Vanessa Pagan

*** ******** ******, ***. * RR, Jersey City, NJ 07306

Cell: 201-***-****

E-mail: ade4qd@r.postjobfree.com

Highly motivated individual seeking a position to use my extensive knowledge and successful experience.

Education:

Anthem Institute Jersey City, NJ: Medical Billing & Coding-Diploma 2009-2010

Academic Excellence Award, Perfect Attendance Award

Hudson County Community College Jersey City, NJ: Associate in Business and Sciences 2007-2009

Phi Alpha Epsilon, Academic Honor Society, Dean’s List, Student Government Association: L.E.G.O leadership award Leadership Program: leadership award

Metropolitan University San Juan, PR: BA Business Administration 1988-1992

Summary of Qualifications

10 + years office experience, excellent phone skills, ability to work independently, great communications skills with different types of

people. Knowledge of: Microsoft Office, Excel, Medical Terminology, Power Point, Outlook, Psychology, and Anatomy, Medical Coding CPT, and ICD-9, Claims Processing, CMS 1500, Medisoft Billing Software, Medical Manager, Medics, Billing Software. Bilingual (English/Spanish)

Experience:

Heart to Heart Home Care

Recruiter/Coordinator 2018 to 2019

Recruitment of new staff (RN’s, LPN’s, CHHA, Direct Support Professionals)

Direct oversight of homecare staff and cases.

Prepared weekly recruitment reports.

Helping field staff and patients regarding scheduling and emergencies.

Maintaining confidentiality regarding all aspects of patients and/or employee information in compliance with HIPPA rules. Maintaining compliance with applicable state and federal regulations, company policies/procedures and accreditation standards.

Ordering office supplies and medical supplies for field staff.

On call duties off regular offices hours.

Lutheran Senior LIFE (PACE), Jersey City, NJ

Homecare Coordinator 2016 to 2017

Direct oversight of the Homecare Department.

Direct oversight of the homecare staffer.

Participated in managements meeting to go over participants care and needs in the PACE program.

Prepared weekly updates regarding newly opened cases and maintain an accurate Active Caseload List. Coordinate with Health Care Specialist to keep all informed of open cases and help guide/coordinate caregiver recruitment to ensure appropriate case coverage.

Helping fielded staff and also patients regarding scheduling and emergencies.

Maintaining confidentiality regarding all aspects of patients and/or employee information in compliance with HIPPA rules. Maintaining compliance with applicable state and federal regulations, company policies/procedures and accreditation standards.

Processing payroll for homecare staff.

Ordering medical supplies for participants of the PACE program.

Visited participant at home to access homecare services with the homecare RN if needed.

On call duties off regular offices hours.

Loving Care Agency, Jersey City, NJ

Staffing Coordinator 2011 to 2016

Assigned and scheduled field staff providing care and services for patients.

Helping fielded staff and also patients regarding scheduling and emergencies.

Providing patients or families with accurate schedules; follow-up regarding coverage, call-offs and cancellation of staff.

Verified patient eligibility in regards to payer requirements; input payer information into billing system; and, monitor and track billing, and completing intake for patient to received services with the agency.

Tracking hours and attendance for all staff.

Reported issues and concerns to clinical manager.

On Call duties off regular offices hours and weekends.

Maintaining confidentiality regarding all aspects of patients and/or employee information in compliance with HIPPA rules. Maintaining compliance with applicable state and federal regulations, company policies/procedures and accreditation standards.

Prepared weekly updates regarding newly opened cases and maintain an accurate Active Caseload List. Coordinate with Health Care Specialist to keep all informed of open cases and help guide/coordinate caregiver recruitment to ensure appropriate case coverage.

Screened, registered new clients for services. Reviewed medical documentation to determine if individual would qualify for the program. Responsible of revising and filing confidential medical records.

Sport Care Institute, Inc. East Hanover, NJ

Account Receivable (Posting) 2010 to 2011

Help with payment questions and problem solving.

Audit payments folders and insurance EOB’s for errors or wrong payments.

Apply deductible, co-insurance, and not allowed/non-covered adjustments.

Adjust account balances to reflect payments made to patient by out of network carriers such as BCBS, OXFORD, and other

commercial carriers. Also adjust patient responsibilities with self-pay accounts when needed.

Enter payment and denial ERAs and fix rejected secondary submissions for Medicare and commercial carriers.

Post A/R’s adjustments made by insurance carriers and recover refunds that was made by error due to crossing in mail or accounts receivable offsets made by insurance carriers.

Columbia University (MSPH/EHS) New York, NY

Technicia/Project Assistant: 2002 to 2007

Laboratory work in connection with sample processing and storage. Data entry (Microsoft Excel, Access) Worked in the Department of Environmental Health Sciences in an asthma research study.

Recruiting volunteers and obtaining consent.

Field work (in New York City and Puerto Rico): collecting dust and air samples and administering questionnaires to participants

Gay Men's Health Crisis (GMHC). New York, NY

Assistant Coordinator - Access and Assessment Services: 1997-2001

Administrative Assistant - Intake Department 1996-1997

Screened, registered new clients and Scheduled interviews for volunteer intake clinicians

Reviewed medical documentation to determined if individual would qualify for the program

Conducted follow-up calls and letters for reminders to patients

Direct oversight of client registration including, internal and external referrals.

Generated and distributed weekly referral reports to the department coordinator

Coordinated in client registration orientation

Scheduled and conducted home visits for assessments, administered questionnaires.

Collected and entered data in a database system such as patient demographics, questionnaires, assessments, medical information, appointments, re-schedules, etc.

Developed Spanish language materials. Coordinated Spanish support group for Latinos living with HIV/AIDS.

Participated in case management meetings with a team of social workers, psychologists, and clinicians.

Responsible of revising and filing confidential medical records.

Special Achievements

2009-2011 America Heart Association CPR & AED for Health Care Professionals Program

2004 Training-Good Clinical Practices, Health Insurance Portability and Accountability Act (HIPPA), Vulnerable Subjects Participating in Research (research involving minors), and Blood-Borne Pathogens Course.

1998 Workshop- Performance Review

1997 Workshop- How to take charge of the front desk

1996 Tuberculosis/HIV/Aids Infection Training for HIV/AIDS professionals.

1996 “Mascaras” Training-Risk Reduction Education

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