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Medical Insurance

Location:
New York, NY
Posted:
July 28, 2016

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Resume:

Marina Misiozhnik

E-mail: acvw5c@r.postjobfree.com

347-***-****

Objective

To obtain a position where my knowledge, education, and skills will benefit the needs of the Organization and allow room for advancement.

Work Experience

Veterans Affairs Medical Center, Brooklyn, NY GS-6 07/14 - Present

Logistics Department/Purchasing

Examine, analyze, and interpreted accounting data, records, and reports; advise and/or assist accountants, supervisors and management on accounting and financial matters; recognize and measure revenues; match revenues and expenses by applying methodologies of accounting such as accrual accounting and end of month reconciliations.

Procure specialized technical supplies and services for the various using services of the Medical Center.

Review technical purchase description and/or specification, quantity, delivery time, and cost. Determine if procurement data received is sufficient / deficient and what further information may be required.

Screen procurement requests against mandatory sources of supply, prior to obtaining open market costs.

Negotiate price, terms and conditions, and delivery of orders.

Obtain competition in accordance with FAR/VAAR regulations.

Evaluate abstracts for quotations and make award.

Resolve problems connected with deliveries or invoices. Prepare and process award and/or modifications to orders.

Answer the telephone, receive visitors, answer inquiries, and take messages for supervisor and other staff members.

Cross training with staff accountants to learn the various end of month reconciliations.

Performs other related duties/ Timekeeping.

Veterans Affairs Medical Center, Brooklyn, NY 09/12 – 07/14

Program Support/ Timekeeping

Served as Liaison between Nursing and Fiscal Services

Codes time and attendance report for Chief, Nursing Services

Provides technical advice on leave and pay matters

Participating in screening and treatment teams

Responsible for daily posting and maintaining of all time cards

Perform data entry in support of total ADP Program, including DHCP/IHC

Analyzes time and leave coding errors, processes correction in a timely manner

Advice Nursing Managers on agency regulations relating to time and leave

Plan methods and establishes priorities for accomplishing all work

Providing reassurance and encouragement based on the Hospital Policy

Providing Residential orientation including bed assignments and completing initial patient contract

Referring medically ill patients to appropriate Physician

Maintaining event logbooks

Following up with patients

Documenting vital record in CPRS

Perform diagnostic services (ECG, VS)

Deliver safe and individualized services to patients with multiple and complex needs

Veterans Affairs Medical Center, East Orange, NJ 07/12- 9/12

Program Support Assistant- MCCR Department

Perform work on receiving, developing and adjudicating basic workers compensation claims

Applied knowledge of Federal Employee’s compensations statutes, regulations, manuals

Collecting, compiling, tracking of data and program information

Organizing and retrieving computerized data, generating reports of data

Ran Diagnostic Measures report for all AR Receivables for different category and total of outstanding balances

Provide a full range of client services regarding benefits

Conduct investigations, including sensitive information

Insurance eligibility and updates on patient policy

Inpatient/Outpatient precertification’s and authorizations

Insurance buffer report for 365 days

Performed quality assurance for Accounts Receivable Department

Identification of COB issues and reports

Analyzed productivity reports for AR and Billing Department

Prepared Reports for MCCF compliance and VISN3 Score Card

Handled problem identification with regard to guidelines for insurance carriers

Ability to interact effectively with unhappy or dissatisfied clients

Veterans Affairs Medical Center, Brooklyn, NY 11/09 – 07/12

Program Support Assistant-MCCF Department

Collecting, compiling, tracking of data and program information

Organizing and retrieving computerized data, generating reports of data

Ran Diagnostic Measures report for all AR Receivables for different category and total of outstanding balances

Provide a full-range of client services regarding benefits

Conduct investigations, including sensitive information

Insurance eligibility and updates on patient policy

Inpatient/Outpatient precertification’s and authorizations

Insurance buffer report for 365 days

Distributed the workload among employees on daily bases

Performed quality assurance for Accounts Receivable Department

Identification of COB issues and reports

Analyzed productivity reports for AR and Billing Department

Prepared Reports for MCCF compliance and VISN3 Score Card

Handled problem identification with regard to guidelines for insurance carriers

Ability to interact effectively with unhappy or dissatisfied clients

Created spreadsheets for patients with sensitive diagnosis (ICD-9, CPT)

Interpreted, follow up, post incoming and outgoing correspondence

Inbound and outbound calls as needed

Strong Medical terminology

Worked effectively in cross-departmental assignments such as SPD

New York Home Health Care Equipment Co, Westbury, NY 05/06 - 09/09

Logistics/Purchasing/Sales/Insurance/Authorization/Scheduling/Collection

Collecting data to determine price appropriateness for new items and delivery orders

Preparing written requests for quotations detailing special terms and conditions

Placing orders for supplies and equipment used in home oxygen therapy

Answer the telephone, receive visitors, answer inquiries, take messages for staff

Using and understanding medical terminology related to medical equipment and patient care

Counseling beneficiaries regarding eligibility and entitlement for services

Reviewing requests for a variety of devices prior to purchasing

Utilizing a variety of purchasing methods to process orders/requests

Acquiring a variety of specialized medical supplies, services, and equipment

Reviewing requests and purchase orders for accuracy and completeness

Maintaining accurate funding, billing, and account balances for a purchasing department

Reviewing commercial requirements with unstable price/product characteristics

Reviewing and certifying vouchers and invoices for compliance to contract cost

Evaluating charges for requirements involving special cost features

Education

Business/Marketing 03/84 - 08/87

Skills

Knowledgeable in Microsoft Office 2003 and 2007 (Word, Excel, Outlook, Internet Explorer) CPRS, VISTA, SQL.

Trilingual: English, Russian and Ukrainian



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