Livecareer-Resume
Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Professional Summary

Dedicated professional healthcare worker with excellent skills, enthusiastic, highly organized and a team player.

Flexible to change, always willing to help accomplish a project or task. Diverse experience and skills ranging from a Medical clinic to the Surgery Department. My outgoing friendly personality allows me to communicate at any level. Experience in the Financial District has provided me unlimited skills supporting success throughout my career. Some of those skills consist of Contract Sales, Operations, Management team participation with American Express, coaching sales staff, and HR duties. Have also worked many Non-Profit Organizations.

Accomplishments

Deans List - Everest College - GPA 4.0



Skills
  • Self Management
  • Possess strong verbal and written communication skills
  • Knowledge of computers/applications/systems
  • Ability to communicate and present information effectively within team environment
  • Strong interpersonal skills
  • Patient Advocacy
  • Considerable attention to detail and organizational skills
  • Knowledge of accounting and computer inventory systems
  • Knowledge of billing, collection and general coding requirements
  • Claim Reconciliation
  • HIPPA Guidelines
  • EPIC
  • Excel
  • Word
  • Publisher
  • Lawson
  • TrackCore
  • Health Nautica
  • Employee Training Program
Work History
Surgery Charge Capture/Tissue Coordinator, 03/2019 - Current
Methodist Hospital Of Indiana City, STATE,
  • Monitors, tracks and performs daily charges for surgical procedures for three locations.
  • Checks accuracy and completes Blue Requisitions against vendor invoices and Contract pricing for hospital.
  • Works with Vendors on pricing of implants and other items used for procedures.
  • Orders replacement of Tissue to keep PAR Level as requested by Hospital Policy for both Ambient/Frozen
  • Completes and submits required documentation for all clinical activity and follow-up including but not limited to the collection of accurate and pertinent donor information.
  • Completion of all appropriate donor documentation forms and corrections needed within the required timeframes
  • Maintains business records, including donor charts.
  • Ensures security, confidentiality and availability of records in compliance with outside regulatory policies and procedures
  • Coordinates and facilitates timely shipping of all tissue, and medical records to appropriate laboratories or processors within the required time frames
  • Maintains the TrackCore Application for tissue ensuring policies and guidelines are followed according to The Joint Commission.
  • Reviews the surgery schedule on Health Nautica several times a day ensuring special needs requested by Surgeons are met.
  • Works closely with the Surgeon's and their office staff
  • Ensures Vendors follow Hospital Policy while on premises
  • Creates the weekly Peri Operative Report
  • Provides training support to new RN's for charting during a procedure.





Insurance Review Specialist, 12/2015 - 03/2018
Community Care Network, Inc. City, STATE,


  • Claim Reconciliation
  • Edit & Correction of ICD-10 Procedural Codes
  • Verification of Health Insurance
  • Utilizing Medical Records and Op Reports
  • Reconciling charges/disputes with patient accounts
  • Proficient in many Health Exchange Websites
  • Secondary Assist on phones with Patient calls
  • Registration of Insurance, complaints, payments, statements and more
  • WQ's assigned for claim denials to be corrected
  • Special projects when given from supervisor


Insurance Review Specialist, 01/2013 - 06/2015
Dalal Medical City, STATE,
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Billed out patient office visits/Hospital Surgeries
  • Utilized Op Reports and Pathology as support for billing
  • Verification of health Insurance through many websites
  • Posting of insurance/Patient payments
  • Claim Investigation/Corrections and more
  • Authorization support and phone support to clinic
  • Registering patients into EPIC
  • Resourcefully used various coding books, procedure manuals and on-line encoders.
Education
ICD 9/Medical Administrative Assistant: Billing & Coding ICD-9/MAA, Expected in 11/2012
-
Everest College - Merrillville, IN,
GPA:
Certification: CompTia Networking/A+ Certifications, Expected in 01/2003
-
Sawyer College - Merrillville, IN,
GPA:
Certifications

CompTia A+

CompTia Netwoking Plus


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Resume Overview

School Attended

  • Everest College
  • Sawyer College

Job Titles Held:

  • Surgery Charge Capture/Tissue Coordinator
  • Insurance Review Specialist
  • Insurance Review Specialist

Degrees

  • ICD 9/Medical Administrative Assistant
  • Certification

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