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Patient Administrative Specialist/Coordinator

Oakland, California, 94612, United States
October 17, 2016

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Core Competences:

Proficient in Microsoft Office Suite ICD-9-CM, HCPCS

Strong Verbal/Written Communication CPT, Electronic Health Records (EHR)

** *** ******, ********* ***** Certification & CPR Certified

Medical Terminology Proactive Multi-Tasking Medical Billing & Coding Advanced Assessment Skills

Quadax Harp v. 3 / IDX HP CHATS, Foundation Systems, CSIR

Practice Support Medical Insurance Billing



Medical Billing & Coding - Carrington College of California

Associates of Science Degree - Computer Science - Solano Community College

Bachelors of Science Degree - Criminal Justice Administration - University of Phoenix

Experience: Stanford Health Care, Palo Alto, CA

09/14 – Present Patient Administrative Specialist

Scheduling/Coordinating care for patients with newly cancer diagnosis

Utilizing hospital computer information systems, EPIC, CRM, and managing MD schedules

Work closely with pathology groups, laboratories, and other medical facilities

Utilizing analytical skills in problem solving, STAT and Urgent requests

Answering high volume of calls transferred from the Access Operations Associates

Assist with Authorizations/HMO’s,PPO’s and Non-Contractual Health Plans

Stanford Hospital & Clinics, Redwood City, CA

04/12 – 08/14 Clinic Administration/Clinical Assistant II

Scheduling new and returning appointments in the EPIC system and managing multiple priorities

Handling inbound/outbound calls from patients/Physicians, utilizing the CRM system thoroughly

Complete patient Check-in/Check-out, and performed other clinic front desk activities

Entering data into the CRM system to communicate internally

Work closely with several departments, within the SHC/LPCH organization

01/10 – 03/12 Kaiser Permanente, Stockton, CA

Member Service Contact Center

Respond to member questions and concerns and act as a member advocate for their service, needs, and interest within KPMCP. Work with MSA/CSA to resolve member problems

Resolve issues at the lowest possible level. Assure smooth transition from purchaser to consumer through implementation of service strategies within the Call Center. Provide information and support to members and internal and external customers regarding contracts/benefits explanation and clarification. Ensure that information needs and service issues are resolved in a timely manner

Effectively communicate the care and concern that Kaiser Permanente has for each member

Track all inquiries and requests on an automated contact management system

02/08 – 12/11

Gallagher Benefit Services, Inc. Lafayette, CA

Account Coordinator/Administrative Support

Developed effective, professional relationships with EB Producers and Client Managers, as well as Client Representatives, Carriers, and Vendor Service Representatives

Assisted Client Managers with daily account management tasks, such as responding to inquiries regarding invoices, enrollments and policy provisions

Prepared Form 5500, Privacy Notices, compensation and Disclosures along with Business Association Agreement

Processed confirmation of acknowledgement of Broker of Record (BOR) and receipt of commission payment

Verified carrier rate changes, plan changes, and broker changes to ensure proper billing

Assist with special projects, mail sorting and distributions, enrollments and cancellations

Handle all administrative support issues, follow-up with carriers, clients, members as necessary to resolve enrollment issues.

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