Administrative Assistant Manager
Resume:
Franceen M. Reed
Milwaukie, OR 97222
adi4k3@r.postjobfree.com
SKILLS & EDUCATION
Ability to handle high volume of calls
Ability to multi-task
Knowledge of Microsoft Word, Excel, Outlook, Meditech, Facets, Netsmart & Kronos
Excellent communication and organizational skills
Hight energy level and ability to handle high stress situations
Liberty Union High School – Graduated – G.P.A 3.5
Los Medanos Community College – General Office Training Program – Graduated – G.P.A 3.5
EMPLOYMENT:
Moda Health – 12/2019 – present
Portland, Oregon
Medicaid Membership Accounting Specialist
Responsible for timely, accurate data entry and maintenance of Medical and Dental member eligibility, member and billing reconciliation, customer service to assigned groups or accounts, and generation of ID cards for all Moda Health and BHS lines of business including; Individual, Medicare, Medicaid, (CCO and DCO) and Employer Group customers of all sizes (ASO and Fully insured) COBRA and TPA accounts.
Hope Hospice & Palliative Care – 6/2018 – 4/2019
Providence, Rhode Island
Referral Coordinator
Provides timely, responsive customer focused and customer friendly service to all referral sources, patients, families, staff, students, vendors and visitors. Acts as a liaison for customer calls to coordinate visits with the Care Transitions RN, Care Transitions Coordinator and/or Admission RN. First point of contact for incoming patients and family members. Provides patients and/or family members with an overview of hospice philosophy and services available. Schedules visits for all inquiry and referral callers within required timeframe. Dispatch visits to liaisons, representative and admissions nurse. Follow up on pending patients and non-admissions. Communicates prospective patients updates to appropriate referral sources. Basic understanding of medical benefits and services as it applies to hospice services. Escalates more complex cases to Admissions Coordinator. Remain current on the changes to health insurance benefits that patient may be eligible for. Follow policies and procedures for referral call and admissions management. Obtain information and accurately complete all documentation, forms and logs for referral calls and admissions processing. Dispatch information and coordinate visit schedules for visiting pre-admission staff. Communicate with referral source, DME, pharmacy and other vendors to process all certifications, orders and required admission information. Communicate with patient accounts to verify insurance and authorize care.
St. Charles Hospice – 2/2016 – 2/2018
Bend, Oregon
Administrative Assistant to Director/Manager
Initiates maintenance of equipment needed for department. Performs audits, as directed, data collection, and prepares reports. Arranges meeting rooms, sends appointments, and takes minutes of meetings. Assures availability of necessary office supplies and clinical equipment. Demonstrates and awareness of cost containment and economical use of supplies and equipment. Is responsible for all aspects of the rollover and short notice ETO requests. Assists the Director/Manager regarding staffing issues as directed. Assists staff with Kronos/timecard issues and is time-card liaison to central timekeeper. Prioritizes and resolves inquires (phone, email and in person). Provides clerical support and infrastructure for HR related issues and for all aspects of the hiring process, including scheduling or orientation and education. Assists staff with promoting and completion of competencies, CBL’s, classes, entering staff in Net Learning as directed. Provides clerical support to budget preparation, as requested. Accurately maintains updated phone lists, call lists, email list, disaster list, etc. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the health system’s corporate integrity efforts by acting in an ethical and appropriate manner. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
Advantage Dental – 9/2013 – 2/2016
Redmond, Oregon
Administrative Support
Pull and process reports for the Production Department on a routine basis, keeping in compliance with the state and other contracts. Prepare various mailers, and member handbooks for delivery. Scan and enter patient documents into electronic files. Process account information, customer information, and a variety of other documents, resolving inconsistencies and reviewing data for errors. Updating prevention databases and data entry in financial services database. Serves as a backup to customer service to answer patient and provider calls assisting them with questions/concerns, insurance verification, and appointment scheduling ensuring proper documentation of all communication. Make outbound calls for collections and prevention outreach as needed.
PCC/Schlosser – 5/2012 – 9/2013
Redmond, Oregon
Certified Visual Quality Inspector
Visually inspect Titanium parts for external defects. This requires high production, high quality and attention to detail for parts to move on to the final departments for shipping to the customer.
Samaritan Health Services – 2/2007 – 9/2011
Corvallis, Oregon
Information Services – Administrative Assistant
Good Samaritan Regional Medical Center – 5/2005 – 2007
Corvallis, Oregon
Samaritan Health Plan Operations – Member Service Representative
Good Samaritan Regional Medical Center – 5/2003 – 5/2005
Corvallis, Oregon
Department Secretary – Operating Room
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