Highly motivated and dedicated medical professional with extensive CNA and office assistant experience for industry-leading healthcare organizations.

Background includes experience caring for the geriatric population and staffing, with the keen ability to handle all front-office duties, including answering phones, updating patient files and facilitating the flow of critical information throughout all levels of the organization.

Knowledge of Medicare and Medicaid billing

Current on all immunizations (includes tuberculosis and hepatitis B). Certified in CPR and First Aid.

Possess numerous computer program proficiencies, while typing 55 words per minute with 10-key skills.

MEDICAL EDUCATION/KEY QUALIFICATIONS

Ultimate Medical Academy – Tampa, FL

Medical Administrative Assistant Diploma (GPA: 3.18) 2013

Ultimate Medical Academy – Tampa, FL

Associates of Health Science Medical Administration 2014

Ultimate Medical Academy- Tampa, Fl 2016

Associates of Health Science Medical Coding and Billing

Introduction to Medical Assisting • Medical Terminology • Medical Transcription • Human Pharmacology

Medical Law & Ethics • Medical Record Management • Electronic Health Records • Patient Processing and Accessing. Electronic Medical Records • Medical Transcription Pathophysiology for Medical Office • Anatomy & Physiology. Healthcare Coding • Medical Office Procedures with Software Applications • Office Accounting • Medical Billing. Principles of Management Computer Information Systems • Interpersonal Professional Communication • HIPAA

WORK HISTORY

Customer Service Representative/CEO

CC Staffing Solutions, LLC 09/2016-Present

Service varies clients by providing customer service/sales duties

Answer incoming calls regarding varies products and services

Ensured all accounts were notated per the call resolutions

Comply with company matrix system to

Recruitment via posting ads on varies job sites, job fairs, word of mouth, etc

Establish and maintain rapport with both customers and staff

Time management utilization

Payroll

Scheduling Coordinator

Recovery Home Care 05/2016-08/2016

Schedule new referrals for HH with nurses/CNA/HHA/Therapist

Ensured all orders were up to date for CM

Ensured all authorizations are in place for services needed

On Call/Weekend Scheduler

Care Minders Home Care 06/2015 – 05/2016

Ensure all cases are staffed throughout the weekend and Holidays

Communicate with staff regarding their schedules and/or provide patient info

Compose and present a report from the daily activities over the course of the weekend to upper management and team

Home Health Coordinator

MCAS 04/2015-05/2016

Received referrals via Workers Compensation Adjustors/Case Managers

Assigned cases to Home Health Agencies/Outpatient Rehabs/SNF based on the needs of the patients.

Responsible for keeping the Adjuster/CM informed

Scheduled appointments for Diagnostic testing for outpatient needs

Collected nursing/therapy/hha notes from facilities and submitted them over to the adjusters and case managers.

Benefit Coverage Review Representative

Express Scripts 11/2014- 4/2015

handle inquiries from pharmacies, members, and physicians office via phone, fax, or mail regarding appeals and reviews for different medications

initiate and complete appeals and reviews

make outbound calls to follow up with members, physicians, and pharmacies

Provide information to clients, participants, pharmacists and doctors regarding participants pharmacy benefit, drug coverage, and provide accurate procedures for medication exceptions

Facilitate resolution of drug coverage issues and proactively address, research, and resolve issues while maintaining accurate and complete documentation of all inquiries for continuous improvement

Work collaboratively with other associates and supervisor to ensure that best practices are shared

Prior Authorization Representative

Express Scripts 10/2014-11/2014

Handle inbound telephone and written inquiries from pharmacies and doctors regarding prior authorization by screening and reviewing request based on benefit plan design, client specifics and clinical criteria

Provide information to clients, participants, pharmacists and doctors regarding participants pharmacy benefit, drug coverage, and provide accurate procedures for medication exceptions

Facilitate resolution of drug coverage issues and proactively address, research, and resolve issues while maintaining accurate and complete documentation of all inquiries for continuous improvement

Work collaboratively with other associates and supervisor to ensure that best practices are shared

Customer Service Representative

American HomePatient 10/2013 – 08/2014.

Received inbound calls from patients, doctors offices, insurance companies, and fellow company employee’s

Provide QA for orders that were delivered to patients for billing purposes

Inquire about authorizations from insurance companies

Up dated patients accounts

Obtain the necessary documentation to qualify patients for equipment

Responsible for working several different queues to make sure the orders are being processed, delivered, and capable of being billed

Work close with the companies AE’s, RT’s, PE’s, Manager, and Patients

Provide assistance with scheduling CPAP/ Bi Level set up’s, and Oxygen set ups

Provide staffing assistance for patients being set up in their home via RT/Pt

Educated patients on the use of their equipment and the importance of its usage

Staffing Coordinator/Office Assistant

Loyalty Home Care Inc. – Oldsmar, FL 11/2011- 8/2013

Competently and quickly answer phone/triage calls, enter clients into generations, establish schedules and staff new cases.

Take and complete referral forms, interview newly hired personnel, pull background screening through ACHA database, ensure all HR files are complete and in compliance with ACHA, monitor for upcoming certification expirations and notify staff.

Serve as a point of contact for case managers, clients and contractors, while preparing new admittance packages, conducting evaluations and intakes of new clients and handling all payroll and billing.

Educated patients on the importance of following the Care Plans and/or taking medication as directed

Coached the team of CNA’s and Nurses on the importance of collaboration, care plans for patients, and medication.

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