GRACE A. ARVIN

MDPCP Clinical Assistant Manager

GRACE A. ARVIN

PROFILE

Talented team leader offering years of success in the medical field environment. Strategic

thinker with proficiency. Offers proven ability to build effective teams. Committed to identifying

and leveraging opportunities for growth. Works well under pressure and also with deadlines.

CONTACT

443-***-****

4433443-847-4028-847-4028

EMAIL:

adh2c3@r.postjobfree.com

EDUCATION

College of Notre Dame of Maryland

Baltimore, MD 21210

Major: Nursing / Psychology

Seton Hall University

South Orange, NJ 07079

Major: Psychology

Minor: English

WORK EXPERIENCE

MD PCP CLINICAL ASSISTANT MANAGER (MDPCP CAM)

Clinical Associates P.A. - Towson, MD

04/2019 – Current

Call patients to schedule post hospital appointments, double-checking information and availability.

Contact other medical facilities to confirm medical histories and prevent inaccurate diagnoses.

•Create and maintain accurate and confidential patient files, per HIPAA regulations.

•Assist Practice Manager with Provider Reports.

Manage physician calendar, including scheduling patient appointments and procedures.

•Maintain patient panel listings for the needs of the MDPCP Program, including PCMH Campaign.

•Member of Patient and Family Advisory Council (PFAC)

•Interview patients for history, medication list, as directed by the practitioner.

Work with practice transformation specialist and practice site managers to support the formulation and execution for the CMS program initiatives.

Efficiently coordinate and utilize resources to promote compliance with the company's standards for quality patient care and service.

•Participate in CAM team meetings, Provider Site meetings and Director Site meetings and other meetings, as needed.

•Assures practitioner, 4 from Internal Medicine, 3 from Family Practice and 2 from Cardiology, is informed of all patient related problems and issues, if any.

Manages insurance records, patient charts and company files.

Employee representative for the Benefits Committee

MEDICAL RECEPTIONIST / SURGICAL COORDINATOR - CARDIOLOGY

Clinical Associates P.A. - Towson, MD

03/2018 – 04/2019

Verified benefits, eligibility, precertification, prior authorizations.

Daily contact with insurance companies; commercial and private.

Interact with hospitals, other medical facilities and private doctors' offices, via phone and fax.

•Check in patients via NextGen Medical System.

•Collected co-pays from patients.

•Managing busy multi-line phone system.

Working knowledge of medical terminology and CPT Codes.

Compile physical and digital paperwork to meet business and patient needs, including charts, reports and correspondence.

•Interview patients to collect medical information and insurance details.

•Create and maintain accurate and confidential patient files, per HIPAA regulations.

Supported administrative and healthcare staff with skilled clerical assistance, such as ordering supplies and organizing office inventories.

SURGICAL COORDINATOR – ACUTE SURGICAL CENTER (ASC)

Clinical Associates P.A. - Towson, MD

01/2017 – 03/2018

•Schedule surgical procedures for the Ambulatory Surgical Center (ASC)

•Verify benefit eligibility, precertification, obtain prior authorizations

•Daily contact with insurance companies; commercial and private regarding co-pays and out-of-pocket responsibilities

•Interacting with hospitals, other medical facilities and private doctors’ offices, via phone and fax

•Managing busy multi-line phone system

•Working knowledge of medical terminology and CPT Codes

MEDICAL RECEPTIONIST

Clinical Associates P.A. - Towson, MD

08/2015 – 01/2017

•Greet and checking in patients.

•Maintain patient records and forms, including updating medical and insurance benefits.

•Schedule and verify appointments.

•Place Outbound Appointment Reminder calls to new and existing patients.

•Collect co-pays.

•Interact via phone and fax with hospitals, other medical facilities and private doctors' offices.

•Work with and in several different doctors' offices and their specialties: Cardiology, Dermatology, Family Practice, (2) Internal Medicine offices, Ophthalmology, Surgery and Urology.

•Provide referrals for patients via Referral Department.

•Build and maintain positive relationship with patients, doctors and staff.

•Daily working knowledge of medical terminology and ICD 10 Codes.

•Managing busy multi-line phones; taking messages and contacting patients, per doctors' orders.

•Support the office with clerical tasks including faxing, filing, scanning and other projects, as assigned, and follow through to completion.

ADMINISTRATIVE ASSISTANT

Morgan Stanley – Hunt Valley, MD

01/2008 – 01/2011

•Support manager and her staff in the daily operation of the office.

•Assist in maintaining all correspondence, faxes, scheduled and verified appointments.

•Contribute to the development of office processes and procedures.

•Build positive working relationship with clients.

•Manage a busy multi-line phone system.

•Support the office with clerical tasks.

•Send out mail via regular mail, overnight delivery, etc., as directed.

•Direct customer communication to appropriate department personnel and offer information to resolve inquiries, boosting customer satisfaction.

•Prepare packages for shipment by generating shipment invoices and setting up courier deliveries.

SENIOR ADMINISTRATIVE ASSISTANT

Jecco Mortgage – Towson, MD

01/2007 – 01/2008

•Support manager and his staff in the daily operation of the office.

•Record and maintain all correspondence, confirm and verify appointments.

•Manage a busy multi-line phone system.

•Support the office with clerical tasks including faxing, filing and other projects, as assigned.

•Contribute to the development of office processes and procedures.

•Build positive working relationship with clients.

SUPERVISIOR / SENIOR OUTREACH REPRESENTATIVE

MedStar – Helix Family Choice – White Marsh, MD

06/1999 – 01/2007

•Supervised and maintained the Outreach and Customer Service Departments.

•Program Coordinator for the "Momma & Me" Prenatal and Infants Program

•Established “Momma & Me” Prenatal Program as the number one program in the country for compliancy in 2004.

•“Face of Helix" in their Ad Campaigns in the Baltimore Business Journal for February 2006, April 2006 and May 2006 as a result of having the number one prenatal program.

•Established a Pilot Program at Franklin Square Hospital - Women's Pavilion, followed by implementation of the same program at the Franklin Square Hospital.

•Trained new employees and mentored existing employees on professional development and how to effectively manage their time and responsibilities.

•Wrote the Training Manual for new employees

OUTREACH REPRESENTATIVE

MedStar – Helix Family Choice – White Marsh, MD

01/1999 – 06/1999

•Welcomed 200 - 300 new members via outbound calls as an Outreach Representative/Intake Coordinator to verify their information and discuss their medical benefits.

•Confirmed and verified appointments via computer, as kept, missed or re-scheduled when this information is received from member's Health Risk Assessment and to ascertain any and all special needs or high-risk factors.

SKILLS•

• CPT

• Customer Service

• Faxes

• Filing

• Financial

• ICD 10

• Insurance

• Medical terminology

• Excel

• Microsoft Office

• Outlook

• Word

• Phone system

• Risk Assessment

• Scanning

• Scheduling

• Clinical staff management

• Clinical Documentation

• Managerial experience

• Clinical experience

• MDPCP Program

Contact this candidate