Medical Customer Service
Resume:
Efficient Administrative Assistant Looking for Immediate Hire (Miamisburg, OH)
Jean L. Costello
Miamisburg, OH 45342
abqgul@r.postjobfree.com
OBJECTIVE
To find a career in the Credentialing, Medical or Administrative field, to be able to use the skills I already possess and to learn new skills to better enhance my performance as an employee.
JOB HISTORY
Credentialing Specialist Premier Health Net
Start 01-2007 End 12-2011
40 West 4th Street
Dayton, OH 45402
Duties:
Mailed requests for all Medical Staff applications. Assesses applications for completeness. Produce verification letters and evaluates. Determines if further investigation or information is necessary and makes appropriate inquiries.
Works closely with practitioners and clinical department personnel to ensure that all applications are completed correctly and processed in a timely manner.
Conducts primary source verifications.
Maintaining, all applicable certifications, DEA certificates and malpractice certificates are current by utilizing the websites and provider communication. This involves notifying the practitioner, the appropriate departments and the Medical Director in a timely manner of upcoming expirations. Notify supervisor of imminent suspensions.
Responsible for managing all outside requests for practitioner hospital verifications and peer references. Maintain the database associated with this activity, and ensure that all requests are processed in a timely manner.
Processing applications for payer participation.
Perform specific functions pertaining to the Medical Staff credentialing process as assigned.
Assists in creating specialized reports and answers phones.
Maintains filing (paper and electronic) on a consistent time schedule to ensure compliance with department process and regulatory standards.
Maintained necessary knowledge regarding credentialing policies, credentialing principles, regulatory/legal standards. Must have the ability to assist practitioners with credentialing and privileging process; manage protected information in a tactful and confidential manner; establish and maintain rapport with internal and external customers; maintain composure and focus in stressful situations; communicate effectively in all situations; manage and prioritize heavy workload under direction of supervisor; and set and maintain work priorities, draft correspondence; use proper business English; read, proofread and understand complex information; and locate and retrieve materials that are misfiled or misplaced.
Skill in using computer software, keyboarding and/or typing, navigating Symed (Pro app one) databases and operating and maintaining office equipment (fax machine, typewriter, copy machine, printer).
Other duties as assigned by the Credentialing Manager or Administrative Director.
IRB Specialist Schulman and Associates Inc.
Start 04/2006 End 12/2006
4445 Lake Forest Drive
Blue Ash, OH 45242
Duties: Collection and data entry of adverse reactions to experimental medications. Composing educational manuals for experimental medications for test use.
Credentialing/Administrative Specialist Associated Anesthesiologists, PA
Start 09/2004 End 03/2006
245 Ruth Street
St. Paul, MN 55119
Assistant to the Medical Director, duties as assigned. Credentialing Specialist to 50 Anesthesiologists and 125 CRNAs.
Mailed requests for all Medical Staff applications. Assess applications for completeness. Produce verification letters and evaluates. Determines if further investigation or information is necessary and makes appropriate inquiries.
Works closely with practitioners and clinical department personnel to ensure that all applications are completed correctly and processed in a timely manner.
Conducts primary source verifications.
Maintaining, all applicable certifications, DEA certificates and malpractice certificates are current by utilizing the websites and provider communication. This involves notifying the practitioner, the appropriate departments and the Medical Director in a timely manner of upcoming expirations. Notify supervisor of imminent suspensions.
Responsible for managing all outside requests for practitioner hospital verifications and peer references. Maintain the database associated with this activity, and ensure that all requests are processed in a timely manner.
Processing applications for payer participation.
Perform specific functions pertaining to the Medical Staff credentialing process as assigned.
Assists in creating specialized reports and answers phones.
Maintains filing (paper and electronic) on a consistent time schedule to ensure compliance with department process and regulatory standards.
Maintained necessary knowledge regarding credentialing policies, credentialing principles, regulatory/legal standards. Must have the ability to assist practitioners with credentialing and privileging process; manage protected information in a tactful and confidential manner; establish and maintain rapport with internal and external customers; maintain composure and focus in stressful situations; communicate effectively in all situations; manage and prioritize heavy workload under direction of supervisor; and set and maintain work priorities, draft correspondence; use proper business English; read, proofread and understand complex information; and locate and retrieve materials that are misfiled or misplaced.
Skill in using computer software, keyboarding and/or typing, navigating databases and operating and maintaining office equipment (fax machine, typewriter, copy machine, printer).
Maintaining all user manuals and duties assigned as needed by the Managing Director
Other duties as assigned by the or Administrative Director.
Sr. Medical Secretary Regions Hospital
Start 03/2001 End 04/2003
640 Jackson Street
St. Paul, MN 55101
Duties : Sr. Medical Secretary for 27 physicians, Power Point presentations, Excel spreadsheets, Graphs, Secretary for the Hospitalists, Rheumatology and Gastroenterology. Setting up meetings, making flight and hotel arrangements for doctors seminars, opening and sorting mail, creating templates for use in record keeping in the clinic setting, creating physician day, night and weekend call schedules. Preparing office, computer and clinic needs for new physicians. Assisting with Credentialing issues, Secretary for the Chief of Education/Internal Medicine and IRB. Typing manuscripts from draft and preparing them for publication. Typing legal information necessary for medical research. Preparing Residents and Fellows for monthly rotation. Back-up for Nephrology, General Secretary, Center for International Health and Hematology/Oncology. Transcribing daily Bone Scan results. Setting up and preparing presentations for weekly Physician Journal Club, Maintaining, all applicable certifications, DEA certificates and malpractice certificates are current by utilizing the websites and provider communication any other misc. physician's needs.
Medical Secretary HealthPartners, Maplewood Clinic/St. Paul Clinic
Start 03/1988 End 09/2000
2165 White Bear Avenue North
Maplewood, MN 55119
Duties included: Completion of forms for Physical Exams, Workman's' Compensation, Disability and any other misc. forms for physician review and signature. Handling of Medical/Legal issues, preparing charts for photocopying, review and depositions for attorneys, Accepting Subpoenas, preparing the medical file for court, delivering the medical file to court. Third party billing, reviewing medical files for any missed third party revenue, preparing medical records for release of information to patient or any other medical facility. General data entry. Transcription. Back-up for Referral and Administrative Secretary as needed. Any misc. physician requests. Medical/Administrative Secretary/Clerical Manager, HealthPartners, Arden Woods Clinic 3930 Northwoods Drive, Arden Hills, MN 55112 Start date 09-1997 End date 05/1998 Duties included: Completion of forms for Physical Exams, Workman's' Compensation, Disability and any other misc. forms for physician review and signature. Handling of Medical/Legal issues, preparing charts for photocopying, review and depositions for attorneys, Accepting Subpoenas, preparing the medical file for court, delivering the medical file to court. Third party billing, reviewing medical files for any missed third party revenue, preparing medical records for release of information to patient or any other medical facility. General data entry. Transcription. Lead Medical Secretary for the northern region of St. Paul. Back-up for Referral and Administrative Secretary as needed. Any misc. physician requests. Supervisor to Reception and Medical Records staff.
Century Community College Date completed: 03-1988 Medical Secretary Certificate
Forest Lake Sr. High Date completed: 06-1985 Diploma
Skill: Complete knowledge of Microsoft Office and Medical/Legal issues. Type 65-70 wpm. Knowledge of Physician, Patient and internal Support Staff needs. Good customer service for staff, physicians and patients. Transcription. Ability to prioritize my day for maximum efficiency, to work with no supervision, learn new tasks quickly, multi task and meet deadlines efficiently and with a calm demeanor.
References available on request
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