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Insurance Medical Assistant

Location:
Houston, TX
Posted:
November 14, 2014

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Resume:

MAGDALENA C. AVILES

**** ********* ****, *******, ***** 77038

713-***-****

******.******@*****.***

PROFESSIONAL PROFILE

Electronic Medical Records (EMR), register pharmacy technician trainee,

CPR,

. Strong professional attitude and work ethic . Self motivated, learn

quickly

. Responsible, dependable, conscientious . Enjoy meeting challenges

. Work well without supervision, very thorough . Outgoing and friendly

. Well-developed patient service skills . Bilingual, Spanish

. Eight years experience in the medical field including front-office and

assisting physicians

. Able to maintain a cheerful and positive attitude in a wide variety of

stressful situations

. Familiar with computers and everything needed to operate a medical office

efficiently

MEDICAL SKILLS

. Vital signs . Performing CBC . Medical terminology . CPR

. Blood typing . Phlebotomy . Positioning and draping . EKG

. Blood counts . Urinalysis . Autoclave . First aid.

WORK EXPERIENCE

James Jeffries, M.D., Houston, Texas 2003-2014

Assistant Office Manager

. Greet patients and all visitors, enter demographics for all new patients,

make charts, verify insurance, explain insurance benefits to patients,

answer all incoming phones calls, make and confirm appointments, answer all

questions regarding balances in the accounts

. Responsible for posting charges and payments, requesting referrals as

needed, make sure all CPT codes are correct before sending insurance claims

to multiple insurance companies including electronic filings and those

filed on websites for instant payment.

. Appeal all claims when denied, make appropriate changes on resubmitted

appeals, bill patients for all balance due, and researched and resolved

problems with insurance contracts, handle credential issues

.Handle all patient's charts, keep records in order, file all documents

including other physician's documents and all insurance explanation of

benefits (EOB)

St. Joseph Hospital., Houston, Texas 2011-2014

Unit Clerk Assistant

.Make charts for the new admissions, clean charts after the discharge of

patients, send all patients file to medical records for scanning, answer

all incoming calls.

.Working close with nurses, and physicians, for any orders in the patients

care, communication with pharmacy and room control for any available rooms.

. Answer call lights from patients, work with telemetry patients, inform

nurses of any changes in the telemetry screen

M. D. Anderson Cancer Center, Houston, Texas 2003-2010

NURSING ASSISTANT

. Responsible for being available to assist the nurse on duty by taking

vital signs, entering them in the system, and ensuring they are ready for

printing by 0500.

. Clean, stock, and make the POD ready for incoming shift and prepare

accurate morning reports for their use.

.Working close with nurses, and physicians, for any orders in the patients

care, communication with pharmacy and room control for any available rooms.

. Answer call lights from patients, work with telemetry patients, inform

nurses of any changes in the telemetry.

James C. Interiano, M.D, Houston, Texas 1996-2000

MEDICAL ASSISTANT

.Room patients, take vital signs including weight, height, assist physician

with patients, give immunizations, and draw blood, collect all urine, and

stool specimen to be sent to the lab for testing, maintain doctor working

on schedule, assist with minor in office surgeries.

.Keep inventory up to date, order all supplies, speak to all drug

representatives about new drugs available, and receive all samples,

maintain all examining rooms clean and well stock, answer all nurse's

messages from patients

.Answer phones, make appointments, check in and out patients, charge co

payments and co-insurance, enter all procedures (CPT and ICD 9 codes) in

the computer for insurance filing purposes, and appeal all denials to

insurance companies.

.Enter all new patients' demographics in the computer, make charts, verify

insurance, and file all charts at the end of the day.

Herman Reyes, D.O Houston, Texas 1989-1996

Medical Assistant

.Room patients, weight, take vital signs, EKG, administer all medication

shots and immunizations, collect all specimens for the lab, draw blood for

lab, order all outside diagnostic procedures, go over all results with

doctor, and call patients with testing results.

.Answer phones and make appointments, HMO referrals, check in and checkout,

enter all charges in the computer, insurance billing, patient billing,

insurance appeals, verify all new insurance, deductible in the beginning of

the year, post all payments from insurance.

.At the end of the day balance daily sheets, mail all medical claims

(HICFA), make sure charts are ready for next day, all insurance confirm up

to date in computer

EDUCATION

University of Houston, Houston, Texas February 2010- 2011

PHARMACY TECH DIPLOMA

North Harris Community College, Houston, Texas 2000-2003

COMPLETED PREREQUISITES for the NURSING PROGRAM (RN)

Texas Health School, Houston, Texas 1992

CERTIFIED NURSING ASSISTANT DIPLOMA

Texas School of Business, Houston, Texas 1989

MEDICAL ASSISTANT DIPLOMA



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