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Care Coordinator

Location:
Kings County, NY
Posted:
June 29, 2017

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Resume:

ABIADA IRIS TROCHE *** Cornelia Street, Brooklyn, NY 11237 C: 929-***-****

OBJECTIVE: To obtain a position that will utilize my skills to create a successful work environment.

EXPERIENCE:

*/**-Present Healthfirst Medical Insurance-Care Coordinator/Medical Management New York, NY

Responsible for performing care management services in order to support members who require service level assistance in navigating their health care system in a virtual/telecommuter environment. Create and approve certified home health assistance post-admissions for members as requested by the CHHA agencies, admissions to Skilled Nursing Facilities, and some durable medical equipment for various lines of business. Responsible for communicating via email within, but not limited to, the Care Coordination Unit and other care management team representatives throughout the company. Document every call in detail in the CareEnhance Clinical Management Software for future reference.

6/08-9/15 Mt Sinai Beth Israel Mental Health Dept.-Intake Coordinator New York, NY

Carefully conduct brief evaluations in order to coordinate proper intake appointments for new and returning patients for a rotating variety of Residents, Psych Interns, Child, Addiction and Geriatric Fellows in a high volume clinical setting. Verify Medicaid and Medicare insurances and their managed care programs via EMEVS systems and multiple private insurances through HDX system. Conduct patient registration in Eagle systems. Assist in the Spanish and English translations between the Doctors and patients.

Memorial-Sloan Kettering Cancer Center, TES Employee New York, NY

7/07-3/08 Administrative Secretary/Benefit Department

In addition to office administrative duties, I monitored the Director’s and Manager’s calendars. Generated check request for a variety of charges. Prepared payroll for the benefit department staff of 8 employees. Attended meetings and took minutes. Assisted in the preparation of Pension Calculations as requested.

4/07-6/07 Physician Office Assistant/Radiation Oncology Department

Answered patient calls, scheduled appointments, served as a liaison between the clinical staff and the patients, and triage incoming calls to assure who the patient should speak with between the physician, nurse or resident, barcode all outside medical records in preparation for scanning for upcoming patient appointments.

11/06-3/07 Medical Education Coordinator/Graduate Medical Education Department

Assist in coordinating the student file flow from receipt of a prospective student’s application to approval and arrival; Collation of orientation packets; Communicating with NYS Dept. of Education regarding foreign students’ participation in electives at MSKCC; Filling, copying, telephone reception, data entry, word processing, E-mail follow-ups and responses; Creating new files, and updating the medical student roster.

03/06 – 11/06 Accutime Watch, Inc., Personal Sales Assistant New York, NY

Order processing from major vendor associates, negotiated prices with overseas product makers, buying and implementing new design ideas for watches, prepared showroom layout, and scheduled meetings. Created daily correspondence and managed daily calendar entries.

EDUCATION:

04/06-05/07 Sanford Brown Institute School/Medical Assisting Certificate Program New York, NY

An intense 900-hour course comprised of theoretical and practical applications of essential medical skill including: Clinical skills-Monitoring vital signs, charting, assisting on physical examinations, electrocardiograms, and storage of biomedical waste. Administrative Skills, health insurance processing, computer usage, coding, scheduling, and claim processing. Lab procedures/Phlebotomy-microscope usage, collecting specimens, smears procedures, glucose test and urinalysis, venial puncture and dermal puncture. Medical Terminology, Anatomy and Physiology, Basic Pharmacology. Completed 180 hour externship at Memorial Sloan-Kettering Cancer Center

SKILLS & QUALIFICATIONS: Excellent telephone, customer service, oral and written communication skills (bilingual: English/Spanish). Type 40 wpm, computer proficient; MS Office 2010, Rightfax, PowerPoint, MediSoft system, Medical Manager, Eagle system, Citrix/CCMS, Microfilm and internet savvy.

REFERENCES: Furnished Upon Request



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