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Administrative Assistant Customer Service

Location:
Antioch, CA, 94509
Posted:
October 21, 2010

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Resume:

PAMELA J. REED

* ****** *****

Antioch, CA *****

510-***-****

******.******@*****.***

OBJECTIVE: Position as Medical Administrative Assistant

QUALIFICATION: Over 17 years of experience providing Administrative and

Secretarial

Support in a Medical setting. Ability

work under pressure, Manage time

Effectively, and provided exceptional

Customer service.

Relevant Experience

KAISER PERMANENTE, Union City Landing, CA

2005 to 2010

Outside Referral Coordinator

Managed processing Outside Referrals, vendor set up, claims, liaison

between MD/ patient and vendor. Experienced and qualified in Customer

Service, Process referrals in AOMS System, Data Entry, Coded Diagnoses and

Treatment Plan. Sent authorizations to APIC for final approval. Entered

approval/denial in AOMS System. Generated letters to patient/providers,

research and processed claims. Facilitated new MD orientations, tracked

patient information in OTRS, Analyzed, resolved billing and authorization

issues. Interacted with outside vendors processing claims and adding data

to Kaiser system.

KAISER PERMANENTE, Santa Clara, CA 2002-2005

Receptionist

Managed, tracked Outstanding Referrals, called various agencies regarding

patient diverts. Conducted Durable Medical Equipment Surveys. Maintained

Conference room schedules. Checked Clinician's paperwork, sent documents to

physicians requesting signatures on approved treatments. Enter returned

dates. Assisted with expense reports, employee compliance tracking and

assisted managers with employee documentation.

KAISER PERMANENTE, Redwood City, CA 1999-2002

Patient Care Coordinator Assistant-Utilization Management/Continuing Care

Department

Assisted Patient Care Coordinators with placement of denials in patient

charts: Medicare, Medicare Cost, Continue Stay, Skilled Nursing Facility

and Transportation. Issued denial letters to patients and family members.

Checked insurance coverage for Durable Medical Equipment non-Kaiser

Patients and Nursing Facility patients, Researched followed up with DME,

Apria and patients. Scheduled transportation for bed bound patients being

transferred to various facilities, prepared Home Health and Skilled Nursing

facility referrals, tracked documents in medical records. Reviewed

patient's charts for possible Chronic Case program candidates when their

inpatient status expired. Ordered equipment and supplies for patients,

coordinated staff meetings and prepared agendas. Assist members with

disability forms.

KAISER PERMANENTE, San Francisco, CA 1993-1999

Home Health Aide/Clerical Support-Home Care

Worked under the supervision of a doctor, nurse and physical therapist,

provided assistance with the exercise program and personal care to post-op

patients. Cleaned patients area and maintained charts. Checked vital signs

and reported changes to medical staff. Supported office staff with data

entry, chart auditing, faxed documents, medical record filing. Ordered

supplies an answered multiple-phone lines, scheduled HHA visits and

assisted with accounts payable.

EDUCATION

Medical Biller/ICD 9 Coder, Regional Occupational Program, Daly City, CA

Medical Administrative Assistant, Regional Occupational Program, Daly City,

CA

Skills: Microsoft Word, Excel, 10-key, Lotus Notes, and knowledge of

PowerPoint



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