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Insurance Assistant

Location:
Houston, Texas, 77038, United States
Salary:
Negotiable
Posted:
October 07, 2016

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MAGDALENA C. AVILES

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

(713)***-****

acwyc6@r.postjobfree.com

PROFESSIONAL PROFILE

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 • Autoclaving • First aid•

WORK EXPERIENCE

Methodist Willowbrook Hospital, Houston, Texas 2015-Present

•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.

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

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.

Kelsey Sybold Houston, Texas 2010-2011

Pharmacy Technician Externship

• Worked in the IV department preparing, chemo therapy, worked isolation room, under the hood for 8 hours every day .

•Made sure all IV solutions were done correctly and promptly .

•Calculate all medication for patients . Prepare for the next day . Keep up with the medication inventory, order all medications .

•Enter all supplies in the computer . Run the shelves to order all needed supplies.

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.

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 copayments 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, deductable 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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