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Customer Service Medical

Location:
Dallas, Texas, United States
Posted:
November 21, 2018

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Resume:

Leslyn Peters

214-***-****

ac7q8y@r.postjobfree.com

Dear Hiring Manager,

It is with great interest that I am submitting my resume for the open position that you have.

I am a strong highly motivated candidate for this job and I have 10+ years in Medical Healthcare, Credentialing, Health Information Management, and Team Leading with excellent interpersonal skills, confident and poised in interactions with individuals. I am detail oriented and resourceful, highly trustworthy, ethical and discreet, organized and prioritize and meet business needs with strict deadlines, committed to superior customer service, dedicated individual in achieving a reputation form consistently going beyond what is required, at all levels. Good reading, written, oral and critical thinking skills.

With over 10+years of experience I am confident that I can be a great asset to your organization. I can bring the knowledge and professionalism for this important position. I would be grateful for an opportunity to meet with you and discuss how I can be of any assistance to your company.

Authorized to work in the United States for any employer.

Thank you for your time and consideration

Sincerely,

Leslyn Peters.

LESLYN PETERS

Credentialing Specialist/Medical Records/Medical Office Coordinator, Plano Surgery Center. Plano, Texas 08/2002 to 8/2009

Obtain, verify and maintains current State Medical Licenses, State Narcotics, Federal DEA Certificates, Board Certifications, OIG and SAM sanctions, education, medical malpractice insurance, health status, and credentials information related to medical staff/practitioners.

Monitoring database renewal dates for license expiration dates and reviewing documentation for accuracy and completeness.

Ensuring communication throughout the hospital regarding physician practice, approved privileges, physician access, physician oversight and data integrity.

Maintaining medical records, checking emails, mails, phone coverage, faxing, metered mail/postage, budgeting, ordering supplies, posting and adjusting payments to patient accounts, daily deposits, checking patients in, scheduling, filing, expirables, insurance verification and auditing charts.

Comply with all HIPPA and JCAHO rules and regulations.

Execute reports for weekly and monthly meetings for B-level management.

E R Technician, Charlton Methodist Hospital. Dallas, TX 10/2000 to 07/2002

Providing support to physicians and nurses to optimize patient care with such as vital signs, EKG’s, CPR, starting IV’s (hep locks), phlebotomy, applying o2 devices on patients, Neb Treatments, Spirometry (peak flow testing), Eye Equity Tests, Nasogastric tubes (insert and d/c), Ortho-splints, Wound Care, Suture and Staple removal, Casting and Crutches, FHT’s, UCG’s, Foley Cath (insert and d/c).

Assist Nurse in triaging patients and assign and taking patients to available/or appropriate room.

Making rounds to ensure proper care and safetyness (comfort, position, toileting, hygienial care, bedrails up, call lights, no spills on floor)

Collect labs specimen, do proper labeling and deliver to the lab in a timely manner.

Transfer and transport patients, maintaining clean and organized workspace, checking equipment for malfunctions and refer for repair.

Order, and maintain supplies, stock rooms, mobile carts, trays, train and cross-train other technical staff as required.

Knowledge, Skills and Abilities

MS Word, Excel, Lotus, Power Point, MEDITECH, Surgi-source, Vision, HIPPA (10+yrs), Apogee, Cactus, Echo (5+yrs), HEDIS, Citrix, IBM, EPIC (3yrs).

Medical Records, Medical Terminology and procedures common in the Emergency Department, Release of Information, Credentialing and Hospital Accreditation, Customer Service (10+yrs), Auditing(5+yrs).

Excellent reading, oral, written, customer service, personal, and critical thinking skills, with friendly attitude.

Self- starter, able to multi task, organized, planning and prioritizing with the ability to take initiative and work independently with high volume of data, as well as within a team.

EDUCATION AND TRAINING

05/1989 Degree- Medical Assisting. Texas College of Medical and Dental Careers. Dallas, Texas.

04/1988 Certified Nursing Assist. Nurse Aide Academy. Dallas Texas.

06/1986 High School Diploma. Montville Township High School. Montville, New Jersey.

Leslyn Peters

214-***-****

ac7q8y@r.postjobfree.com

PROFESSIONAL EXPERIENCE

Caregiver, Family Faith Residential Care. Dallas, Texas 08/2017 to current.

Companionship, light housekeeping task and meal preparation, medication, feeding, assist with daily activities, such as grooming, toileting and incontinence issues, bathing, doing laundry, and provide safetyness at all times.

Credentialing Assistant, Genesis Physicians Group. Dallas, Texas 12/2016 to 4/ 2017

Assist in processing credentialing and recredentialing applications, verify on-line status of all State Narcotics Certifications, Federal DEA Certifications, Board Certifications, OIG and SAM sanctions reports to confirm and analyze if candidate has no adverse actions.

Follow up calls on verifications, stamping, initial and scanning COI’s and Insurance into Apogee, updating and maintain expirables, filing, checking emails and faxing.

HIM/EMR Analyst, KForce/Baylor Scott and White. Dallas, Texas 02/2016 to 10/2016

Update, maintain, verify and validates HIM databases for the provision of computerized reports of duplicated data.

Making sure that patients social security number, ID number, account number, DOB and addresses matches before merging duplicated charts

Assures the ongoing maintenance and updating of all HIM systems in accordance with scheduled updates and downtime procedures for all systems with appropriate IT department and HIM

New Business Coordinator, DPloyit/BCBS. Richardson, Texas. 10/2015 to 02/2016

Enroll new clients in the plan that fits for them or company, updating client information, taking phone calls, checking email and faxing.

Credentialing Specialist, Forest Park Medical Center. Dallas, Texas 07/2013 to 08/2015

Assist in processing credentialing and re-credentialing application.

Obtain, maintain, verify, and research on-line status of all State Medical Licenses, Education, Insurance, State Narcotics, Federal DEA Certificates, Board Certifications, OIG and SAM sanction reports to confirm and analyze if candidate has no adverse actions to prevent obtaining hospital privileges and delay in hospital privileging process.

Send out 90/60/30 days letters, scanning COI’s and other data into the system.

Follow up calls on hospital verifications, updating and maintaining expirables.

Function as a liaison between practitioners and hospital departments.

Handled confidential material and accurately entered information into appropriate database

Medical Records Coordinator, Pine Creek Medical Center. Dallas, Texas o8/2009 to 06/2013

Retrieve charts daily, breaking down, scanning, creating new patient files, making sure that H&P’s are dictated, printed and ready in pre-op before patients are seen by nurses and physicians.

Process information, Document and Record patient information in written or electronic and magnetic form, Filing, Audits and Analyzes medical records.

Maintain quality, accuracy, effectiveness, productivity and security in both paper files and in electronically.

Review medical records for completeness and accuracy, and compliance with regulations.

Communicate with physicians about delinquent or incomplete records or documentation.

Send out deficiency/delinquent letters reguarding incomplete medical records of discharged patients to responsible physicians.

Release of information (fax, email, mail, FedEx, UPS) for all patient types, attorneys, insurance and physicians



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