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
CRM EPIC
Education:
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.