Human Resources Information Technology
Resume:
Melissa S. Chiquelin
Lakewood, CO 80227
*********@*****.***
To Whom It May Concern:
This letter and attached resume is in response to your advertisement online for a Supervisor Information Technology, Revenue Cycle. You will see that my resume demonstrates a person of unusual dedication, efficiency, and drive. In addition to the qualifications stated in my enclosed resume, I have 18 years’ experience in the medical office field managing staff, Human Resources Management including benefits administration, onboarding and offboarding staff, Billing Manager and contract negotiations. Modernizing Medicine, Medical Manager, Meditech, Athena, Nextgen, Kareo, McKesson Horizon Clinicals, SRS, HealthPort, Intergy, Epic, AS400 and Cerner medical software. My current physician is retiring, closing the clinic, and I am available immediately. I would like to further talk to you about your personal needs and my ability to contribute to your company's goals.
My experience and achievements include:
• Composed, implemented, trained and provided direct oversight of OSHA manuals including SDS, fire safety and CLIA certification
• Reviewed daily temperature and laboratory logs to ensure medications were maintained at the appropriate temperature and equipment is in great working order
• ICD-10 and CPT coding and billing
• Workman's compensation claims
• Audited medical charts and corresponding claims for providers to ensure accuracy
• Cohesively partnered with Medicare, Humana, and Blue Cross Blue Shield for routine chart audits related to intravitreal eye injection charges
• Managed financials via QuickBooks and NetSuite
• Analyzed financial reports and developed an annual operating budget for practices
• Budget forecasting
• Reviewed, negotiated, and executed all Business Associate Agreements and vendor contracts
• Implemented policies and procedures while providing structure and leadership to in person and virtual staff members
• HRIS and payroll processing systems: QuickBooks, Paychex, ADP, Workday, and JustWorks
• Developed, implemented and oversight of new employee onboarding training programs Relias and Traliant and systems using Relias and Traliant
• Recruited, contracted and onboarded staff, physicians and mid-level providers
• Credentialed new physicians and mid-level providers with insurances and maintained accurate, detailed records for tracking including CAQH
• Increased patient flow by applying target marketing principles
• Collaborated with corporate office to obtain new occupational medicine business accounts
• Office Manager while concurrently functioning as a medical assistant, receptionist, and surgery scheduler as needed
• Maintained clinic and surgery schedule templates
• Kept knowledge and skills current through attendance of continuing education programs such as; infection control, HIPAA, OSHA, CPR, attending annual business conferences, and computer- skills training
• Master of Business Administration with a concentration in Healthcare Management earned while carrying a GPA of 3.49 in 2011
• Bachelor of Science Degree in Health and Human Services/Management earned while carrying a GPA of 3.64 in 2009
I am sure that our mutual interests will be served by speaking further, and I am convinced a personal meeting will assure you of my ability, willingness, and manageability. You can reach me at 719-***-**** to arrange an interview. I look forward to meeting with you. Sincerely yours,
Melissa S. Chiquelin
Melissa S. Chiquelin
8293 W Floyd Ave #5102
Lakewood, CO 80227
*********@*****.***
Dynamic Office Manager that has experience with everything from bookkeeping to managing clinic daily operations. I am looking for an opportunity where I can utilize my healthcare background and multitask abilities to benefit an organization.
PROFESSIONAL EXPERIENCE
InSight Retina Consultants, P.C., Practice Manager 06/2017 - present Manage daily operations of four clinics including implement procedures, inventory supplies, and MIPS Negotiate, finalize and execute contracts with new vendors Recruit and interview candidates, train new employees, employee counseling, staff reviews, terminations, and benefits administration
Revenue cycle management including management of two remote billers with bi-weekly virtual meetings, monthly meeting with EMR Account Manager, ICD-10 and CPT coding, run weekly reports on claims status, analyzing insurance payments, denials, peer reviews, send past due accounts to collections Kept abreast of insurance policy changes and lead monthly meetings with assigned insurance provider representatives
Analyzed financial reports and developed an annual operating budget for practices Budget forecasting
Reviewed, negotiated, and executed all Business Associate Agreements and vendor contracts Credential physician with insurances and maintained accurate, detailed records for tracking including CAQH
Payroll/Bookkeeping via Workday and QuickBooks
Maintained clinic and surgery schedule templates
Schedule staff refresher courses/ travel accommodations for physician and staff Oversight of annual regulatory compliance training such as infection control, HIPAA, OSHA, CPR, attending annual business conferences, and computer-skills training Hold monthly staff meetings, attend monthly meetings with physician, lead ophthalmic technician, and marketing liaison
Attend annual business conferences as needed
Obtain pre-certifications
Float as front desk and/or surgery coordinator during absences Schedule patient appointments and procedures
C.U. Anschutz Medical Campus, Clinical Research Budget Specialist 10/2016 - 06/2017
Developed, negotiated, forecasted and finalized industry sponsor’s budgets for clinical research trials conducted by the University of Colorado Cancer Center Served as a finance liaison for finance interactions among the Cancer Clinical Trials Office, University of Colorado Hospital, University Physicians Inc., and the office of Grants and Contracts Analyzed existing policies, non-specific practices, and precedents to optimize budget negotiation strategies
Reviewed sponsor’s clinical trial protocols and drafted a study-specific budget that accounted for all procedural and labor costs
Reviewed contractual documents to ensure final negotiated terms are incorporated Collaborated with Finance Specialists, Regulatory Affairs and Clinical Coordinators to ensure the negotiated budget terms are billed correctly
Ensured accuracy of uploaded budgets into clinical trial management database University Physicians Association, Office Manager 03/2012 - 07/2016 Managed daily operations of clinics
Employee supervision
Implemented and enforced policies and procedures
Reviewed, negotiated, and ex, ecuted all Business Associate Agreements and vendor contracts ADP payroll
Bookkeeping via QuickBooks
Transitioned financial records from QuickBooks to NetSuite Analyzed financial reports and developed an annual operating budget for practices Budget forecasting
Revenue cycle management including ICD-10 and CPT coding, analyzing insurance payments, denials, peer reviews, send past due accounts to collections Managed workman's compensation files: requested authorizations for visits and procedures, appealed denials, scheduled depositions, worked with claims adjusters, case managers, physicians, physical therapists and attorneys to help patients reach MMI Credentialed physicians and mid-level providers with insurances and maintained accurate, detailed records for tracking including CAQH
Interviewed candidates for open positions
Onboarded, trained and benefits administration among new employees Handled employee reviews and terminations
Scheduled meetings for physician, employee training, and patient appointments and procedures Reviewed and implemented marketing strategies
Successfully transitioned from paper to EMR
Maintained clinic and procedure schedule templates Inspected office and medical equipment for proper functioning Maintained inventory of supplies
Obtained precertification
Floated as medical assistant and front desk when prn staff were unavailable Held monthly staff meetings, attended monthly meetings with corporate executives, central billing office and physician
Oversight of annual regulatory compliance training such as infection control, HIPAA, OSHA, CPR, attending annual business conferences, and computer-skills training Quality Health, Office Manager 06/2006 - 03/2012
Managed daily operations of clinic including employee and student externships supervision Implemented and enforced policies and procedures
Credentialed new physicians and mid-level providers with insurances and maintained accurate, detailed records for tracking including CAQH
Analyzed financial reports and developed an annual operating budget for practices Send past due accounts to collections
Budget forecasting Reviewed, negotiated, and executed all Business Associate Agreements and vendor contracts
Interviewed candidates for open positions
Onboarded new employees, training oversight, and benefits administration Scheduled meetings for physicians and training sessions for employees Kept accurate electronic medical records after helping transition from paper to EHR Floated as medical assistant during absences
Oversight of patient check in and check out processes Scheduled patient appointments
Obtained referrals and pre-certifications
Inspected office and medical equipment for proper functioning Inventory medical and office supplies
Oversight of annual regulatory compliance training such as infection control, HIPAA, OSHA, CPR, attending annual business conferences, and computer-skills training EDUCATION
University of Phoenix
Bachelor of Science Degree in Human Services Management 07/2009 Master of Business Administration Degree 09/2011
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