Customer Service Medical
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JOSELANDE
JEAN-GILLESJJean-Gilles Administrative Resume
Joselande Jean-Gilles
Temecula, CA 92591 **********@*****.***
Cell: 619-***-****
Highly self-motivated, results-driven achiever and effective team leader with exceptional interpersonal skills. Highly flexible and adaptable performer, adept at multi-tasking and thriving in a fast paced environment while coordinating numerous time sensitive projects. Reputation as a self-directed professional with superior problem solving, communication, and management skills. Ability to establish realistic long and short-term goals and objectives, set achievable deadlines and react quickly to changing priorities. Possess strong customer service skills and can tactfully communicate with all levels.
Areas of Expertise
ICD-9-CM
Financial management
HCPCS Level II
Medical Terminology
CPT Coding
Customer Satisfaction
Front-End Supervision
Presentation skills
Teambuilding & Training
Strategic Planning
Staff coaching/Mentoring
Interpersonal skills
Professional Experience
Kaiser Permanente
Hospital Unit Coordinator, 2011 to Present
Coordinates all inpatient admissions to the medical floors. Conduct patient chart audits to ensure Joint Commission compliance. Process medical supplies orders and conduct inventory to ensure adequate supplies usage. Maintained patient census boards to warrant that event management are precise and up to date. Participate in Unit Base Team committee to help enhance work performance and to help achieve patient satisfaction goals. Adhere to Kaiser Labor Management Partnership attendance goals, by punctually and professionally performed above standard contributing to reaching goals for new employees.
Sharp HealthCare
Business Service Representative, 2009 to Present
Registers daily 80-90 outpatients at multi-specialty clinic sites. Greets visitors, ascertains purpose of visits, and direct to appropriate staff. Answers telephone and direct calls to appropriate staff. Maintains medical records and correspondence files. Verifies Medi-Cal, Medicare HMO and PPO eligibility and prepares input documents for billing. Collect co-pays, provided liaison between the providers of health care services, the patient, or other responsible persons. Provide revenue sources, to ensure the correctness of charges. Responsible for forming and adhering to a comprehensive schedule of physician office visits. Serve as the liaison to the clinics administration. Participated in obtaining 91% Press Ganey patient satisfaction survey. Participates training programs that enhanced employee performance and helped build a motivated workforce.
Scripps Healthcare
Nursing Unit Secretary, 2009 to 2011
Administrative Partner, 2006 to 2009
Transcribed patient care orders and tests in an accurate and timely manner using various computer systems. Communicated STAT orders, discharge orders, test scheduling changes to department staff; scheduled patient appointments. Monitored audited and compiled department data, and the review and entry of patient charges. Verified insurance, HMO, PPO, Medi-cal, Medicare. Assisted in elevating department guest-satisfaction index from 72% to 82%. Ensured the swift resolution of customer issues to preserve customer loyalty while complying with company policies. Served on special taskforce for process improvement and customer service satisfaction.
Naval Medical Center San Diego
Medical Support Supervisor Intern, 2010 to 2011
Supervised eight medical support front desk staff, coordinated administrative activities for the Mental Health Service Department. Responsible for the operations of multi-site department including front desk support staff, cost containment initiatives, policy review, supply billing and revenue. Processed payroll and timecards for 80 staff members. Coordinated monthly peer review for all licensed independent providers within the department for credentialing purposes. Recruited, interviewed and facilitated hiring of all personnel under direct supervision. Attended weekly management team meetings with department heads. Implemented new audit process for payroll and patient HIPPA documentation in order to maintain compliance with State and Federal regulations and policies. Developed protocol and guidelines to facilitate the completion and proper documentation of peer reviews completed by providers.
YMCA Youth and Family Services
Kinship Support Case Manager, 2007 to 2008
Coordinated comprehensive social services for low income families and kinships. Conducted intake and needs assessments in office, by telephone, and with occasional home visits. Facilitated support groups; ensured the provision of childcare during the group meeting times. Established, developed, and maintained partnerships/relationships with public, private, and community organizations to promote children and families accessing community resources that are responsive to their needs. Assisted families to enroll in YMCA activities, applying for Food Stamps, Respite Care, Medical and childcare. Identified resources and performed follow up to ensure effective client services. Intervened, supported and educated children and families to promote healthy, safe environment. Established goals, interventions, progress reports and consultations with treatment team. Demonstrated high standard of integrity, exemplary attention to detail and precise record keeping. Capable team member or team leader; equally effective working independently with limited or no supervision. Exemplary communications skills. Streamlined operations to expedite the flow of information. Clearly communicated results of work orally and in writing.
Education and Training
National University- San Diego, CA.
Master of Healthcare Administration- 2011
Point Loma Nazarene University- San Diego, CA.
Bachelors of Social Work- 2007
American Association of Professional Coders- San Diego, CA
Certified Professional Coder- 2011
Training: Certificate of completion for FEMA National Incident Management System, Healthcare leadership and management, Certificate of Completion for Medical Billing and Coding I&II, Privacy Act and HIPAA, Microsoft Outlook, Word, Excel, Access, Allscript, IDX, Centricity,
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