prevention
  • Cash register operations
  • Product promotions
Professional Experience
Patient Financial Service, 01/2015 to Current
Healthcare Resolution Services, Inc. (Hcrs)Unm, NM,

• Handling daily calls from physicians and nurses staff regarding status reports.

• Duties including updating the inmates database with correct demographic information.

• Balancing and reconcile the census report.

•Assist patients, physician and nurses as needed.

•Scheduling appointment for inmates consultation and follow up for testing and then get results of the testing before the inmates appointment.

Outpatient Medical Coder, 02/2010 to Current
University Of Miami Hospital HIMCity, STATE,
  • Process a minimum of 100 claims a day conforming to ICD-9 and CPT-4, HCPCS standards Look up patient and clinical information on Epic & Meditech Using application to code on 3M Handle claims relevant to cardiovascular, cardio rehabilitation, spine & neurology visits, physical & occupational therapy and diagnostic testing.
  • Ensure charts are completed and accurate Process patient charts according to paperwork flow needs and established productivity standards.
  • Patient Registrar at Physical Therapy Handling daily calls from physicians and hospital staff regarding status reports.
  • Duties including updating the physician database with correct demographic information, sorting the physician database with correct demographic information.
  • Verifying Insurance for which laboratory and Imaging which the patient could go.
  • Preparing prior to clinic, patient charts to including; obtaining documentation such as Labs, EKG, Mammogram, X-Ray results, etc.
  • and questionnaire and consent forms.
  • Assist patients, physician and nurses as needed.
  • Scheduling appointment for surgeries, consultation and for testing and then get results of the testing before the patient's appointment.
  • Answering the phones, take messages and solving issues with patient and physician.
  • Verifying Insurance and preparing vouchers for Physical Therapy.
  • Registering patients for Physical Therapy ensuring authorization is in the system.
  • Following the HIPPA regulations.
Sr Patient Access Rep., 06/2008 to 02/2010
University Of MiamiCity, STATE,
  • Handling daily calls including patients, insurance companies and attorneys.
  • Pulling appropriate records for physician review on the telephone.
  • In charge of Scheduling minor surgical procedures into the IDX scheduling system.
  • Scheduling the appointment, submitting the order forms to the insurance companies and primary care physicians in order to obtain authorization for these procedures.
  • Follow up with physicians when essential information if is incomplete.
  • Prints daily clinic schedules in order to pull and prepare patient charts for daily clinics and obtaining documentation such as Labs, EKG, X-Ray results, etc.
  • and questionnaire and consent forms.
  • Following a review of the chart and previous office notes, completing appropriate forms and requisitions for same.
  • Using the online Billing system (MCSL) with patients scheduled for physician use, or printing EFG forms as needed.
  • Duties including updating the physician database with correct demographic information, sorting the physician database with correct demographic information.
  • Assist patients, physician and nurses as needed.
  • Faxing injections orders too operating room and giving the doctors a copy of the injection orders.
  • Getting authorization and making sure the authorization is in the system and linked to the appointment that correspond the authorization.
  • Registering patients as a new patient ensuring authorization is in the system.
  • Following the HIPPA regulations Calling prescription to pharmacy and informing the patient & physician the medication was already called.
  • Requesting authorizations in advanced for injections and physical therapy and consultation and follow ups before the appointment.
QC Stability Coordinator Supervisor, 06/2007 to 06/2008
Azopharma Pharmaceutical ServicesCity, STATE,
  • Ensure the laboratory operates in compliance with cGMPs, EHS and applicable industry standards.
  • Train and develop associates working in the chemistry group.
  • Provide technical problem solving and guidance for OOS/OOT investigations.
  • Provide daily analytical support for internal and external customers.
  • Coordinate maintenance, calibration and replacement of analytical equipment.
  • Participate in audits, internal and external; including interfacing with auditors (GQA, FDA, MHRA, etc), providing documentation, and following up on audit action items.
  • Oversee method transfer and validation activities in conjunction with R&D and other GSK sites.
  • Coordinate consumable inventory and ordering of supplies to meet changing needs.
  • Liaison for contract laboratories and service providers for the chemistry laboratories.
  • Monitor and trend the chemistry laboratory processes for continuous improvement.
Sr Patient Staff Assistant, 2000 to 06/2007
UM Sylvester Cancer Center/Bascom PalmerCity, STATE,
  • Radiation Oncology & Orthopedic) Handling daily calls from physicians and hospital staff regarding status reports.
  • Duties including updating the physician database with correct demographic information, sorting the physician database with correct demographic information.
  • Verifying Insurance for which laboratory and Imaging which the patient could go.
  • Preparing prior to clinic, patient charts to including; obtaining documentation such as Labs, EKG, Mammogram, X-Ray results, etc.
  • and questionnaire and consent forms.
  • Assist patients, physician and nurses as needed.
  • Scheduling appointment for consultation and for testing and then get results of the testing before the patient's appointment.
  • Answering the phones, take messages, ordering supplies, and solving issues with patient and physician.
  • Verifying Insurance and preparing vouchers for Hand Therapy.
  • Scheduling appointments for Hand Therapy and Doctor's appointments.
  • Registering patients (Check In and Check Out) ensuring authorization is in the system.
  • Following the HIPPA regulations.
Languages
English and Spanish - Read and Write fluently.
Skills

Superior telephone, customer service, and computer skills with proficiency in MS Word, Excel, Outlook, and PowerPoint. Strong proficiency of physician coding, outpatient coding as well as facility coding ICD-9 &

ICD-10. Good knowledge of anatomy, physiology and pharmacology. Excellent understanding of medical terminology.

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Resume Overview

School Attended

  • Florida National University
  • Florida National University
  • Florida National University
  • Continental Academy

Job Titles Held:

  • Patient Financial Service
  • Outpatient Medical Coder
  • Sr Patient Access Rep.
  • QC Stability Coordinator Supervisor
  • Sr Patient Staff Assistant

Degrees

  • Master of Science
  • Bachelor of Arts
  • Associates of Arts
  • High School Diploma

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