Carmen Scalesci
1-917-***-**** (ac7f83@r.postjobfree.com)
SUMMARY OF QUALIFICATIONS:
-Highly experienced in Medical Record Maintenance and Medical Insurance verification
-Insurance Authorizations
-Good understanding of medical file documentation
-Above-average file auditing skills
-Good oral communication skills
-In-depth knowledge of medical terminology
-Understanding of confidentiality laws and regulations
-Proficient in MGA, “Centricity Practice Solutions Program”, Nextgen EMR, Excel, and data programs
-Understanding of insurance policies and coverage
-Capable of multitasking and remaining organized in all aspects of work
-Friendly and personable nature with patients, visitors, and all medical staff and personnel
PROFESSIONAL EXPERIENCE
Private Family Client; Staten Island N.Y.
Nanny/Housekeeper 07/2017 Now
-Care for two twin girls age 2.
- Prepare and serve age appropriate meals.
-Organize outings for children i.e. day at the park, shopping, and doctors appointments
-Preformed light housework and errands such as grocery shopping and laundry.
UnitedHealth Group ; New York, N.Y. 10/2016 06/2017
Health Records Administrator
-Conducted outbound calls to provider practices requesting medical records
-Tracked medical records in Microsoft Excel
-Managed medical record inbound queue
Cure Agency; Staten Island, N.Y. 05/2012 05/2016
Receptionist/ Switchboard
-Managed incoming and outgoing calls.
-Met and greeted clients and represented the company in a prompt and helpful manner.
-Scheduled and confirmed appointments for clients.
-Provided secretarial services such as copying, faxing, filing, sorting mail, etc.
Orentreich Medical Group; New York, N.Y. 11/2011 – 03/2012
Medical Records Department
-Maintained patient’s charts by gathering patient’s information, photo identification and insurance information.
-Acquired patient authorizations for medical procedures mostly used were “I Pledge Program” and Centricity Practice Solutions Program“.
-Gather and produced necessary documents for the doctors and nurses regarding patients surgeries, which included patients ID#, location of cosmetic surgery and diagnose codes.
Staten Island Medical Practice; Staten Island, N.Y. 2/2006-5/2010
Medical Records Department/Receptionist/Mailroom
-Met and greeted patients and hospital personal.
-Maintained Electronic Medical Records Database for over 15,000 patients.
-Managed all incoming and outgoing correspondence and packages, and oversaw the delivery of outgoing mail for three related centers.
Special Services/Care Management Clerk; Staten Island, N.Y.
-Met and greeted patients in a prompt helpful manner, assisted in securing appointments with SIPP/HIP contracted outside physicians and vendors.
-Request medical record information (lab work, reports, and films, slides) to correlate for appointments with SIPP/HIP.
-Verified Insurance information for HIP, 1199 and Empire, Health Plus etc.
-Generated and distributed pre-authorizations to vendors.
-Provided instructions to patients and acquired documentation for patient services, monitored clinical task tracking and authorized DME’S on the “HIP system”.
EDUCATION
-New Dorp High School (Class of ’89)