Customer Service Medical

KETTY DAY

Miramar, Florida, *****

Cell: 954-***-****

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

PROFESSIONAL PROFILE

Self-motivated Administrative Support Professional with over 20 years of

expertise in medical office, private and public health hospital settings.

Accurate, detail-oriented and reliable. Excellent public relations,

communication, and customer service skills. Ability to work independently

and effectively in high pressure environments. Team player with strong

organizational and problem solving skills. Consistently secured patients'

financial clearance, and entrusted with access to use medical information

technology systems (diagnosis and procedure coding) for billing and

reimbursements. Experienced coordinating large events, conferences

planning and coordination. Expert in Hospital Scheduling/Admission

Information Technology (IDX, Medtech, Medsoft, Cerner, Citrix, EPIC/U-

Chart).

. Financial Process Management Expertise

. Experienced Human Resources Generalist

. Nursing / Physician Licensing Requirements

PROFESSIONAL EXPERIENCE

UNIVERSITY OF MIAMI, Miami, Florida 2003 - 2012

Surgical / Scheduling Coordinator, (U-Health-OB / GYN) Jackson Memorial

Hospital Health Systems

Performed scheduling and admissions for inpatient and outpatient surgical

needs. Coordinated surgical schedules for over 12 regionally dispersed

physicians in Dade, Broward and Palm Beach counties.

. Promoted from Administrative Secretary to Surgical / Scheduling

Coordinator within one year of employment for OB/GYN Department.

. Implemented new checklist system to monitor Patient Chart Compliance in

accordance with hospital policy and procedures.

. Operated and maintained Surgical Tracking Log System for OB/GYN Surgeons

for clinical billing, reimbursement, and budget analysis.

. Served as Liaison within OB / GYN clinical units, U-Health hospitals and

other relevant community hospitals including Jackson Memorial Hospital

and affiliated agencies for benefit of Quality Patient Care.

. Obtained both OB / GYN surgeons and all hospital affiliated authorization

prior to patient surgical procedures, verify Health Plan Benefit Coverage

via new electronic U-Chart System and other Health plans electronic

systems.

. Identified patient in need of insurance and financial pre-certification

for admissions based on medical necessity

. Coordinated between patient and hospital pretesting units various

clinical and treatment issues,.

. Coordinated patients' medical clearances to ensure completion for

Hospital Pre-admission and Pre-testing Departments.

. Corresponded with doctors, and hospital personnel to inform patients

apprised of medical prognosis within U-Health / U-Chart Systems. Compiled

and documented all patient related information in U-Chart System.

Administrative Secretary, OB / GYN, Jackson Memorial Hospital Health

Systems

2002 - 2003

Provided administrative support to OB / GYN Medical Director and Practice

Manager. Managed / updated Medical Director administrative schedule of

meetings and events. Provided routine and general clinical support

including reports business communications and statistics for 16 attending

physicians and 22 residency interns' assignments. Maintained and

distributed monthly physicians' clinical master schedule.

. Processed documentation related to letters of recommendation, medical

clearance letters and consultation notes to Referring Physicians.

. Performed monthly report of Obstetricians C-Sections and Gynecologists

Surgeries for OB / GYN Practice Manager

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. Prepared Physicians and Residents monthly on-call schedule.

. Back-up clinical / billing assistant to private OB / GYN clinics

providing patient scheduling, processing of insurance and posting Charges

via IDX billing system.

. Assisted Residency Program Coordinator preparing and Typing resident

packet, travel / lodging arrangements, lunch / dinner set-ups and

interview process for entire Department of OB / GYN Residency Program.

JARAKI MEDICAL CARE, N. Miami Beach, FL 2000 - 2002

Cardiologist / Family Practice, Parkway Medical Center.

Office Manager

Provided administrative management to private Cardiologist and Family

Practice group. Processed confidential HR paperwork, recruiting and

screening applicants for Nursing and Medical Assistant positions,

restructuring office of 18 employees. Managed and maintained patient master

schedule via Med Soft scheduling systems. Coordinated billing,

collections, employee payroll and other payment distributions between

practice and other external agents or vendor contracts.

. Developed and implemented multi-budget management system to accurately

track expenses.

. Monitored and ensured completion of patient's medical records requests in

a timely manner and maintained patients' confidentiality according to

HIPAA regulations Coordinated frequent meetings and event for over 12

Tenet Health Hospitals affiliated with Medical Practice.

. Acted as liaison to increase and maintain health insurance networking

contracts with all practice providers.

. Conducted patient satisfaction surveys for quality assurance.

. Coordinated employer's participation in various indemnities and managed

care plans.

. Supervised clinical / administrative staff and identified problems and

take corrective action on an on-going basis.

UNIVERSITY OF MIAMI, Miami, FL 1995 - 2000

Staff Associate, Pediatric Department / Jackson Memorial Hospital,

Provided administrative support to Director of Pediatrics Gastroenterology

Division and 5 Nutritionists / 4 Dietitians. Prepared grant writing papers

and budgeting for grant proposal. Established grant tracking systems via

Excel to consolidate and improve existing reporting process. Prepared all

business communications, managed clinical practice master schedules via IDX

systems, weekly staff meetings and maintained events schedule via Microsoft

Outlook calendars.

. Functioned as Human Resources representative for the business unit;

performed monthly report reconciliation; processed terminations and new

hire paperwork for faculty and staff; collected employees timesheets,

updated promotions and tenure reports and supported faculty annual

credentialing.

. Processed all related documentation related to medical transcription for

patient medical records reporting, all correspondence and reports, i.e.

budget reports, lab / office supplies, purchase orders and physician tie

reports.

. Prepared Faculty / Attending monthly on-call schedule; scheduled meetings

and travel arrangements.

. Prepared drafts and job descriptions; wrote letters as required.

Supervised and assisted Sr. Clinical and Billing secretaries as backup to

private patients and Hospital clinics as needed, providing patient

scheduling, processing of insurance and posting charges for proper

billing process via IDX System.

UNIVERSITY OF MIAMI, Miami, FL 1991 - 1995

Senior Secretary, Surgery Department / Jackson Memorial Hospital

Coordinated administrative support initiatives for three trauma surgeons in

the Department of Surgery, Ryder Trauma Center and Oncology Divisions

including inpatient and outpatient scheduling for the hospital,

postoperative and/or nutritional follow up, billing and patient records,

budget reports and related documentation, patient correspondence and event

management.

. Coordinated all grant and study protocols including library searches,

chart reviews and bookkeeping between physicians and pharmaceutical

companies the UM/JMH facilities.

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EDUCATION

Coursework towards a Bachelor of Arts (BA), Public Health Administration

University of Miami School of Business, Coral Cables, FL

Associate of Science (AS), Office Technology-Executive Secretary

Miami-Dade Community College, Miami, FL

PROFESSIONAL DEVELOPMENT / TRAINING

. Training Certificate in Public Health System Administration

. Certification in Hospital Surgical Tracking Log Systems

. Trained in-Hospital Surgical D-Base Systems for Admissions

. Trained in Supervisory/Human Resource Management Systems

. Trained in completing Employee Performance Appraisals

. Certified yearly in Departmental trainings in billing and collections

. Awarded for Attending and Participating in Semi-Annual patient relations

Customer Service Workshops

TECHNICAL SKILLS

. Proficient in multi-line Phones Technology

. Excellent proof reading ability, Shorthand/Transcription (70-90 WPM)

. Proficient in Microsoft Office Suite

. Trilingual (English, French / Creole, and Spanish knowledge)

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