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Medical Technician

Location:
3103
Posted:
September 25, 2010

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Resume:

Antoinette Pauline Sebastian

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

Manchester, NH 03103

Phone: 603-***-**** * E-Mail: *******@*******.***

Objectives

To secure a responsible position with a progressive organization that will

utilize my skills and experience, as well as provide growth opportunities.

Financial Coordinator

. Overseeing 17 Outpatient Clinics in a region that consisted of New

Hampshire, Maine and Vermont tracking some Twelve Hundred patients

. Travel to designated locations, meeting with patients to educate on

Insurance policies

. Coordinate COB date to determine primary and secondary Insurance

Issues

. Track commercial patient in a timely fashion for commercial drops

. Follow Self pays, Commercial, Medicare only and Medicaid only

. Provide guidance on primary and secondary Insurance that is required

for ESRD

Business Office Director

. Coordinated multiple office functions that focused on computerized

scheduling, electronic billing, reimbursements, collections, accounts

payable/receivables and patient records

. Demonstrated working knowledge of insurance carriers for e.g., over

viewing Life Insurances, Living Wills and Power of Attorney

. As human resource administrator, manage staffing orientation and

appraisals

. Developed staffing files and benefit plans along with addressing

employee issues with confidentiality

. Served as a primary point of contact with and liaison between

patients, administrative staff, executive director and marketing to

facilitate proper lines of communication

Research Analyst

. Researched demographics of all healthcare entities to update databases

intended for pharmaceutical companies to target the proper market

. Initiated updates within the required deadline

. Reviewed research capabilities with supervisors to properly gather all

demographic information

Oxford/United Healthcare

. 60 hours of Auditing Training

. Conducted internal audits of healthcare claims per United Healthcare

policies and procedures

. Skilled within specialty audit program such as; ambulatory, emergency,

and outpatient services. DRGs, laboratory, & default. Verified audit

documentation for corrections within pricing procedures

. Identified and controlled per chain of command fraudulent healthcare

claims

Parkland Medical Center

. Prepared daily reports of accession logs and laboratory results thru

the Meditech system

. Interpreted findings of lab results with physicians and nursing staff

throughout the healthcare system

. Organized patient registrations for accurate billing of ICD-9 codes

enduring adequate and efficient reimbursement thru medical benefits

Elliot Hospital

. Collection of Blood Specimens, STAT, ER, morning rounds

. Coordinate with physicians and nursing staff daily, relaying test

results to ensure the highest level of patient care

. Assisted subordinates and laboratory staff in identifying and

resolving problems with collections of specimens

. Consistently maintained daily, weekly and monthly reports, to insure

HIPPA compliance

Optima Health/Catholic Medical-Elliot Hospital

. Utilized interpersonal skill with four physicians regarding laboratory

testing

. Organized daily reports for patient monitoring

. Performed required procedures to patients with head injuries to

recover quality of life

. Assisted nursing staff with priming Intravenous lines for therapeutic

drug monitoring

Employment History

Fresenius Medical Care, Waltham, MA

. Financial Coordinator 2008 - 2009

The Isle at Ledge wood, Milford, NH

. Business Office Director 2007- 2007

IMS Healthcare/MII, Bedford, NH

. Research Analyst 2007- 2007 (Intern)

Oxford/United Healthcare, Hooksett, NH

. Auditor I 2004 -2006

Parkland Medical Center, Derry, NH

. Client Service Representative

. Phlebotomy Technician 2003 - 2004 (Per-Diem)

Elliot Hospital, Manchester, NH

. Phlebotomy Technician 1999-2003

Optima Heath

. Rehabilitation Technician 1996-1999

Technical Skills

Microsoft Word, Excel, Internet Explorer, Outlook, Data Management Systems,

ADP software, Payroll, E-copy Scanning Software, Laser Printers, Fax

machines and adding machines

Education

2005 - 2008 Rivier College - M.B.A., Health Care Administration

2004 - 2005 Hesser College - B.A., Business Management

2000 - 2004 Hesser College - A.S., Medical Office Management

Special Achievements

Emerging Leader in Communities of Color, leadership graduate 2009

Kaplan Scholar, Hesser College, 2000-2004

References Available upon Request



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