Medical Administration

Kenzi Simms *************@*******.***

*** ***** ****, ***** ****, GA 30180 Home: 202-***-****

OBJECTIVE

To obtain a position that will fully utilize my professional qualifications and offer an opportunity for continued professional growth.

PROFESSIONAL QUALIFICATIONS

Highly organized candidate, with experience in office administration.

Reputation for maintaining and processing records, files and legal documents, in an efficient and precise manner.

Detail-oriented with a demonstrated commitment to excellence.

Ethics oriented working style: known for exercising discretion and maintaining confidentiality.

Proven ability to thrive in a fast paced environment, through advanced multi-tasking skills.

Excellent interpersonal skills, office etiquette and phone manners.

Meets project goals and deadlines.

EXPERIENCE

Wellstar Douglas, Douglasville GA 10-2020 to present Patient Access Specialist

Arrived and Registered patients arriving by Ambulance and walk-ins.

Obtained complete and accurate demographics, financial and insurance information required for billing.

Obtained all necessary customer consent/attestations.

Coordinated the collections of all estimated patient liabilities, including co-payments and unmet deductibles.

Verified insurance benefits and coverage.

Analyzed and rectified customer concerns using established procedures.

Utilized ED computers and wow's to access and/or update customer records, verification and post transactions.

Followed established procedures for processing receipts, cash and etc.

Established financial agreements to reduce financial risk, helping to ensure that WellStar is reimbursed for its services.

Dept. of Public Health, Newnan GA 05-2020 to 09-2020

(Health Advocates)

Covid-19 Administrator

Registered seniors for Testing.

Comply with laws and regulations regarding confidentiality and privacy of information collected.

Responsible for set and break down of clinical mobile site.

Adhere to strict PPE requirements for medical providers and staff, performing live testing.

Performed all site tasks as a backup in case of absence or high demand.

Monitor supply inventory and ordered all supplies for testing site.

Ensure that all safety precautions, HIPAA requirements and data entry are accurate and acknowledge during the collection process, using Microsoft Dynamics.

Address customer complaint and services issues.

Tanner, Villa Rica GA 09-2019 to 04-2020

Patient Access (Registration)

Registered patients for the Emergency Room, Outpatient Radiology Lab, Inpatient, direct admissions and Observations stays.

Completed registration quickly and cordially for all new patients.

Promptly and compassionately greeted and assisted all patients in a timely manner.

Verified patients' insurance eligibility and collected patient responsibility payments.

Obtained complete and accurate demographic and financial information.

Assisted with scheduling and bed management.

Maintained 99% accuracy rating.

Ensured HIPAA compliance.

Johns Hopkins Health Care, Glen Burnie MD 01-2017 to 03-2020 Medical Management Assistant/UM Consultant

Work independently at home with minimal supervision.

Provide consultation and assistance to other JHHC Depts. in resolving pending claims accurately.

Make decisions regarding work processes based on the established guidelines.

Adequately cross-cover for other MMA’s and Intake Coordinators as the needs arise to ensure smooth workflow.

Compile, analyze and organize information from multiply sources to carry out assignments in a timely and high quality way.

Enter authorizations in MC400, CMS, MSR, Aerial and Healthsuite, across all lines of business, benefit levels and authorization classes.

Accept, process and meets standard turnaround time for daily denial letters received from Med Review UR RN.

Manage all John Hopkins Facilities precertification authorizations using Epic.

Conduct special projects with IT and Software Consultants, as assigned by Manager. Arundel Medical Group, Glen Burnie MD 11-2015 to 12-2016 Medical Receptionist & Medical Assistant

Prepares patients for examination by performing preliminary physical tests; taking blood pressure, weight, and temperature; reporting patient history summary.

Cleaned and sterilized instruments and disposed of contaminated supplies.

Performed injections, blood draws and urinalysis.

Kept facility stocked with necessary supplies, equipment and instruments.

Registered patients.

Filed, pulled and prep charts daily for the nursing team.

Prepared new patient packets.

Scheduled and confirmed patient appointments.

Conducted prior authorizations for medical services and equipment. Retina Group of Washington, Chevy Chase MD 01-2013 to 10-2015 Check-out Receptionist

Completed registration quickly and cordially for all new patients.

Scheduled patient follow-up and surgery appointments.

Acquired insurance coverage and authorizations for procedures and tests ordered by the attending physician.

Served as a liaison between patients and physicians to assist patients in understanding their treatment plans.

Collected deposits and co-payments.

Answered and directed calls to the appropriate destinations.

Scanned and filed medical records and faxes.

Veterinary Medical College Application Services, Wash., DC 09-2005 to 12-2012 Supervisor for Operations

Supervised and trained an eight member team.

Processed and filed veterinary applications and evaluations weekly.

Received and screened a high volume of internal and external communications, including email and mail.

Collected processing fees.

Organized files, developed spreadsheets, faxed reports and scanned documents.

Provided informational updates to the public and constituents via the AAVMC website and facsimiles.

EDUCATION

University of the District of Columbia Community College, Washington DC Liberal Studies Associate Degree (Science); 2011-2013 Sanz (Medtech) – Washington, DC

Medical Assistant Certification; 2004-2005

Phelps Career Senior High School, Washington DC

High School Diploma; 2000-2002

COMPUTER SOFTWARE AND APPLICATIONS

Epic MSR Healthsuite Aerial CMS

DocGem MC400 EVS Zoc Doc Outlook

EMR Athena Microsoft Word Microsoft Excel Meditech Medhost Microsoft Dynamics

References Furnished Upon Request

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