Insurance Medical
Resume:
Geanyra Medina
Miramar, Fl 33029
OBJECTIVE
To secure a challenging, responsible position with a company that utilizes
my abilities developed through my experience, training, and education. I
am career oriented and represent strong leadership skills with a goal-
oriented mind set. I have exceptional organizational skills with
demonstrated knowledge of data management, regulatory requirements,
compliance standards, and diversified knowledge base in every aspect of the
Health Information Management Department.
EMPLOYMENT
Omega Technology Solutions
Hollywood, FL
Business Intelligence Analyst
06/09-present
Responsibilities include analyzing, developing, implementing, maintaining,
and managing IT systems in our Outpatient Code Examiner to fulfill our
business requirements. I work as part of the IT team and use proven
management, analytic, technical, communication and problem solving skills
to help maximize the capabilities. I support/develop the basic
configuration of Outpatient Code Examiner applications/systems. I manage
the use of clinical data required in reimbursement systems and prospective
systems in healthcare delivery. I use data mining techniques to query and
report from databases as well as analyzing on budget variances. I develop
and review documentation, training materials that support the operational
use of OCE. Most of all, I plan/manage requirements gathering processes
(CMS, Ingenix, 3M, AMA) and the development/testing processes for new,
changed, enhanced features, edits, and functions for our Outpatient Code
Examiner.
Oxonia Insurance Group Plantation, FL
Underwriter 05/07-06/08
Responsibilities included analyzing information with insurance applications
to determine whether a risk is acceptable and will not result in a loss.
Identify and calculate the risk of loss from policyholders, establish
appropriate premium rates, and write policies that cover the risk.
Applications often are supplemented with reports from loss-control
consultants, medical reports, reports from data vendors, and actuarial
studies. Then decide whether to issue the policy and, if so, the
appropriate premium to charge. In making this determination, I serve as the
main link between the insurance carrier and the insurance agent.
Heartland Rehabilitation Services
Ft. Lauderdale, FL
Office Manager
05/05-05/07
Supervise office activities to achieve maximum expense control and
productivity. I developed procedure and policies for offices activities,
records management, and accounts receivables analysis. Coded all
diagnoses/procedures and insurance collections.
Dr. Paul J. Weber, M.D. Ft. Lauderdale, FL
Administrative/Personal Assistant
11/03-04/05
Responsibilities included scheduling appointments, verifying patient's
prospective health insurance coverage and insuring prompt payment from
carriers and self pay accounts. Reviewed and responded to correspondences
relating to account receivables, including Explanation of benefits, Health
Care financing Administration, coding all diagnoses/procedures and super
bills. Responsible for physicians' orders, reviewed lab results, magnetic
resonance imaging reports, and medical records with surgeon.
South Florida Institute of Sports Medicine
Dr. Haas, M.D.
Tamarac, FL
Surgical Coordinator/Personal Assistant
01/03 - 11/03
Responsibilities included meeting with patients discussing surgery
availability, facility, pre-op labs and physical therapy. Retrieve all
patient information, verify insurance, and obtain a pre-certification for
out/in patient surgery. Complete physicians' orders, review lab results,
MRI report, and medical records. Coordinated conferences, depositions, and
prepared agendas.
SKILLS
0. Bilingual/ English and Spanish
1. Premise, Meditech, Siemens, Varco, Cisco, Encoder Pro, UB-04 Editor,
Cerner, Home Sys, Lotus, Rain tree, Medisoft, ACT, Citrix, FACS, Excel,
Power Point, IQ-Network
2. Basic ICD-9/CPT coding
3. Direct Practice Intern at Broward General Medical Center, Coral Springs
Medical Center, and New Horizons Community Mental Medical Center
4. Member of AHIMA, FHIMA, and SFHIMA
EDUCATION
Florida International University Miami, Fl
Bachelor of Science in Health Information Management 4/09
REFERENCES
Available upon request.
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