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Medical Records Workers Compensation

Location:
McAllen, TX
Salary:
150000.00
Posted:
January 29, 2024

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Resume:

Objective

Seek employment with a company or agency that will put my skills and experience of over 20 years. I have over 10 years in construction and safety. 10 years in the Legal and medical field.

Experience

Juarez Investment & Property Group LLC January 2010-Present

CEO & President

Direct construction crew of over 10 workers. Review plans for residential and commercial buildings. Construction of single-family and multi-family homes. Construction of commercial buildings. Replacing residential and commercial roofs. Renovation and remodeling of residential homes and commercial buildings. Estimating pricing of materials and labor according to plans. Estimation of remodeling & renovation projects. Conduct safety training and meetings. Comply with City ordinance, rules and regulations. Attend daily inspections at job sites. Contract Licensed plumbers and electricians. Meet with suppliers for material handling and receiving.

Rio Valley IMS January 2014-Septembrer 2021

Director of Operations.

Direct and manage all medical staff. Create a Drug & Alcohol random program. Perform drug & alcohol collections according to DOT guidelines. Case managed workers’ compensation and personal injury cases with employers, attorneys and insurance carries. Assist General Medical Providers and Orthopedic Surgeons performing vitals and creating medical charts digitally and performing the subjective, objective and treatment plans. Order medical supplies as needed. Networking and marketing for the clinic. Open clinic after hours and weekends for emergency medical services. Resolve issues with patients, employers and insurance carriers on all complaints. Analyzed daily medical records. Clarified medical terminology with patients, employers and insurance carriers. Coordinate meetings with adjusters and case workers. Manage the workers compensation department.

Rio Health Medical January 2006-January 2014

Director of Operations.

Direct and manage all medical staff. Create a Drug & Alcohol random program. Perform drug & alcohol collections according to DOT guidelines. Case managed workers’ compensation and personal injury cases with employers, attorneys and insurance carries. Assist General Medical Providers and Orthopedic Surgeons performing vitals and creating medical charts digitally and performing the subjective, objective and treatment plans. Order medical supplies as needed. Networking and marketing for the clinic. Open clinic after hours and weekends for emergency medical services. Resolve issues with patients, employers and insurance carriers on all complaints. Analyzed daily medical records. Clarified medical terminology with patients, employers and insurance carriers. Coordinate meetings with adjusters and case workers. Manage the workers compensation department.

Law Office of Richard Pena January 2001-January 2006

Legal Assistant/Assistant Manager

Supervise staff. Interview and Consult with clients. Prepare clients for depositions and recorded statements. Obtain witness statements. Sign contracts. Meet with adjusters and case managers for status on workers comp. cases and to do recorded statements. Prepare and fill out TWCC forms for filing according to time deadlines. Review all TWCC Laws and Rules and Regulations and Texas Department of Insurance Division of Workers Compensation on weekly basis. Maintain cooperative working relations with faculty, staff and clients. Analyze daily medical records and other documents from TWCC and Insurance Carriers. Review and Analyze surveillance videos.

City of McAllen August 1993-January 2001

Safety Officer

Provide administrative support and assistance to the City Attorney and Risk Manager. Conduct research and attained information from other cities and governmental agencies. Establish and maintain effective working relationships with other regional council employees, local and state government officials, public and private organizations. Implement and manage new filing system. Assisted the Risk Manager with safety meetings, Liability and Workers’ Compensation Claims. Understanding stop loss concepts.

Initiated safety within the department. Coordinated meetings. Conducted and managed special projects (i.e., Safety Committee, Fire Extinguisher Classes, Loss Prevention). Assisted with annual budget.

Prepared requisitions and purchase orders. Prepared fiscal reports and presentations on workers’ compensation and liability for the City Commission Committee. Implemented a new system for submitting workers’ compensation and liability forms to third party carriers. Stay current with changes and trends on DWC Laws and Rules and Regulations and OSHA compliance. Verified, processed and submitted payroll.

Maintain confidentiality of personnel records within the city. Ordered and maintained office supplies. Perform other duties as assigned.

Education

SOUTH TEXAS COLLEGE 2002-2004

NETWORKING

TEXAS STATE TECHNICAL COLLEGE 1994-1996

COMPUTER SCIENCE

Skills

Microsoft Word, Microsoft Excel, Power Point, Word Perfect, Lotus 123, Microsoft Windows XP, Microsoft Professional Office Suites, 10 key, Type 60-70 wpm, Communication Skills (able to communicate with staff and general public), Customer Service, Bilingual (speak and write fluent Spanish), Public Relation Skills, Legal Skills, Self Motivated, Punctual. DOT Drug & Alcohol collection certification. Managing skills. Networking and Marketing. Program Management. Operations management. Executive management. Emergency management. Employee training. Orthopedics. Safety training. Leadership development.



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