Anthony Morris

*** **** ******

Bronx, NY *****

Tel: 203-***-****

Email: ac645p@r.postjobfree.com

Objective:

Highly focused and enthusiastic Administrative Assistant over five years of experience in the healthcare field seeking a position in a company that will enable me to utilize my professional skills and enhance my professional development.

SKILLS:

Excellent time management and organizational skills

Detail-oriented, exceptional leadership and communication skills

Strong analytical and problem solving skills

Proficient computer skills (Microsoft Office: Word, Excel, PowerPoint, Outlook) and various electronic medical record systems

Knowledge of medical terminologies and ICD 10 codes

EMPLOYMENT HISTORY:

March 2014-August 2016

WellCare Health Plans

HEDIS Practice Advisor- New Haven, CT

Advised and educated Provider practices in appropriate HEDIS measures, medical record documentation guidelines, and ICD-10 CPT coding in accordance with NCQA requirements

Obtained and analyzed provider performance data to identify trends and strategize opportunities for improvement.

Collaborated with providers to improve performance in the areas of Quality, Risk and Operations.

Obtained records from providers and external resources needed to maintained databases and measure identified outcomes.

Performed other duties as assigned.

Care Coordinator-New York, NY

Provided administrative support to clinical staff with discharge planning, clinical information requests, and authorization creation for member services and service providers

Assisted in resolving member and provider issues.

Assisted with special projects or assignments to meet department needs and objectives.

Completed office management and clerical tasks, including but not limited to, faxing, scanning, and coping documents; document preparations; requesting clinical information from providers; create provider authorizations.

Performed other duties as assigned

Senior Administrative Quality Clerk (temporary position)-New Haven, CT

Monitored HEDIS data return, HEDIS quality improvement project, and responses to HEDIS related

Analyzed provider information and claims for medical audits

Followed up with interactions between providers and offices through documentation, collating, and distributing reports for management as necessary

Performed other duties as assigned

February 2012 – February 2013

United Healthcare

Program Coordinator (temporary position)-Trumbell, CT

Processed physician fee transactions

Created files and processed reports for Complex Electronic Physician Data Loads (EPDLs)

Generated electronic responses to incomplete inquiries and requests

Performed other duties as assigned

Senior Administrative Quality Specialist (temporary position)-Trumbell, CT

Obtained clinical data required by the Center for Medicare and Medicaid Services from provider offices

Researched provider information and performed extensive claims research to identify and verify services rendered for medical audits

Assisted with rate improvement activities by contacting members and providers, requesting medical records and following-up with provider offices to ensure compliance with vendor data collection efforts

Scheduled data collection activities between vendors and providers; Managed data collection efforts on assigned projects, including updating third-party vendor systems used to track records and inputting and closing out records in Internal Data Collection records management system

Assisted with outreach to provider offices

Scheduled HEDIS daily and weekly meetings to update management on project progress and status.

Performed clerical duties as assigned

April 2009 - Sept 2011

Nephrology Associates

Administrative Assistant-Bridgeport, CT

Provided administrative support to high volume private multi-physician medical practice

Medical record management

Provided training to physicians and colleagues on the electronic health records management system

Assisted doctors with pre-exam procedures, including testing patient specimens and collecting patients' vitals

Scheduled appointments and provided medical doctors with information needed for in-patient services

Completed office management and clerical tasks, including but not limited to, faxing, scanning, coping documents and document preparations

Performed other duties as assigned

EDUCATION:

May 2004

Bachelors of Art

Long Island University Post - Brookville, NY

Major : English

ADDITIONAL INFORMATION:

References available upon request

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