Post Job Free

Resume

Sign in

Manager Management

Location:
Fort Lauderdale, FL
Posted:
July 04, 2015

Contact this candidate

Resume:

Valetta Brown-Shaw

**** **** *****,

Margate, FL

954-***-****

acqktm@r.postjobfree.com

Summary:

A highly experienced Data Analyst with proficiency in MS Excel functions like vlookup, pivot tables etc to transfer/export the data for reporting/decision making purposes in healthcare companies.

Designed reports and presentations for providers, management, and utilization management.

Ensured the integrity of data collection, analyses, and reports. Able to handle multiple projects.

Assisted Case Management and Documentation Specialist in getting admit diagnosis corrected by physicians.

Responsible for completing the ACHA Error Report by sorting and investigating incorrect or incomplete data.

Entered daily admissions and verify all medical insurance.

Secured accurate inpatient hospital and Skilled Nursing facilities statistics from various sources.

Verified correct diagnosis codes and format report in Excel for distribution to major insurance carriers and verification of diagnosis codes for patient upon admission.

Education:

DeVry University

Associate degree in Health information Management Apr 2012 Oct 2013

Bachelor’s degree in Management – Currently enrolled March 2015 – Present

Department of Education, Tallahassee 2012

High School Diploma

Skills:

Very Proficient in Microsoft Office Works and have the knowledge of other software and programs such as 1500, CPT and ICD-9.

Experienced in MS Excel (vlookup, pivot tables) etc to transfer/export the data for reporting purposes.

Detailed oriented, self-starter, with ability to work independently as well as collaboratively.

Strong interpersonal and communication skills; experience in effectively communicating key data to management

Professional Employment:

Team Health of FLACS May 2012 – April 2014

Data Analysis

Verified correct diagnosis codes and format report in Excel for distribution to major insurance carriers and verification of diagnosis codes for patient upon admission.

Faxed Census to PCP’s for patients admitted under FLACS doctors daily.

Entered daily admissions and verify all medical insurance.

Secured accurate inpatient hospital and Skilled Nursing facilities statistics from various sources.

Created, maintained and communicated administrative reports for internal staff, physicians, providers and health plans such as Humana, BlueCross Blue Shields, AvMed, Coventry and Cigna. Also, verified insurance through these access sites.

Designed reports and presentations for providers, management, and utilization management.

Developed and implemented initiatives to assure operational effectiveness and appropriate utilization.

Promoted, established, and maintained superior relationships with the provider community as assigned by the Administrator for particular medical panels.

Ensured the integrity of data collection, analyses, and reports. Able to handle multiple projects.

John Knox Village Rehab Aug 2013 – Oct 2013

Internship in a long term care facility for 80 hours and was trained on MDS system, file, analyze and do conduct on the floor check in patients charts for particular document.

Northwest Medical Center Apr 2008 – Apr 2012

Health Information Technician (HIT)

Dedicated health information technician (HIT) with four years of acute-care hospital medical records experience and medical registration experience.

Responsible for completing the ACHA Error Report by sorting and investigating incorrect or incomplete data. Reporting finding to the CEO, CFO and HIMD for signature and sent correct report to the agency to ensure hospital reimbursement.

Assist the hospital representative on the 1500 Form completion in her absence.

Work all the trigger queues in the electronic health records (EHR) system.

Responsible for training new employees with various job functions in HIM and training doctors to sign charts in the EHR system.

Working closely with the HIMD and Coding Manager to ensure that all queries that is outstanding is completed by the doctors.

Work closely with the Risk and Quality Manager to secure legal records and verify signature for the doctors responsible for treatment to patients.

Assisting Case Management and Documentation Specialist in getting admit diagnosis corrected by physicians.

Internal Medicine – Dr. Ross Nochimson MD Dec 2006 – Apr 2008

Receptionist/Billing

Responsible for scheduling and confirming appointments for patients.

Training new hire.

Sending claim to Medicare for patients to be reimbursed.

Setting appointments with doctor to doctor and pharmaceutical representatives to doctor.

Assisting office manager with payroll auditing and scheduling staff vacation time.

Ministry of Education, Youth and Culture, Jamaica Aug 1999 – Aug 2006.

Administrative duties for seven years including typing, filing, bank reconciliation and academic and ancillary staff selection.

Teaching Computer Technology to ages 8 – 12 years for 5 years at the same institution.

Conducting fund raising projects with assistant of the Principal and Vice Principal.

Taking Board meeting minutes on a bi-monthly basis and circulating them to all nine board representatives.



Contact this candidate