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Office Medical

Location:
Stockton, CA
Posted:
July 27, 2020

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Resume:

Estella Huerta

*** * **** **

Stockton, CA *****

adewak@r.postjobfree.com

209-***-****

OBJECTIVE

Offering professional administrative skills with great enthusiasm in an efficient skill set to benefit Medical and /or Corporate/Business office (s).

PROFILE

Bilingual: English / Spanish

Knowledge of Microsoft Office 2003, Office 2007 and Office 2010, Microsoft Windows XP, Microsoft Windows Vista, AS400/ACS, Stolis, Medi-tech, PACS, Alegra systems, DRE, QNXT, SalesForce and ATHENA.

Customer Service

Ten Key by touch

Type 60 wpm

Self-starter and a great team player

Dates: October 2018 to Present

Company Name: Stockton PACE

Primary Responsibilities: As a Benefits Coordinator; assisting prospective and enrolled participants in applying for benefits and resolving any eligibility issues with SSI, Medi-Cal (monitoring participants benefit status for application denials, eligibility discontinuances and annual redetermination dates) and Medicare (Managing Part A and Part B applications during annual Medicare general enrollment period enabling collection of addition capitation) developed positive relationships with Medi-Cal, SSA and DHCS staff work proactively and collaboratively to resolve any eligibility challenges, understanding of AEVS, collaborate with Finance Team to track revenue collection and projections to retroactive payments, developed positive rapport with participants and families, cross-trained on other Marketing Team roles and provide coverage as directed, submit enrollments to DHCS as participants are enrolled, run month end reports for our Partners and Finance, monitoring of Daily 834 Report from DHCS.

WORK EXPERIENCE

Dates: September 2014 to June 2018

Company Name: Health Plan San Joaquin

Primary Responsibilities: Administrative Support for Inpatient Concurrent Review Nurses consisting of calling Hospitals for clinical reviews and/or discharge summary reports which consists of daily collaboration with Out of Area Acute Care Facilities for up to date census, processing of Large Loss Alerts, daily OB reviews, processing of all disenrollments for HPSJ which consists of gathering all pertinent information and determining whether member should be disenrolled either from LTC, OOA, etc., evaluated case by case, other duties as required.

Dates: August 2011 to January 2012

Company Name: Community Hospital of San Bernardino

Primary Responsibilities: Supervised by the Clerical, Director of Medical Imaging and PACS Administrator, perform clerical, reception and communication tasks designed to facilitate efficient retrieval, storage and communication of patient medical information and diagnostic procedures. Oversee the diagnostic workflow to facilitate patient procedures. In addition, acts as a liaison for medical and nursing staff. Assist with data input into the radiology information system. Perform clerical duties, including typing, ten-key, sorting and retrieving reports and patient films, creating computerized discs of patient images for other facilities.

Dates: March 2011 to August 2011

Company Name: CHW Patient Accounting

Primary Responsibilities: Answering high volume incoming calls, taking care of any and all customer billing issues. Verifying and billing all insurances. Manages accounts such as; collecting, posting payments to cash ledger, and accounts. Possess problem solving and coordination of skills in fast paced environment.

Dates: April 2007 to March 2011

Company Name: CHW Immediate Care/Occupational Health Clinics

Primary Responsibilities: Greeting and Screening of patients to make sure appropriate forms are given and filled out accordingly before chart is given to back office. Registering and scheduling of patients in Alegra and Stolis. Collecting of payments on services rendered. Reading of TB results on patients. Assisting resource center department as needed. Translating for medical staff as needed. Ensure that all functions related to patient registration are completed in an efficient timely manner and all necessary information is obtained. Provide information and answer questions about CHW Payment Assistance Program. Perform specific clerical and secretarial duties and assist in pharmacy discrepancy phone calls. ICD9 coding, cashing out and running end of day reports.

Dates: November 2004 – June 2005

Company Name: Dr. Odaiyar

Primary Responsibilities: Greeting and daily contact with patients, verifying of dental insurance prior to appointments, scheduling of patients for Doctor and Hygienist, A/R, collecting co-payments from patients, liaison for financial/treatment coordinator, collections, billing, daily deposit, cashing out and running end of day reports.

Dates: April 2000 – June 2001

Company Name: Guess? Incorporated

Primary Responsibilities: Reviewing and analyzing of newly developed product with sales for upcoming season, analyzing and adjusting buys with sales during market to ensure wholesale, retail and export bookings are 100% covered, weekly analysis of excess inventory reports with Vice President of Sales to determine whether finished goods should be offered for factory or off-price stores, passing buys and size breaks to production on a timely basis, weekly monitoring of clean up, extension and percentage covered reports of all current open orders, weekly monitoring of work in process to ensure product is coming in on a timely basis.

Dates: September 1988 – April 2000

Company Name: Authentic Fitness Corp

Primary Responsibilities: Under direct supervision of Director of Production, managed domestic and Mexico production, weekly planning and releasing for cutting/sewing contractors, maintained work in process reports, worked directly with customer service allocators and design merchandisers, AS400/ACS knowledge, tracking garment send outs, supervised production planners.

Certification:

International Business College

References:

Available upon request



Contact this candidate