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Quality Assurance Medical

Location:
Accokeek, MD
Posted:
January 27, 2014

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Resume:

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

CLINTON, MD *****

J anette Williams 202-***-****

acccts@r.postjobfree.com

OBJECT I VE Excellent

Dedicated service focused professional seeking to secure a position w ri t ten and

p roviding customer relations, with an opportunity for personal verbal

g rowth and career advancement. communicatio

n skills.

P roficient in

ED UCAT ION database

University of Ma ryland University College M ay management

2013 - Present and software

Medical Billing and Coding applications

( M S Word,

California State University-Dominguez H ills A ugust Access,

1983 – May 1988 PowerPoint

BBA, Bachelor Business Administration E xcel.

Studies focused on business accounting principles, business W INASAP,

s trategy, statistics and communication. d BASE,

Meditech,

N doc and

E XPER I ENCE USSI), etc.

P rovider Services Supervisor M ay Proficient in

2010 – September 2013 medical

LA Met ropolitan Medical Center- H awthorne, CA terminology,

Managed priorities, allocating staffing and other resources as b illing and

appropriate. coding.

Managed, planned and coordinated activities of Provider

Services Unit. Met regularly with staff to direct, gather Thorough

i nformation and monitor progress. u nderstandin

Maintained department quality assurance, statistical reports g of laws

and conducted employee t raining and evaluations. governing

H IPAA and

Health Benefits Office M ay 2006 – C MS.

December 2009 A FSPA, Washington, DC

Via call center, educated members on benefits, procedures of Experienced

worldwide health benefits plan. i n working

Improved service standards and statistical operations records w ith diverse

by leveraging strengths in premium service delivery and communities.

ability to create satisfactory resolution.

Researched and resolved claims, billing and collection issues. Fifteen years’

Consistently achieved record high rankings for service experience in

satisfaction. administrativ

e healthcare,

Office Manager October 2001 – medical case

M arch 2006 management

House of Wines, Washington, DC and member

Responsible for all aspects of clerical office and administrative and provider

d uties, including client records management and billing. services.

Arranged monthly staff meeting for multiple departments,

evaluated reports to insure quality of service was met. CPR certified.

P rovided database management including accounts receivable

and product inventory control.

D isaster Relief Specialist (part-time, temp.) October 2004 –

February 2005

US Depa rtment of Homeland Security (FE MA), Hyattsville,

MD

Assembled data from citizens affected by hur ricanes and other

federally declared natural disasters.

Advised program applicants of regulations governing program.

Provided application status and appeals

M ember Services Lead November 1997 –

September 2001

GW University Health Plan, Bethesda, MD

Presided over 9-15 member service representatives, instructing

i n daily business practice.

Monitored, maintained and prepared

weekly/monthly/quarterly/annual statistical reports.

Developed and implemented departmental standards, which

s treamlined business, increased productivity and improved

customer satisfaction.

Member/Provider Services Representative J uly 1994 –

September 1997

M id Atlantic Medical Services I nc., Rockville, MD

Communicated effectively with both members and medical

p roviders to facilitate healthcare services.

Resolved enrollment, eligibility, coordination of benefits and

claims issues.

ACT I V I T I ES & AWARDS

Volunteer, National Autism Society (DC Chapter) 2003-Present

Member, Small Business Association

Mentor, A Woman’s Work, Los Angeles

Most Valuable Employee Award 2006

Thanks Awards 2004 – 2006

`

References available upon request



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