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Healthcare Analyst

Location:
McLean, VA
Posted:
September 24, 2017

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Resume:

Jinny Kang

**** ********** **. *** ***

Mclean, VA 22102

ac2f7q@r.postjobfree.com

562-***-****

OBJECTIVE: Highly motivated and experienced professional looking for new challenging career opportunities RELEVANT EXPERIENCE

Kelly Services

Health Net Federal Services

Position: Credentialing Specialist (Temp) March 2017 – Current

• Implement and monitor procedures and activities related to credentialing and re-credentialing for TriCare network providers

• Maintain provider profiling system and communication with providers or designated POC regarding up-to-date credentialing status and information.

• Analyze all information sent in by the physician/provider and received through federal and state databases and compare it to established criteria

• Oversee primary source verifications and performs quality audits

• Verify physician training and education and query discrepancies with the appropriate program directors, medical boards, and physicians as appropriate

• Review and prepare applications that require the approval of the Medical Director to be fully processed

• Respond to ad-hoc requests

Addison Group Staffing Agency

Specialists On Call November 2016 to January2017

Position: Document Specialist (Temp)

• Assisted Credentialing, Licensing, and Privileging departments

• Processed applications and necessary documents for privilege applications

• Compiled and maintained current and accurate data for providers through Echo Healthstream

• Monitored and ensured assigned provider credentialing, licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers stayed up-to-date

• Ensured work and product standards are of the highest level including strict confidentiality of physician information

Retina Group of Washington August 2013 – August 2016 Position: Medical Receptionist/Ophthalmic Technician

• Supported doctors on a wide variety of medical and administrative procedures

• Performed day-to-day clinic operations which consisted of intake, screening, testing, scribing, patient discharge, and phone triage

• Took care of patient scheduling, surgical scheduling, and insurance benefits investigation and authorization for necessary medical procedures

• Took care of phone calls and acted as a liaison between doctors and patients and referring doctors when needed

• Documented patient visits using Electronic Health Records (EHR) recording vitals, summarizing complaints and visit, ordering prescriptions, and necessary tests, and scribing for doctors

• Proficient in the use of SRS, EMA, and Podis medical software

• Trained and supervised new medical technicians in how to assist doctors, prepare patients, administer medications and tests, phone triage, and handle scheduling Palisades Veterinary Clinic June 2012 – June 2013

Position: Veterinary Assistant

• Assisted the Veterinarian on duty with diagnosis and treatment of animals

• Performed day-to-day clinic operations including animal care, medication, pet screening, medical testing, surgical prep, and supplies

• Advised pet owners and increased their awareness about rabies, sanitation, feeding, immunization, adoption, and general pet care

Internship at UCD Medical Center Cardiac Rehabilitation Center July-Sept 2010

• Oversaw selective post-operative patient care

• Learned operations of a rehabilitation company

• Interacted with long-term care facility to coordinate patient care program EDUCATION

University of California, Davis

Graduated Fall 2011

B.S. in Biological Sciences, concentration in Neurobiology, Physiology, and Behavior CERTIFICATIONS

Ophthalmic Scribe Certified

Six Sigma Yellow Belt Certified

SKILLS

• Fluent in Korean

• Microsoft Word, Excel, PowerPoint, Outlook

• Adobe Acrobat



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