Medical Administrative Assistant
Resume:
Kizzie L. Brown
**** ******* ** ******, ** *****
Cellular 737-***-**** *************@*****.***
Medical Administrative Assistant/Certified Coding Specialist
Registered Dental Assistant/Certified Phlebotomist
Objective
To obtain a fulltime position with your organization that will allow me to provide continuous quality improvement.
Education
2007 Everest Institute Austin, TX
Medical Administrative Assistant/Certified Coding Specialist
2013 Texas Academy of General Dentistry Round Rock, TX
RDA (Registered Dental Assistant)
2014 First Response Medical Training Round Rock, TX
CPT (Certified Phlebotomy Tech)
Skills
Telephone (multi-line) and reception techniques
Correspondence, mail processing
Bookkeeping & collection procedures
Medical terminology
Managing/filing patient records, scanning
Appointment scheduling
Treatment authorization referrals
Disability income and disability benefits
Medical law & ethics
Use of PDR (Physician's Desk Reference)
OSHA standards and Universal precautions
Phlebotomy, Vital signs
Patient billing CMS-1500 form, UB-92 form
Coding: CPT, ICD-9, HCPCS, DRGs
Knowledge of insurance programs: HMOs, PPOs, IPA/IPOs, Workers' Compensation plans, TRICAE, CHAMPVA, Blue Plans, Medicare, Medicaid, Medi-Medi
Medical Manager 9.20, Office 2000: WORD, EXCEL, POWERPOINT, Centricity, E Clinical Works
Dental administrative procedures: appointment scheduling, dental charting, dental insurance billing & coding, dental terminology
Employment History
Title: Medical Claims Processor Position: September 2014-Present
Location: VAFSC Austin, TX 78741 Hours per Week: 40
Supervisor: Laura A. 512-***-****)
Prepare Medical Claims to be processed and payed healthcare claims for veterans on behalf of the VA for services that are completed in the community at other non-VA health facilities.
Process medical and hospital claims at a very accurate and productive level.
Make sure all submitted claims are correct and processed in a timely manner via electronically.
Claims are OCR’d and scanned in, duties include Verifying (entering the claim in the system), Distribution (attaching an Auth to claim), Processing and Payment/Batching (making sure the payment is applied correctly).
Full-time
Title: Treatment Record Specialist Position: June 2014-September 2014
Location: Aetna Healthcare Austin, TX 78759 Hours per Week: 40
Supervisor: Candice Hagan 888-***-****)
Review OTR for accuracy and completeness of data and interact with providers.
Perform search for OTR discrepancies as identified by providers.
Create member authorizations for approved outpatient therapy services.
Verify member eligibility and provider contracting/credentialing status prior to authorizing services.
Coordinate outpatient treatment requests with Care Coordination staff for out-of-network providers.
Coordinate outpatient treatment requests with Medical Management team for medical necessity.
Modify authorizations as needed to ensure transfer into claims payment system.
Identify and refer status discrepancies to Provider Relations for follow-up.
Ensure established processing timeframes are met for each business unit.
Full-time
Title: Patient Care Coordinator Position: December 2014-April 2014
Location: Well Med Pflugerville, TX 78660 Hours per Week: 40
Supervisor: Maggie Collins (512- 421-3750
Responsible for greeting all incoming patients and visitors.
Provide front office duties that include answering the phone, sending/receiving fax mail and scheduling all patient appointments.
Register new patients and updating existing patient demographics.
Full-time
Title: Scheduling/Medical Records Position: April 2013-August 2013
Location: ENT & Allergy Center Austin, TX 78746 Hours per Week: 40
Supervisor: Joan Reese 512-***-****)
Oversaw all phases of release of information to requesting physicians, patients and insurance companies.
Respond to all authorized request for patient retrieving.
Review medical records to ensure that physician’s documentation supports the diagnosis and procedures.
Verified demographic and insurance information.
Screened incoming telephone call, scheduling and rescheduling patient appointments.
Full-time
Title: Front Office/ Medical Records Position: March 2013-April 2013
Location: Seton Children’s ENT Austin, TX 78741 Hours per Week: 40
Supervisor: Karen Harper 512-***-****)
Helped check in/out patients.
Assist with chart pulls for future visits. Scheduling appointments in ECW system.
Obtain referrals and authorizations on patients who need them for office visits.
Full-time
Title: Administrative Support/Medical Records Position: November 2010-Aug2012
Location: Care Cycle Solutions Round Rock, TX 78665 Hours per Week: 40
Supervisor: Glenna Sell 512-***-****)
Provide Support the staff by answering multi-line phone.
Scan 485’s, orders, and therapy POT’s into portal after they have been signed by a nurse.
Audit forms in the portal and Mark to Fax, log in sent dates and include notes to describe actions.
Full-time
Title: Medical Staff Clerk Position: June 2010-June 2010
Location: St David’s Med Center 512-***-****) Austin, TX 78725 Hours per Week: 40
Supervisor: N/A
Supported the reappointment process and assisting with the medical process of Medical Staff.
Generate and collect primary source verifications of professional licensure, certification, and current liability of professional liability.
Perform license and sanction check for daily undefined providers listed on QM00s reports.
Audit databases for missing or incongruent information.
Full-time
Title: Clerical Specialist Position: April 2009-September 2009
Location: Corvel Corporation Austin, TX Hours per Week: 40
Supervisor: Janet Janecek (512- 623-1000)
Assessed clients to determine eligibility for workers comp. Document all records in automated system.
Process changes in client’s status.
Sorting and batching bills to be returned to customers.
Communicate with staff and clients to exchange or verify information to resolve problems or answer questions.
Assist with returning original documents/ incomplete applications to clients.
Full-time
Title: Billing Specialist/Data Entry Position: November 2000- January2009
Location: Clinical Pathology Lab. Austin, TX 78754 Hours per Week: 40
Supervisor: Jennifer Elliott 512-***-****)
Analyze client completed CPL service Requisition forms, determine Medicare and commercial insurance charge category.
Transcribe diagnosis into patient Maintenance on-line database.
Maintained daily report of all completed transactions.
Initiated outbound calls to verify insurance.
Examined documents and completed insurance benefits.
Full-time
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