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

I have 12 Years of experience in the HealthCare, with a recent opportunity in Clinical Management. I look to achieve quality medical care, with quality service and teamwork.

Skill Highlights

  • Knowledgeable in medical terminology, anatomy, and pharmacology

  • Proficient in Microsoft Word, Microsoft Excel, and Microsoft PowerPoint

  • Proficient in E-clinical Works, EPRG, Smart Clinic, Practice Partner, Report Manager, and Right Fax.

  • 5+ years of experience in Medicare/Medicaid regulations and all commercial insurance plans

  • Ability to work independently and work well with others while remaining on task. Meeting all deadlines given

  • Able to communicate well with others, independently identify problems and resolve them by using good judgment

  • Communicate Profit and Loss statements

  • Communicate well with healthcare professionals

  • Able to coordinate with providers and address any issues that occur

  • Schedule new members for their first touch appointments. Interview patient to complete necessary paperwork

  • Knowledgeable in referrals, medication and diagnostic prior authorization, patient scheduling, and collecting payments.

  • Responsible for weekly deposit and daily collection of encounters and closing.

Professional Experience
06/2014 to Current
Provider Relations Advocate Amplifon Usa Kansas City, KS,
Educate contracted providers and staff on using the portal and health plan partners.  Help Design and implement programs to help build and nurture positive relationships between the health plans and providers.  Directing and implementing strategies relating to the development and management of a provider network, identifying gaps in the network. Assist the network contracting and development staff in prioritizing contracting needs.  
2012 to 05/2014
Associate Clinical Administrative Coordinator Mount Sinai Medical Center Huntington, NY,

Patient intake, answer phones and direct the calls appropriately, weekly deposit, daily encounter collection, new patient interviews, preparing new patient charts, filing, scheduling, scheduling patient transportation with comfort care, download monthly PML and schedule first touch visits.


09/12-11/2012

Interm Clinic Administrator

Assumed the role of clinical administrator while the administrator was out on maternity leave.

  • Daily review and faxing of dataraps, focus on four, and supplement data sheets
  • Daily huddles for problem solving and discussion of PDSA's
  • Attended weekly PCC meetings
  • Supply inventory and ordering
  • Assist physicians with problem solving
  • Oversee staff and clinic flow
  • AEP
  • Resolve patient concerns
05/2010 to 2012
Patient Service Representative Rehmann Ann Arbor, MI,

Patient intake, answer phones and direct the calls appropriately, weekly deposit, daily encounter collection, new patient interviews, preparing new patient charts, filing, scheduling, scheduling patient transportation with comfort care.

09/2008 to 05/2010
Receptionist Rehmann Grand Rapids, MI,

Patient intake, answer phones and direct the calls appropriately, daily deposits,filing, scheduling, collected co-pays, verified insurances deductibles and eligibility, assist MD in nursing home rounds, payroll, and bookkeeping.

11/2007 to 09/2008
Switch Board Operator Rehmann Farmington Hills, MI,

Managed phone lines, directed call appropriately, message taking and distribution, filing.

05/2004 to 09/2007
Receptionist Christine K. Hernandez City, STATE,

Patient intake, answer phones and direct the calls appropriately, daily deposits,filing, scheduling, collected co-pays, verified insurances deductibles and eligibility.

07/2002 to 02/2003
Receptionist Regent Care Center Of El Paso City, STATE,

Answer telephones, page nurses when needed, redirected Alzheimer's patients from leaving facility, greeted visitors.

Education and Training
Expected in 2004
Associate of Science: Surgical Technology
Bryman School of Arizona - Phoenix, AZ
GPA:

Assisting surgeons in surgery, passed instruments and sponges during surgery, kept count of instruments and sponges during surgery. Held laproscopic camera during procedures. Prepared supplies and instruments for pending surgical appointments.

Expected in 2003
High School Diploma: General Education
Montwood High School - El Paso, TX
GPA:

Basic Education

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resume Strength

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Resume Overview

School Attended

  • Bryman School of Arizona
  • Montwood High School

Job Titles Held:

  • Provider Relations Advocate
  • Associate Clinical Administrative Coordinator
  • Patient Service Representative
  • Receptionist
  • Switch Board Operator
  • Receptionist
  • Receptionist

Degrees

  • Associate of Science
  • High School Diploma

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