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Customer Service Administrative Assistant

Location:
Suitland, MD
Posted:
November 26, 2013

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Resume:

Wanda Culley

***** ********** ** ***** ******** MD

aca9bn@r.postjobfree.com

HEALTHCARE /FACILITY ADMINISTRATOR

PROFESSIONAL SUMMARY

10+ years of experience within the Healthcare Industry working both in patient service

and healthcare administration. Professional team player who enjoys working in a team

environment but also feels comfortable working alone. Maintains excellent leadership

skills and is capable of communicating effectively with all levels of management, which

has led to several promotions. I have extensive experience in working with medical

records and healthcare data. I am Self-motivator and hard worker, willing to learn new

skills, and be mindful of detail, who is looking to combine my work experience and my

education in order to be a great asset to your organization.

TECHNICAL SKILLS

ADP’s PC Payroll & E-Z Labor software

Proficient in Microsoft Office 2012

PeopleSoft software

SharePoint

Experienced in Internet Usage & Searches

Knowledgeable of Group Wise Email

Medical Terminology

Dateline software

SMS

EDUCATION

Currently enrolled in Master’s program - Health Informatics 2013

Walden University

MN Minneapolis

Bachelor of Business Administration – Healthcare Management 2012

American InterContinental University Schaumburg, IL

Associate of Arts in Business Administration 2011

American InterContinental University Schaumburg, IL

Concentration: Human Resources Administration

Undecided 35 college credits

Prince Georges Community College 2007-2009

PROFESSIONAL EXPERIENCE

Implementation Specialist/Product Support 2012 – Present

Inovalon Bowie, Md

Performs defined quality checks for implementation activities, and extracts data prior to

client delivery along with performing other internal controls

Monitors and communicates status towards the defined reporting and processing

schedules

Manages discrepancies that affect the production environment

Interface with technical development teams, Client Service Managers and other

operations staff for both performance and continuous improved quality measures

Provides support for client implementation and communication activities, QA, letter

generation, and documentation preparation

Clinical Coordinator 2011 – 2012

Mid Atlantic Healthcare (Home Healthcare

Beltsville, Md

Schedule and assigned clinician's to see patients internally and externally

Collected impertinent data from physician’s and health care professionals to qualify

patients for sleep medicine services and oxygen equipment

Reviewed medical documentation and test results to qualify patients for services,

equipment and treatment.

Answered all incoming calls and inquiries from patients and family members

Communicate daily activities with Account Executives and all levels of management

Assist and train new employees download medical test results, and operate various

software

Audited all incomplete data and entered correct information within a timely manner

Customer Service Supervisor Call Center 2010 –

2011

Mid Atlantic Healthcare

Managed the front-line of customer service representatives for healthcare services

Worked with the representatives, customers and upper management to assist the

organization in obtaining its goals for frontline operations

Provided feedback to employees regarding job performance through evaluations

Monitor call center representatives

Assisted when customers are not pleased with the resolutions offered by the

representatives, to try to reach a more equitable resolution.

Collaborated with Account Executives, information technology and other departments to

implement more efficient ways of getting the work done

Assisted employees with opportunities to improve overall performance through training

and software operations

Responsible for payroll using the ADP’s PC Payroll and E-Z Labor software.

Processing all unresolved issues for month closing as it pertain to the total dollar amount

gained for each month.

Mid Atlantic Healthcare

Lead Customer Service Representative Call Center- 2008-2010

Verify clients insurance

Request authorizations

Communicated with medical professional staff to complete assignments

Review all obtained information, certified medical necessities

Explain and review benefits to Medicare clients

Responsible for all inbound and outbound calls

Address client inquiries

Provide proactive feedback to customer issues and delays

Communicate with vendors on progress of open orders

Update system notes and document pertinent information concerning HIPPA Regulations

Provide general administrative support to the team as needed

Provide excellent customer service in a fast pace team environment

Counsel Vendors to improve their performance and quality of work

Train an assist new employees

Administrative Assistant/Maternal Child Health 2001 –

2003

Prince Georges Hospital Center Cheverly, MD

Handled all new employee instatements providing training and sign on, including ID and

computer sign on

Assisted with yearly evaluations and update of license and physicals skills

Coordinated child birthing classes given to community by my department, including

scheduling instructors and external clients, prepare designated space and refreshments,

provide training materials, collect fees

Ordered and organized all supplies and educational equipment needed for the operation of

various programs and units

Developed and informed administration on changes for unit’s policies and procedures

Sorted, distributed, and processed all incoming and outgoing mail. Answer all calls and

directed to managers or staff

Prepared and filed employee records and confidential information accordingly

Created and maintained a database in which managers could retrieve employee

information and certifications

Assisted Marketing Department with yearly forum and activities, including premature

infant yearly reunion, mother baby classes



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