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Quality Assurance High School

Location:
La Mesa, CA, 91941
Posted:
August 22, 2011

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Resume:

Peggy D. Price

***** **** *******

La Mesa, Ca **941

619-***-****

abgvtr@r.postjobfree.com

Work History:

United Health Group December 2000-present

**** ****** *** *** *****

San Diego, CA 92108

Senior Clerk/Medical Records Coordinator: This position requires a self

starter who is organized, can multi-task and able to work well with

everyone. I have accountability to all departments including inpatient,

outpatient, intake, claims, quality assurance, discharge specialists,

compliance, appeals and grievance, Healthy Families. I am consistently

indentified as a valuable team member eager to take on new tasks and

responsibilities whenever necessary.

. Management of the medical records department and implementation of

HIPPA regulations, verification of legal documents including

conservatorship, custody papers, and Release of Information documents.

. Effectively implemented new policy and procedures in the Medical

Records department, trouble shooting new scanning procedures and

equipment and effectively moving from manual filing to an electronic

filing system.

. Responsible for scanning, indexing and verifying all treatment plans,

psych testing requests, peer reviews, and other essential

correspondence.

. Open charts, verify benefits, and answer phones as needed. Provide

backup to team assistants and the mail room as necessary. Assist with

training of new hires in this department.

. Assure distribution of faxes and mail, run batch printing, purge files

and prepare for archiving in compliance with standard time frames.

. Assist care advocates with sending provider lists to members, monitor

several incoming email accounts requesting information or resources,

follow up on requests, and escalate issues as needed.

. Proficient with Microsoft Word, Excel, Provider Connections, RTMS in

Blue Shield, IBM FileNet Capture, Document Retrieval

. Served on numerous committees including Nami Walk, Heart Committee,

Entertainment Committee.

Law Offices of Richard Singer December

1996-December 2000

610 Columbia St. San Diego, Ca. 92101

Legal Assistant for a group of attorneys. Consistently managed a high

volume of administrative tasks. Successfully prioritized and organized

multiple assignments from several attorneys. Researched cases.

Casa Drugs

January 1993-December 1996

6225 Campo Rd. Spring Valley, Ca 92077

Pharmacy Technician coordinated refill requests with physicians, clarified

prescriptions or changed to an optional medication, filled prescriptions,

ordered supplies, verified insurance benefits and copay.

Education:

High school: Graduated from Grossmont High School

College: Grossmont College, San Diego, CA



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