Service Representative Assistant

Phone505-***-**** or 505-***-****

*****Chaparral*Circle Albuquerque NM, 87114

Andrea Parada

Objective

To obtain a position in an industry leading company or organization where I can grow and utilize my knowledge and abilities to benefit my employer.

Education

Experience

2010-Present Central New Mexico Community College

Continuing my education for X-Ray Technician 2017

Phlebotomy Certification 12/15/2011

CLA Certification (TLA) 04/06/2012

July 2006-March 2007 Apollo College

Medical billing and coding

January 2017-Present

United Health Group

Albuquerque, NM

Clinical Administrative Coordinator

Manage administrative intake of members or the admission/discharge information post notification

Work with hospitals, clinics, facilities and the clinical team to manage request for services from members and/or providers

Manage the referrals process, processing incoming and outgoing referrals, and prior authorizations, including intake, notification and census roles

Receive care coordination notification cases for non-clinical assessment/intervention and provide appropriate triage.

Review requests for adverse determination, approval notification and processing notification requirements

Assist the clinical staff with setting up documents/triage cases for Clinical Coverage Review

Handle resolution/inquiries from members and/or providers

May 2016-October 2016

Academic Dermatology Associates

Albuquerque, NM

Receptionist/ Clinical Research Assistant

Answer multi phone line, sign for incoming packages

Phlebotomy, processing and shipping of specimens

Scheduling of subjects for clinical trial participation

Organizing study charts, regulatory binders and filing laboratory reports

Assisting physician in conduct of study procedures

Obtain medical history

Maintain study related logs

Setting up and using specialized equipment refrigerated centrifuge

Instrument sterilization and packaging

Interacting with sponsors, monitors and IRBs

Research and place advertisements for recruiting purposes

October 2014-May 2016 Albuquerque, NM

TriCore Reference Laboratories, Referral Testing, Laboratory Technician

Perform all functions of my previous position as a Technical Laboratory Assistant III

Prepare specimens to send out to specialty laboratories, Ensuring correct specimens have been submitted for testing

Verify patient demographics, Enter patient results

Help ensure correct test needed was ordered and correct instructions are being followed when patients are being collected

Oversee the department lead Tech is out. I determine how the work for the day will be given out, and who will work what area. I train new employees in the department and work closely with doctors, pathologist and outside labs.

October 2012-October 2014 Albuquerque, NM

TriCore Reference Laboratories, Referral Testing, TLA III

Process requisitions and enter all information in to computer system

Performs order entry, inquiry, and specimen transport functions as needed.

Performs clerical functions including answering phone calls and client questions.

Performs billing functions

Works closely with physicians and clients to ensure correct testing is being performed.

October 10, 2011-October 2012 Albuquerque, NM

TriCore Reference Laboratories, Client Services

Inbound/outbound call center for Clinics and Hospitals

Fax, mail and give verbal lab results to physicians, clinics and/or hospitals

Troubleshoot problems and answer questions

Correct demographic information, add-on tests upon request

File incident reports for unhappy customers (patients and/or clients)

September 8, 2007- August 19,2011 Albuquerque, NM

Taxation and Revenue Dept.,Tax Service Representative

Assist, advise and educate taxpayers with all inquiries including preparation and completion of tax forms.

Provide information to ensure compliance with policies and procedures of Taxation and Revenue.

Research using computer system for liabilities, payment history, and collection payments.

Resolve customer complaints

Maintain Cash drawer

Process mail

July 2006- September 6, 2007 Albuquerque, NM

Presbyterian Hospital, Registrar

Meet and greet patients

Registered patients for exams

Verified insurance and eligibility

Knowledge of medipac system

Knowledge of ICD-9 and CPT book

Assisted patients with any questions or concerns they had

Assisted in correcting orders from Doctors

Contact this candidate