Quality Assurance High School
Resume:
Peggy D. Price
La Mesa, Ca **941
*********@*****.***
Work History:
United Health Group December 2000-present
San Diego, CA 92108
Senior Clerk/Medical Records Coordinator: This position requires a self
starter who is organized, can multi-task and able to work well with
everyone. I have accountability to all departments including inpatient,
outpatient, intake, claims, quality assurance, discharge specialists,
compliance, appeals and grievance, Healthy Families. I am consistently
indentified as a valuable team member eager to take on new tasks and
responsibilities whenever necessary.
. Management of the medical records department and implementation of
HIPPA regulations, verification of legal documents including
conservatorship, custody papers, and Release of Information documents.
. Effectively implemented new policy and procedures in the Medical
Records department, trouble shooting new scanning procedures and
equipment and effectively moving from manual filing to an electronic
filing system.
. Responsible for scanning, indexing and verifying all treatment plans,
psych testing requests, peer reviews, and other essential
correspondence.
. Open charts, verify benefits, and answer phones as needed. Provide
backup to team assistants and the mail room as necessary. Assist with
training of new hires in this department.
. Assure distribution of faxes and mail, run batch printing, purge files
and prepare for archiving in compliance with standard time frames.
. Assist care advocates with sending provider lists to members, monitor
several incoming email accounts requesting information or resources,
follow up on requests, and escalate issues as needed.
. Proficient with Microsoft Word, Excel, Provider Connections, RTMS in
Blue Shield, IBM FileNet Capture, Document Retrieval
. Served on numerous committees including Nami Walk, Heart Committee,
Entertainment Committee.
Law Offices of Richard Singer December
1996-December 2000
610 Columbia St. San Diego, Ca. 92101
Legal Assistant for a group of attorneys. Consistently managed a high
volume of administrative tasks. Successfully prioritized and organized
multiple assignments from several attorneys. Researched cases.
Casa Drugs
January 1993-December 1996
6225 Campo Rd. Spring Valley, Ca 92077
Pharmacy Technician coordinated refill requests with physicians, clarified
prescriptions or changed to an optional medication, filled prescriptions,
ordered supplies, verified insurance benefits and copay.
Education:
High school: Graduated from Grossmont High School
College: Grossmont College, San Diego, CA
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