Medical Assistant Data Entry

MELISSA MARQUEZ-AUSTIN

FAIRFIELD, CA ************@*****.*** 707-***-****

OBJECTIVE

To obtain a medical operations position in a progressive health care organization that will offer a challenging work environment and the opportunity for personal and professional growth. EMPLOYMENT HISTORY

Kaiser Permanente January 2016 - present

• Business Representative/Patient Financial Advisor

• Medical Assistant

• Imaging Tech Aid

Verify Insurance using E.I.V, Medi-Cal website, Partnership HealthPlan Website, and Passport One Source. Adding coverage to member's account. Submit referrals to DHR for possible Medi-Cal linkage. Interview patients for Presumptive/Emergency Medi-Cal, Process applications for Medical Financial Assistance. Collect payment from patients for outstanding bills. Answer billing questions and reprint Co- Pay receipts if requested. Interview patients or his/her representatives upon arrival to the hospital or medical office to secure accurate demographic and insurance information. Record information in patient’s medical record. Prepares treatment rooms and patients for examination. Assists clinician with care of the patient. Orders and replenishes medical supplies and materials. Gives treatments and performs routine laboratory tests as required by department. Schedule appointments performs clinical tasks and completes appropriate forms as required by department. Administering injections. Responsible for cleaning, processing, sterilizing and checking instruments. Performs computer data entry functions. Customer Service skills to resolve customer/patient issues effectively, efficiently and with courtesy. Anticipates the patient's needs, takes proactive steps to meet those needs by listening and taking responsibility within scope to ensure issues are resolved. Promptly responds to alarms and patient requests. Facilitates the patient's ability to utilize resources. Assures a clean, orderly, and functional work environment. team member who believes in teamwork and who is flexible, cooperative, and willing to assist others. Partnership Health Plan of California February 2010 – December 2015

• Healthcare Guide

• Certified Pharmacy Technician

• Data Entry Clerk

• Mail Clerk

Assesses member’s health risk status using the approved Health Risk Assessment (HRA) tool. Implements actions necessary to address identified needs of members in consultation with the Case Management team. Interviews members and/or their providers to identify those who require assistance and/or health plan intervention into any of the Care Coordination programs. Review drug Treatment Authorization Requests (TARs)/Coverage Determination Form (CDF) Review according to PHC’s Prior Authorization Guidelines, enter necessary TAR data into a database and processing platform, communicate with providers (pharmacy and prescribers), Pharmacy Benefit Manager (PBM) and other PHC departments regarding the drug formulary, billing procedures, Coordination of Benefits and general pharmacy issues. Data entry, 10-key proficient, able to type 55 wpm, Medical Terminology, ICD-9 and CPT coding.

Klebanoff, O’Melveny, Drinkard, and Bodor MD’s, Inc January 2009 – October 2009 Medical Assistant

Data entry, 10-key proficient, able to type 55 wpm, Medical Terminology, ICD-9 and CPT coding, ability to interview patients or his/her representatives upon arrival to the hospital or medical office to secure accurate demographic and insurance information, authorizations and referrals, records keeping, possess customer service skills to resolve customer issues effectively, efficiently and with courtesy. Kaiser Permanente June 2005 - June 2007

Admissions Representative

Data entry, 10-key proficient, able to type 55 wpm, Medical Terminology, ICD-9 and CPT coding, ability to interview patients or his/her representatives upon arrival to the hospital or medical office to secure accurate demographic and insurance information, authorizations and referrals, records keeping, able to manage a multi-line phone system, able to work in a fast paced environment, possess customer service skills to resolve customer issues effectively, efficiently and with courtesy Klebanoff, O’Melveny, and Drinkard, MD’s, Inc. May 1998 - June 2005 Lead Medical Assistant

Data entry, 10-key proficient, able to type 45 wpm, Medical Terminology, ICD-9 and CPT coding, ability to interview patients or his/her representatives upon arrival to the hospital or medical office to secure accurate demographic and insurance information, authorizations and referrals, records keeping, able to manage a multi-line phone system, able to work in a fast paced environment, possess customer service skills to resolve customer issues effectively, efficiently and with courtesy, possess strong interpersonal skills, possess strong organizational skills and have the ability to handle multiple tasks, fast learner and able to adjust to changing priorities, possess strong analytical skills, ability to work independently and on teams

EDUCATION AND TRAINING

CalRegional Phlebotomy Program – Certification August 2023 Eastern Gateway Community College – Associates of Arts (expected 2024) Bryman College – Diploma in Medical Assisting May 1998 Vallejo Senior High School – Diploma in General Education June 1997 CERTIFICATION

• AHA BLS expires 2025

• AMCA National Phlebotomy Technician Certification expires 2025

• State of California Certified Phlebotomy Technician I LIC# CPT-02358351

Exp 12/18/2025

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