Administrative Assistant Customer Service
Resume:
Fallon T. Smith
Detroit, MI *****
**********@*****.***
EXPERIENCE
Henry Ford Health Systems
Detroit, MI
Operating Room Scheduler
. Adjusts schedule as necessary to accommodate emergent situations
and/or cancellations
. Enters complete and accurate data into computer system regarding
information on the patient, exam, physician and the like
. Sends next-day appointment schedules to appropriate departments
. Answers telephone calls, responds to routine inquiries, and serves as
a resource person to those seeking information on out and inpatients
. Actively participates in continuous quality improvement activities
. Maintains a working knowledge of applicable Federal, State and local
laws and regulations, the Integrity/ Compliance Program, Code of
Conduct, as well as other policies and procedures in order to ensure
adherence in a manner that reflects honest, ethical and professional
behavior
12/2009-06/2012
Henry Ford Health Systems
West Bloomfield, MI
Clinic Service Representative
. Follows prescribed procedures to schedule patient appointments
. Responds to telephone inquiries from patients, physicians, employees
and other internal and external customers regarding referrals and
services offered within HFHS
. Completes necessary paperwork on patient visit and forwards to
appropriate clinic
. Maintains documentation of calls received and problems encountered
that need administrative follow-up
10/2008- 04/2009
Blue Cross Blue Shield (Reliance One)
Southfield, MI
Credentialing Technician
. Pulling Queries through the National Practitioners Data Bank
. Access to G-link to pull physicians licenses
. Obtain verification of Degree through National Student Clearing House
. Performing Three Elements on each physician: OIG (Office of Inspector
General), EPLS ( Excluded party list), Medicare opt out List
. Obtaining physicians applications through CAQH (Council for affordable
Quality Health Care)
. Preparing welcome letters for credentialing and contract file
. Assisted updating Corporate Provider File
. Knowledge of NCQA and URAC standards
. Knowledge of PCNS Operations ( Primary Care Network)
. Overall multiple task for Blue Cross Blue Medicare Advantage Program
12/2007 - 08/2008
ProCare Health Plan (Professional Medical Center)
Detroit, MI
Administrative Assistant-Secretary/ Credentialing Assistant
. Followed up with providers concerning contracts and applications
. Prepared welcome letters for credentialing and contract files
. Updated credentialing application log
. Filed documents in credentialing file folders
. Responsible for data entry for re - credentialing profile spreadsheet
. Assisted updating Corporate Provider File
. Knowledge of NCQA and URAC standards
. Utilized Excel to create reports
. Data Entry
08/2006 - 8/2008
Professional Medical Center
Detroit, MI
Administrative Assistant
. Performed data entry
. Filed patient documents
. Obtained and forwarded mammogram reports
. Logged and forwarded medical records to various companies and offices
. Responsible for all clerical duties
01/2005 - 03/2006
JPMorgan and Chase
Troy, MI
Telephone Banker/ Customer Service Representative
. Performed data entry
. Filed documents
. Provided information and assisted with problem solving
. Responsible for maintenance of accounts
. Sales and consulting
EDUCATION
09/2001 - 12/2006
Eastern Michigan University
Ypsilanti, MI
Bachelor's of Science - Communications and Healthcare Administration
01/2011 - 12/2013
Wayne State University
Detroit, MI
Master's of Education- Health Education (Community Health)
COMPUTER SKILLS
. Mainframe
. Careplus
. Accretive Health
. Microsoft Office - Word and Excel
. MS Outlook
. Data Ease
. Medical Manager
. SIS
. Oracle applications
. Epic
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