CRYSTAL CRENSHAW
ad5dnt@r.postjobfree.com 903-***-****
OBJECTIVE
EXPERIENCE
Dedicated, Administrative Assistant with experience handling a wide range of administrative, technical, and executive - support tasks.
QUALITY ASSURANCE MANAGER
Lifepath Systems MHMR/ McKinney, TX / 2/7/2022 – 3/25/2024
Utilization Management Coordinator provides support to the Utilization/Quality Management Department and medical unit. Performance requires accuracy, attention to details, initiative, and a pro-active approach to duties and responsibilities.
Process and track Utilization Management related issues in accordance with the Managed Care Organization's guidelines for entering and tracking authorizations, processing completed clinical assessments, and researching denial issues.
Assist in preparation of regularly scheduled UM/QM reports, as well as reconciling and tracking data from multiple reports, communicating with applicable parties as needed.
Helps support data collection and analysis for daily operation.
Make corrections to Overlapping Services.
Reviews TAC, Health and Safety Code, External contracts, and other sources regularly to ensure that Policy and Procedures.
Supports compliance with semi-annual satisfaction surveys and responds to death review reporting.
Responsible for knowledge of UM/QM guidelines and updates.
Responsible for batching our MCO Generator Authorizations.
Responsible for insertion of External Reviews on the Submission Calendar
Performs other tasks needed by the team lead, and supervisors.
MEDICAL OFFICE SPECIALIST & UTILIZATION MANAGAMENT TECHNICIAN
Lifepath Systems MHMR/ McKinney, TX / 07/2017 – 02/2022
Performed clerical to include answering telephones, scheduling, following-up on appointments.
Reconcile data from multiple reports.
Verify insurance claims.
Review patients records & make updates.
Assign codes to diagnoses & procedures.
Greet patients with a personalized inviting manner.
Maintain the Providers & counselors, and case managers schedules.
CHILDCARE TEAM LEADER
YMCA- George H.W. Bush Elementary, Addison, TX 09/2016 – 07/2017
Actively engage in activities with participants including physical activity, enrichment activity and Homework/CATCH time implementation
MEDICAL OFFICE SPECIALIST EXTERNSHIP 200 HRS
Synergy MSO, Addison, TX 01/2017 – 04/2017
Reconcile medical billing claims from multiple reports for multiple clinics.
Updated client information in the system for multiple clinics.
Provider Credentialing
Billing & Coding for multiple clinics.
Verify insurance claims.
LEGAL ADVOCATE
Domestic Violence / Texarkana, TX - 11/2013- 09/2015
Provide direct services to victims of domestic violence in the following areas Cass, Bowie, Miller, Lafayette, Little River, & Hempstead Counties. I serve as a representative for victims of Domestic Violence. I also provide direct service responsibilities to include support, information, advocacy, and court accompaniment to victims of domestic violence. Assist with restraining orders, civil, and other court matters, and legal referrals.
MEDICAL ASSISTANT EXTERNSHIP
Good Shepherd – Garrett Clinic, Linden, TX / 06/2013 – 10/2013
Greeting patients and their loved ones in a personalized and inviting manner. Performed clerical to include answering telephone, met, greeted, and seated patients, filed, and verified insurance claims, filed charts, pulled charts, called patients, scheduled patients, packed important items to send out, scheduled payment plans, assisted the Doctor with patients, cleaned tools, took X-Rays, etc. Work collections on past due accounts. Took vital signs, performed phlebotomy, and gave EKG’s, immunizations, and has lab experience.
MEDICAL ASSISTANT
Good Shepherd – Garrett Clinic, Linden, TX / 10/2013 – 09/2015
File and verified insurance claims, filed charts, pulled charts, called patients, scheduled patients, packed important items to send out, scheduled payment plans, assisted the Doctor with patients, cleaned tools, took X-Rays, etc. Work collections on past due accounts. Took vital signs, performed phlebotomy, and gave EKG’s, immunizations, and has lab experience.
CORRECTIONAL OFFICE IV / EDUCATION/ PAROLE
Texas Department of Criminal Justice, New Boston TX / 02/2007 – 09/2013
Participated in the day-to-day operations of the prison, maintaining security of the facility, escorting offenders within and/or outside the secure confines of the prison. Communicated effectively with a varied population of offenders, including individuals from diverse ethnic, racial, cultural, and economic backgrounds. This included persons for whom English was not a primary language, persons with developmental and learning disorders, and individuals with a wide variety of psychiatric and physical disorders.
OFFICE ASSISTANT / MEDICAL FRONT / DATA ENTRY
Cornerstone Staffing / Addison, TX 09/2015- 08/2016
Greet all customers in a timely, friendly, and professional manner. Answer all phone calls consistently and ensure all phone messages immediately communicated to the correct recipient,
SKILLS
EDUCATION
Office Management Support
Reliability and Adaptability
Staff Development & Training
Teambuilding & Supervision
UM/QM Guidelines
Policies & Procedures
Knowledge of TAC, Health, and Safety Codes
Reviewer for Internal & External Audits
Billing & Coding
Medical Billing/Collections
EKG Certified
X-Ray Certified
Phlebotomy Certified with lab experience.
Oral and written communication skills
Report & Document Preparation
HEALTH ADMINISTRATION/ MA
UNIVERSITY OF PHOENIX, PHOENIX, AZ
06/2022- Until
BUSINESS ADMINISTRATION/ BA
COLLEGE OF HEALTHCARE PROFESSIONS, HOUSTON, TX
03/2018-05/2020
HEALTH AND MEDICAL ADMINISTRATIVE SERVICES/AAS
COLLEGE OF HEALTHCARE PROFESSIONS, HOUSTON, TX
10/2017-03/2018
MEDICAL OFFICE BILLING & CODING SPECIALIST/AAS
BRIGHTWOOD COLLEGE, DALLAS, TX
10/2016-04/2017
MEDICAL ASSISTANT SPECIALIST/ AAS
KAPLAN COLLEGE, SAN ANTONIO, TX
01/2013-10/2013
ORGANIZATIONS
POLICY COUNCIL COMMUNITY BOARD MEMBER
HEADSTART OF GREATER DALLAS
09/2020-until
BOARD OF DIRECTORS MEMBER / SECRETARY
HEADSTART OF GREATER DALLAS
09/2020-until
2ND VICE PRESIDENT (MEMBERSHIP)
E.D. WALKER P.T.A.
04/2021-05/2023
2ND VICE PRESIDENT (MEMBERSHIP)
W.T. WHITE PTO
04/2021-until
PRESIDENT
GAMMA PHI DELTA SORORITY INC.
05/2023-until
QUAD STATES REGIONAL YOUTH ADVISOR
GAMMA PHI DELTA SORORITY INC.
10/2020-until