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User Support Analyst II Resume Example

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USER SUPPORT ANALYST II
Summary

Goal-oriented Clinical Support Manager Candidate adept in identification and implementation of process improvements, including administrative workflow coordination and procedure documentation. Offering key strengths in time management and communications across all level of personnel, management and clientele.

Skills
  • Data entry documentation
  • Managing office supplies
  • Back office operations
  • Technologically savvy
  • Medical billing
  • Phone call answering
  • Multi-line phone systems
  • Results-oriented
  • Professional and mature
  • Information compiling
  • Detail-oriented
  • Administrative operations
  • Resourceful
  • Claims appeal procedures
Experience
Company Name | City, StateUser Support Analyst II08/2019 - Current
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Maintained updated knowledge of coding requirements, which included attending AMAC conference in New York
  • Consistently ensured proper coding, sequencing of diagnoses and procedures.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Assigned procedure and diagnosis codes for insurance billing using Mosaiq
  • Acted as liaison between auditing department, billers and third party payers in resolving billing and reimbursement accuracy.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Pulled patient charts for upcoming appointments.
  • Kept department clean, organized and professional.
  • Purged outdated files.
  • Maintained 100% compliance with all hospital and government regulations.
  • Scanned incoming documentation.
  • Maintained complete confidentiality in accordance with organization and legal requirements.
  • Observed confidentiality and safeguarded all patient-related information.
  • Obtained information by contacting appropriate personnel or patients.
  • Entered patient insurance, demographic and health information into software and confirmed records.
  • Logged all requests for medical records into spreadsheets.
  • Pulled patient records and transferred information to appropriate parties.
  • Provided respectful assistance to all parties, including patients, staff members and insurance company representatives.
Company Name | City, StateClinical Services Technician04/2019 - 08/2019
  • Collected specimens, monitored vitals and maximized patient comfort.
  • Cleaned and sanitized rooms and equipment using aseptic technique to prevent infection and cross-contamination.
  • Documented information in patient charts and communicated status updates to interdisciplinary care team.
  • Conducted routine checks on standard patient vitals, including blood pressure, blood O2 levels and heart rate.
  • Managed supplies and restocked inventory to ensure optimal availability for patient care.
  • Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
  • Provided wound care and dressing changes.
Company Name | City, StateSRNA/PRECERTIFICATION SPECIALTIST10/2018 - 04/2019
  • Conversed with people from different cultures daily, providing high level of respect and patience with each interaction.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminolog.
  • Examined claims, records and procedures to grant approval of coverage.
  • Handled billing related activities focused on medical specialties.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
  • Signed payment approvals accepted claims.
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Documented information in patient charts and communicated status updates to interdisciplinary care team.
  • Cleaned and sanitized rooms and equipment using aseptic technique to prevent infection and cross-contamination.
  • Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
  • Provided personal nursing assistance in pre- and post-operative situations.
  • Recognized and reported abnormalities or changes in patients' health status to nursing staff for immediate assessment.
  • Supported diagnostic and treatment procedures, including setting up and operating specialized medical equipment.
  • Volunteered to work additional shifts and overtime during busy periods to maintain proper staffing and floor coverage.
Company Name | City, StateAdministrative Assistant/Scheduler Coordinator05/2012 - 10/2018
  • Contacted customers via phone and email to confirm appointment time and follow up with inquiries.
  • Performed complex administrative management of sensitive and confidential issues.
  • Entered invoice data into company database and updated details, including customer contacts and installation dates to keep information current.
  • Managed phone calls from clients when installation technician was unavailable and provided informative answers to questions.
  • Assessed current inventories and brought in supplies to keep stock within optimal levels for expected demands.
  • Provided delay updates and information regarding special circumstances.
  • Optimized inventory by placing timely orders and improving organization of supplies.
  • Analyzed demand and recommended updates to calendar schedule.
  • Directed customer communication to appropriate department personnel, in addition to providing information to resolve inquiries and bolster customer satisfaction.
  • Assisted with administrative tasks, including filing, answering phones and returning voicemails.
  • Wrote email messages, memos and business letters for management and proofread all documentation to provide error-free correspondence.
Education and Training
Spencerian College - Louisville | City, StateAssociate of Applied Science in Computer Science09/2006
Certifications
  • Certified Nursing Assistant
  • CPR certification
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Resume Overview

School Attended

  • Spencerian College - Louisville

Job Titles Held:

  • User Support Analyst II
  • Clinical Services Technician
  • SRNA/PRECERTIFICATION SPECIALTIST
  • Administrative Assistant/Scheduler Coordinator

Degrees

  • Associate of Applied Science in Computer Science

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