Administrative Assistant Data Entry

Monique Bronson

She has * months of Data Abstraction experience

She holds an active Certified Electronics Health Records Specialist certification (CEHRS)

She has experience with medical record review

She has experience with Medical Billing and Coding

She is proficient in data entry and review

She is located in Media, PA

Medical Office Manager (CPPM) Certified Electronics Health Records Specialist (CEHRS), Certified Medical Administrative Assistant (CMAA)

Work Experience

Cardiology Access Scheduling Coordinator

Children's Hospital of Philadelphia

Philadelphia, PA

April 2021 to Present

Coordinates the administrative duties relevant to cardiac surgical operations, including surgery scheduling. It may also include other administrative duties as needed.

Coordinates complex appointment scheduling of various pediatric specialties

Linking Pre visits consults, and ancillary services required for assigned specialty services within the department.

Schedule’s patient appointments when needed, instructions related to surgery, ensuring OR block time is efficiently utilized.

Coordinates combined surgical cases with other physician practices across the organization.

Schedules surgical cases for specialized diagnosis.

Schedules physicians for surgery at outside facilities.

Coordinates all aspects of scheduling, including procedure.

Manages department and Qgenda provider surgical case calendars.

Interview’s patients and families to obtain complete and accurate demographic and financial information.

Ensures that all necessary questionnaires and forms are completed at the time of scheduling, prior to patient surgical procedure.

Enters data into system for registration, billing, patient tracking, and charge capture. Completes case order requests, additional equipment (e.g., laser, implants, etc.).

Handles all surgery scheduling calls.

Coordinates surgeries with radiology.

Obtains medical clearance for surgery (e.g., dental, cardiac, Ortho, ENT).

Obtains surgical consents (DFACS or outside agencies with legal guardianships)

Provides accurate, detailed information to patients regarding test preparations, time of patients' scheduled arrival, and any other directional information needed; takes appropriate action in responding to questions from patients.

ECHO, MRI, Patency Ultrasound CT Surgery - coordinate surgery for adults and schedule post-op visits for adult patients.

Patient Service Representative full time/Urgent Care PRN

Children's Hospital of Philadelphia -

Philadelphia, PA

July 2015 to Present

Support physicians and nurses in maintaining a Patient/Customer Service focus.

Welcome new patients to specialty care center and aids what medical specialty care department they need to visit.

Direct Medical Assistant/Clinical Personnel to Specialty Care patients’ arrival

Maintained day to day batching report of Physician Billing and Hospital Billing

Provided support for Urgent Care Department

Point of Contact when 911/Emergency scenarios require redirection of staff and patients.

Collect scripts, and enters accurate/changed demographic and insurance information

Collect payments associated with services rendered and reconciliation of daily services.

Assisting Patients and their families to rescheduling of appointments and obtaining appropriate insurance referrals and authorizations as needed per insurance guidelines.

Adhering HIPPA guidelines.

Knowledge of EPIC, and Microsoft office, Excel, QGENDA

Patient Service Representative II

Main Line Health – Riddle ED

Media, PA

February 2014 to April 2016

Supported the physicians and nurses in maintaining a patient/customer focus.

Greeted, instructed directed and scheduled patients and visitors, in the Emergency room, outpatient register for labs, radiology, mammograms, Dexa scans, CT scans, ultrasounds, MRI’s, and x-rays.

Collected scripts, and enters accurate/changed demographic and insurance information, collecting payments associated with services rendered and reconciliation of daily services.

Facilitated efficient and timely services to patients and their families such as scheduling appointments, answering phones, and obtaining appropriate insurance referrals and authorizations as needed per insurance guidelines.

Adhered to and following HIPPA guidelines.

Knowledge of Galvan on, Microsoft word, Invision, smart chart, Excel, HDX, Rumba, and clinical.

Worked as Patient Resource Representative at Newton Square, and Broomall Lawrence Park shopping center locations

Assistant Manager

Main Line Health -

Media, PA

July 2013 to April 2016

Created positive relationships with customers and patients restock shelves as items are sold

Opening and closing procedures’ accurately counting register

Assistant General Manager

Wawa Inc -

Media, PA

January 2007 to December 2011

Supervised the day-to-day task assignment for and performance of 5-50 Customer Service Associates and one to five management associates.

Ensured a pleasant shopping experience for all customers, respond to customer complaints or inquiries and solicit customer feedback and input.

Managed all matters relating to associates and the store team. This includes recruiting, hiring, training, coaching, managing performance and administering progressive discipline.

Ensured execution of established safety, security, quality, and store operations policies, procedures and practices.

Analyzed results and trends to prepare action plans, leverage the store's strengths and address areas of opportunity.

Planed and prepared work schedules and coordinate daily assignments and activities of associates.

Ensured profitability. Execute strategy through planning.

Beverage Supervisor/ Manager on Duty

Harrah's Chester Casino and Racetrack -

Chester, PA

June 2006 to January 2007

Managing of personnel in three separate casino restaurants.

Created an atmosphere of enjoyment for patrons and employees.

Provided training of casino restaurant employees in customer service satisfaction.

Excelled in Customer Service Satisfaction on-site surveys

Arbitrator of Employee disputes and problems on casino floor.

Manager on Duty for entire casino Food and Beverage Department.

Maintained a satisfactory rating for Employee Retention.

Demonstrated excellent customer service skills and ability to market for (5) food and beverage outlet during high coin-in times

Scheduled requirements for outlets

Trained of all employees in departmental procedures along with Harrah's organization policy and procedures.

Restaurant Supervisor

Harrah's Chester Casino and Racetrack

Chester, PA

2006 to 2008

Personal responsibilities include creating an atmosphere of enjoyment for patrons and employees.

Demonstrated of excellent customer service skills and ability to market the entire food and beverage outlet

Met all scheduling requirements for outlets

Trained of all fundamental departmental and Harrah's organization policy and procedures.

Created a positive relationship with Back of House operations to ensure foods and beverages meet customers' demands.

Planned and Implemented "Buzz Entertainment" to increase employee morale and productivity

Clinical Quality Analyst

United Healthcare

Remote

2021 to 2022

Communicate/interact with clients and providers (telephone, email, other written correspondence.

Update claims (logs, dates, processes, documentation) in Equine system following company standards within established time standards

experience managing clinical data management Phase I-IV studies. Resourceful, innovative, and respected data manager who continuously evaluates effectiveness of existing practices and seeks opportunities to improve project activities, departmental efficiency, and overall quality of data operations. Effective communicator who anticipates potential roadblocks and proactively seeks appropriate solutions.

manually review and transfer patient data medications and immunizations between IT systems, ensuring information is accurate to support clinicians and patient safety.

to create and implement strategies, work plans, policies and procedures and documents to maintain compliance with state and federal regulatory requirements including the Centers for Medicare & Medicaid Services, state Medicaid and NCQA accreditation standards

Ability to use applied analytics to forecast and trend retrospective and prospective HEDIS data

implement Quality Improvement HEDIS projects and initiatives

abstracted QVSD system Primary Source Verification Audit-PSV

HEDIS collections.

CCD, HCA claims research, OGS, CDSM Lab, Lab Portal extraction, HCA, Registry(immunization), CBP(Controlling Blood pressure), CCS (Cervical screening), CDC(Comprehensive diabetes care), CIS(childhood Immunizations), COA(care of older adults), COL(colorectal cancer screening), IMA( Immunizations for adolescents), LSC(Lead Screening in children), PPC(Prenatal and postpartum care), TRC(Transition of care), WCC(weight assessment and counseling for nutrition and Physical activity for children and adolescents). CPT Level 1 and HCPCS Level II Modifiers. ICD-9, ICD-10, CPT, HCPCS info.

collections are sent to NCQA (National Comm for Quality Assurance)

Conduct and manage outcomes of various studies that may include analyzing, reviewing, forecasting, trending, and presenting information for quality planning and management needs

Provide analytical support and expertise when compiling and reporting information

Develop and present recommendations and alternatives for management

Assume responsibility for data integrity among various internal groups and/or between internal and external stakeholders

Lead and/or mentor associates

Report and analyze member care quality for the development of plans and programs to support continuous quality improvement using HEDIS and other tools

interpret data, find solutions to organizational issues, and help implement those solutions as needed

assess the data and ensure that appropriate staff receive reports containing relevant information once they've checked to make sure it's accurate. They implement plans to reach specific targets, which could be related to things like the success of specific procedures or services.

Perform internal, external (vendor or regulatory), and clinical investigator site audits for supporting Clinical Operations services

Perform internal, external (vendor or regulatory), and clinical investigator site audits for supporting Clinical Operations services

Perform QA/QC reviews where applicable per site audit or project plan

Manage and be accountable for professional employees and/or supervisors

Coordinate and supervise daily/weekly/monthly activities of team members

Set priorities for the team to ensure task completion and performance goals are met

Coordinate work activities with other supervisors, managers, departments, etc.

Identify and resolve operational problems using defined processes, expertise and judgment

Provide coaching, feedback and annual performance reviews as well as formal corrective action

Ability to work in aggressive timelines with end-to-end coordination with multiple groups (Dev, QA, UAT, other teams)

Experience working with ALM/Jira, SQL/DB queries, basic Linux commands

evaluates the quality and completeness of clinical documentation processes by performing quality medical record reviews, assisting in the improvement of the clinical documentation process, identifying trends, maintaining accurate records of review activities, ensures all data submitted to the health plan meets the HEDIS / Star technical specifications for medical records.

Education

Medical Office Management Certification in Medical Physician Practice Office Management

Bloomsburg University of Pennsylvania -

Bloomsburg, PA

December 2018 to December 2019

Master’s in early childhood education

Columbus University

2007

Bachelor’s in early childhood education

Columbus University

2006

Advanced Certificate in Early Childhood Ed Director Credential

Delaware County Community College -

Media, PA

2006

Associates in Early Childhood Education

Delaware County Community College

2003

Contact this candidate