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Customer Service Medical

Location:
Boca Raton, FL
Salary:
open
Posted:
December 10, 2015

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Resume:

JOHN-EDWARD JACKSON, B.S., M.S.

**** ** **** ***

Tamarac, Florida 33321-4100

954-***-****

954-***-**** Cellular Phones

Email: ***********@*********.***

CAREER OBJECTIVE

EXECUTIVE and ADMINISTRATOR

SUMMARY OF QUALIFICATIONS

Proficient in utilizing of Polices, Procedures and Company Regulations.

Managed deadlines within time constraints and the ability to be productive and responsible, Sale experience with Nutri/System Weight Loss Company.

Excellent Leadership, Interpersonal and Conflict Resolution Skills, Communication and Public Relations Skills, Customer Service and Manage Care U.R.

Skilled in Crisis Intervention and high volume case load.

Managed staff and making sound recommendations to superiors.

Medical Billing, Payroll, Chart Auditor, Completion of Performance Appraisal, Knowledge of Microsoft Word, Supervised Staff on all levels and Programs, Discharge Planning and Data Entry, Logical and Analytical, overseeing and monitoring medical billing and pending unpaid accounts, overturning denials HMO’s, PPO’s, Medicare and Medicaid, Led over 30 Staff including Physicians, Residents and Clinical Treatment Team, Excellent Problem Solving Skills and Managing others. Knowledge in filing for SSA Disability Benefits Medical and Mental Health.

Executive

Managed staff which includes delivering of all services.

Ensure that the Department Staff complies company Polices and Procedures.

Collaborates with other disciplines in order to facilitate better customer services.

Complete employment interviews, staff performances, address issues/needs of staff, Training of Staff

Performance Standards, Coaching and Motivating Staff

Administrator

Prepared statistical reports, inventory and analysis.

Provided leadership, direction and supervision to Staff Personnel

Completed Probationary and Annual Reviews. Responsible for hiring and training all staff. Manage the performance review of all employees and enforces all policies and standards of the agency/company. Excellent knowledge and performance in Human Resource along with Staffing and monitoring Overtime Scheduling.

Overseeing daily case management, assignment of cases, client assessments and case plan development and implementation.

Prepared and maintain narrative case records, initial assessments and recommendations.

Insurance and benefits Verifier

Knowledge of JCAHO, OSHA and ACHA (Sat on several JCAHO Committees in clinics and hospitals settings along with consulting work for JCAHO preparation)

Knowledge of Budgeting and Profit & Loss Responsibility

Chart Auditor and Credentialing (CAQH Database)

Key Achievements:

Promoted Team Leader Psychiatric Emergency Room: Florida Medical Center

PROFESSIONAL EXPERIENCE

Macy’s Galleria Mall, November, 2015 to present

Sunrise, Fl

Position: Star Sale Ambassador/Management (SSA), Seasonal

Open Arms Recovery, LLC November-2014 to present

Pompano Beach, Fl

Position: Business Development/Marketing Manager (Family Owned Business)

South Florida Clinical Treatment Center, May-2011- December-2012

Wilton Manors, Fl

Position: Administrator/Therapist

American Psychological Alliance, October- 2005- December-2012

Miami, Fl.

Position: Out Reach and Business Development Director

(Group Private Practice)

Psyche-Community Mental Health/Miami Gardens, Partial Hospitalization Program and Community Psychiatric Services, February, 2006-September-2008

Miami, Fl.

Position: Clinical Coordinator

Admission Psychotherapist, Atlantic Shores Hospital- July 2005-December2005

Ft. Lauderdale, Fl

Mental Health Tech. (Psychiatric Emergency Room and Cross Trained to Medical), Imperial Point Medical Center (PRN Position)-Admissions, March 2003-August 2005

C.A.R.E. Team Manager, Behavioral Health (Psychiatric Emergency Room and Cross Trained to Medical) Admissions, Florida Medical Center, Ft. Lauderdale, FL –November 1999-March 2005

Clinical Director, Youth track, Incorporated Hurricane Conservation Corps, Florida City, Fl- November 1998-September 1999

Family Resource Coordinator (HA C 1), Community Partnership for Homeless, Inc. Miami, Fl- June 1998-November 1998

Program Director First Stop for Families, Miami Bridge, Inc. Miami, Fl- May 1993-April 1998

Intake/Assessment Case Manager, Covenant House of Florida, Ft. Lauderdale, Fl- June 1990-May 1993

Repair Video Games & Accessories, Sale Associate August-1986 to June, 1989 (seasonal employment only-worked in three (3) locations) Miami, Florida USA Flea Market Booth R3-R4

Burger King Restaurant, Specialty Board and Drive Through, North Miami, Florida (125th Street and 7th Avenue location) June-1982- August -1985

EDUCATION

MASTERS OF SCIENCE, Clinical Psychology, St. Thomas University, Miami, Fl, May, 1992.

BACHELOR OF SCIENCE, Psychology, Morris Brown College, Atlanta, GA, May, 1990.

North Miami Beach Senior High School, North Miami Beach, Fl, June, 1985



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