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Customer Service Medical Assistant

Location:
Carlsbad, CA
Posted:
February 11, 2024

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Resume:

AMY

GILLIAM

ad3jrh@r.postjobfree.com

760-***-****

Carlsbad, Ca 92008

SKILLS

• customer service skills

• Multiple Phone lines

• Detailed Oriented

• Dependability

• Organization

• Team Player

• EHR experience

• Assisting with Physical Exams

• Equipment and Instrument

Sterilization

• Prior authorization experience

• Scheduling experience

EDUCATION

UEI

San Marcos • 12/2019

Medical Assistant Certificate: Medical

Assisting

Pasadena City College

Pasadena, CA • 11/2007

Associate of Science: Health Sciences

South Pasadena Senior High School

South Pasadena, CA • 06/1995

GED

PROFESSIONAL SUMMARY

Conscientious Healthcare professional offering over 10 years of experience in fast-paced settings. Competent in organizing charts, preparing patient rooms and supporting diagnostic processes through laboratory testing and medication administration. Positive and upbeat with excellent communication skills. Looking for a position where I can be an integral part of the team.

WORK HISTORY

North County Gastroenterology - Medical Assistant

Oceanside, CA • 10/2021 - Current

• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.

• Documented vital signs and health history for patients in clinic and hospital environments.

• Called and faxed pharmacies to submit prescriptions and refills along with prior authorizations.

• Answered telephone calls to offer office information, answer questions, and direct calls to staff.

• Explained procedures to patients to reduce anxieties and increase patient cooperation.

• Obtained client medical history, medication information, symptoms, and allergies.

• Sanitized, restocked, and organized exam rooms and medical equipment.

Synovation Medical Group - Medical Assistant

Carlsbad, CA • 01/2020 - 10/2021

• Explained procedures to patients to reduce anxieties and increase patient cooperation.

• Obtained client medical history, medication information, symptoms, and allergies.

• Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment and apparatus.

• Prepared lab specimens for diagnostic evaluation.

• Performed medical records management, including filing, organizing and scanning documents.

• Assisted with routine checks and diagnostic testing by collecting and processing specimens.

• Collected and documented patient medical information such as blood pressure and weight.

• Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.

• Answered telephone calls to offer office information, answer questions, and direct calls to staff.

• Verified patient insurance coverage and collected required co- payments.

• Documented vital signs and health history for patients in clinic and hospital environments.

• Directed patients to exam rooms, fielded questions, and prepared for physician examinations.

• Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.

• Sanitized, restocked, and organized exam rooms and medical equipment.

American Claims Management - Claims Assistant

Carlsbad, CA • 09/2015 - 01/2019

• Maintained accurate and up-to-date records of claim information for future reference.

• Transmitted case files between offices.

• Followed up with customers on unresolved issues.

• Logged, allocated and managed claims.

• Developed in-depth understanding of insurance policies and procedures to give accurate recommendations to suit clients' needs.

Walmart - Deli Clerk/Cashier

Vista, CA • 11/2013 - 09/2015

• Tallied cash drawer at beginning and end of each work shift.

• Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.

• Restocked and organized merchandise in front lanes.

• Set up new sales displays each week with fresh merchandise.

• Greeted customers entering store and responded promptly to customer needs.

American Imaging Management - Referral Specialist

Glendale, CA • 09/2008 - 11/2013

• Verified insurance benefits and eligibility for [Type] procedures before referring clients.

• Assisted with completion of referral forms and verified data accuracy and completion

• Processed referral requests from patients, doctors and other health care professionals.

• Tracked referral submission during facilitation of prior authorization issuance.

• Verified eligibility and compliance with authorization requirements for service providers.

• Reviewed appeals for prior authorization requests and communicated with payers to resolve issues.

• Reached out to insurance carriers to obtain prior authorization for testing and procedures.

• Analyzed medical records and other documents to determine approval of requests for authorization.

• Researched denied claims and contacted insurance companies to resolve these issues.

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