Alyssa Adams
**************@*****.***
SUMMARY of SKILLS:
Proficient with various computer applications such as MS Word, Excel, PowerPoint, Medisoft, TruCare, IKA, Outlook, and Sharepoint
Skillful in the clinical and administrative duties.
Excellent organizational and people skills
CPT, ICD-10 codes, and medical terminology
EDUCATION:
Sanford-Brown College, San Antonio, TX September 2012
Medical Assistant, Certificate
Completed an intensive 900-hour program comprised of theoretical and practical applications of essential Medical Assisting skills which included the following:
Administrative Skills – Medical office procedures, health insurance claims processing
Clinical Skills – Taking vital signs, assisting in physical examinations, bio medical waste disposal, electrocardiography, clinical asepsis
Laboratory Skills – Phlebotomy (capillary punctures and venipuncture), smear procedures, urinalysis, and specimen collection
Medical Terminology, Anatomy and Physiology, and Pharmacology
Medical billing and coding
EMPLOYMENT HISTORY:
WellMed Medical Management San Antonio, TX October 2016 – Current
Utilization Management Coordinator
Coordinates initial screening for UM service requests via phone, web portal, mail and fax
Coordinates initial screening for UM claim reviews through claim queue
Prepares administrative files for Medical Directors, UM Nurses and Case Managers
Maintains knowledge of PHC benefits, network, CMS regulations and PHC policies
Label and upload patient’s medical records for nurse review
Data entry
Work with CPT, ICD-9, and ICD-10 codes
2nd highest producer in the UM department
On the fax team (data entry/typing)
Was employee of the month for July
Trinity staffing temp for Wellmed San Antonio, TX May 2016 – September 2016
Utilization Management Coordinator temp
Coordinates initial screening for UM service requests via phone, web portal, mail and fax
Coordinates initial screening for UM claim reviews through claim queue
Prepares administrative files for Medical Directors, UM Nurses and Case Managers
Maintains knowledge of PHC benefits, network, CMS regulations and PHC policies
Label and upload patient’s medical records for nurse review
Data entry
Worked with CPT, ICD-9, and ICD-10 codes
CommuniCare Health Center San Antonio, TX December 2012 - December 2013
Medical Assistant
Answered phone calls, greeted patients, and scheduled appointments
Interview patients to obtain medical information and measure their vital signs, weight, and height
Keep financial records and perform other bookkeeping duties, such as handling credit and collections and mailing monthly statements to patients
Verified Insurance such as Blue Cross, Carelink, Aetna, Humana, Bravo, NaviNet, and Community First
Entered data electronically to process charges, payments, denials and adjustments.
Check patients' pulse, temperature and respiration.
Completed laboratory paperwork and sent out laboratory specimens
Administered injections
Completed requisition forms for LabCorp, Quest Diagnostic, and University Health Systems
Provided patients with referrals
Worked with CPT, ICD-9, and ICD-10 codes