POLANCO, JOHANNA

***S. PARK RD # *** HOLLYWOOD, FL 33021 786-***-**** acq0y8@r.postjobfree.com

OBJECTIVE

Detailed oriented and quality focus professional trained in the in the Healthcare industry. Highly experience in performing a variety of duties requiring a range of skills and knowledge of policies and procedures. Responsible for assisting and directing customers, resolving problems and inquiries, preparing administrative documents, while working in fast paced and dynamic organization.

SKILLS PROFILE

-Experience working in customer service environments, maintaining excellent customer service skills.

-Exceptional ability to effectively multi-task several complex assignments with tight deadlines.

- Strong ability to establish successful working relationship internally as well as externally

-In-depth medical administrative skills, to maintained high quality with patients and providers.

-Strong ability to preserve high level of confidentiality and security of information

-Profound ability to make administrative procedural decisions and judgments .-Knowledge of ICD9 and CPT coding

-MS Office (Word, Excel, Outlook) MedTrac, Patient Management, CPR+. Computer and Internet savvy

LANGUAGES

Fluent in English and Spanish

EMPLOYMENT HISTORY

World First Class Home Health

Hollywood, FL Jan-15 – Jul-15

Duties: Responsible for all areas of Operations; human resources, intakes, clients, caregivers and scheduling.

Hire and train administrative staff and monitor and evaluate staff performance, schedule staff to meet operational requirements. Oversee payroll, establish, monitor and implement office policies and procedures. Ensure patient records are current and accurate. Oversee registration of patients and supervise patient scheduling.

Manage insurance contracts and ensure compliance with contracts. Responsible for facility cleaning, hygiene, safety and maintenance. Control removal of medical waste in compliance with regulatory requirements to ensure current healthcare regulations, medical laws and ethics. Keeping track of equipment and devices and manage inventory

Liaise with vendors regarding equipment and supplies.

Univita Health Inc

Feb-2013 – Jan-2015

Miramar, FL

-Accepts all Call Center/Referrals expressing member dissatisfaction via phone, e-mail, mail or fax. Prepares timelines and investigates all components of the complaint. Formulates a recommended course of action to take. Prepares a response and sends to Account Managers for proper distribution to consumer/health plan partner. Enters all data on Consumer Services Log using the appropriate key definitions. As custodian of the log, verifies Log remains neat and all data boxes are completed, dated and authored. Identifies customer concerns regarding Utilization Management issues and refers them to the Medical Director for review. Knowledge of medical terminology.-Knowledge of ICD9 and CPT coding. Participates with Corporate Services Director in monthly data aggregation reports and analysis. Enter any /all pertinent data into Patient Manager/ Medtrac in Permanent Patient Notes. Maintains full compliance with HIPPA standards of patient and document confidentiality. Implements the Company Mission Statement.

South Florida Group Gastroenterologist

North Miami Beach, FL April-10 – Nov 12

- Admitted all new patients, checked in and out patients for four specialists. Enter demographics on EMR. Process all payments. Scanned patient medical records. Assisted with incoming calls, call patient for reminders of their upcoming appointments. Responded to all medical records request. Maintaining full compliance with HIPPA standards of patient and document confidentiality

EDUCATION

-Devry University [ Alphartta, GA ]. (RHIT) Register Health Information Technician

References Upon Request

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