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