Customer Service Medical
Resume:
Ophelia Wilson
******.*******@*****.***
EDUCATION
Health Care Administration
EMPLOYMENT
Contract Employment – (self-employed 1099)
Contract Medical Site Reviewer – Credentialing Support (as a contracted agent, I have been granted authority
by the health plan and its state and federal regulating bodies to enter health facilities to conduct site reviews.)
Instructor – Medisoft, Medical Insurance, and Capstones
08/00 – 12/01 Integrated Medical Center, Administrator-Hollywood Center, Hollywood, FL
Responsible include day-to-day operation of the managed care facility.
Coordinate the actions of all departments and ensure the function
Development of operating objectives and budgets
Create an overall system for efficient delivery of medical services
Review financial reports, managed care contracts and major expenditures.
Establish and administer policies, and ensure they were uniformly understood.
Knowledgeable as to the essential for hospital administers to successfully manage patient care
Serve as liaison between medical staff, department heads and governing boards.
Supervise, and mentored staff, relating to the community and interfacing with boards.
Involve in recruiting, hiring, and training physicians, nurses and assistant administrators.
Travel to conferences, satellite facilities
06/92 – 08/00 NHP, Assistant Administrator, Health Services, Miami, FL
Assist in the daily operation
Process Improvement (both clinical and administrative)
Profit/loss analysis and business line development
Creation of business plans
Site planning
Clinical safety measurement and outcomes analysis
Preparation of a Medicare cost report
Creation and analysis of appointment access indicators
Third-party reimbursement and contracting analysis
Patient Relations – patient satisfaction analysis
06/85 – 03/92 Lois Richardson, MD, Office Manager, Washington, D.C.
Supervision of patient scheduling, registration, financial counseling, medical records, billing and collection, data
entry and processing, and cash posting
Promoting excellent customer service
Develop, implement and maintain office policies and procedures
Interview, hire and train a productive medical office team
SKILLS and CERTIFICATIONS
EClinical Works, HIPAA Certifications, Customer Service Certifications, Medical Billing and Coding
Certifications, CPC Certified. AMISYS, Microsoft Word and Works, WordPerfect, Harvard Graphics, PageMaker,
Windows, Excel, Lotus 1,2,3, PowerPoint, Access, PeopleSoft, Market Prominent, Lucent, eFR, Vistar and
Lawson etc.
Community Affiliation -10/27/2012 – Present.
Serve as Vice President, Charleston County Missionary Baptist of Ushers
Serve as an aide to the President
Take minutes if needed
Newsletter, program, event
Fundraising
Work closely with Moderator, Vice Moderator, parent body
Attend staff meetings
Handle incoming and outgoing correspondence
Coordinate and schedule church and association events
Familiar software for church, as well as Microsoft publisher, Excel, Peachtree, etc.
INTERESTS
Non-profit Contributing to the Community, Cooking, Fishing, Gardening, Computers and Travel
Contact this candidate