CF

OBJECTIVE

Seeking a challenging position working in the healthcare setting to achieve a higher level of research and patient care in the health field.

SKILLS

My education and training has brought me to want to pursue a career in the health field. I am proficient in Microsoft Windows and am dedicated to continuing to learn. As a well-organized individual, I have the ability to prioritize my responsibilities. I am a critical thinker with a drive to completion. I am assertive and a quick learner.

CLAIRE FALCONE

HEALTHCARE INDUSTRY

EXPERIENCE

OPERATIONS ANALYST• UNIVERSAL HEALTH SERVICES • JANUARY 2019– PRESENT

Develop, implement and maintain contracts of multiple hospitals in Cerner Invision Contract Management and Cerner Millennium Contract Management Reimbursement Contracts. Assist in the analysis and interpretation of Managed Care Contracts in order to develop information for the Cerner System that appropriately coincides with Universal Health Services billing, coding and collection processes. Update contracts, fee schedules, rate sheets and group codes. Run complex reports in Microsoft Excel including vlookups, pivot tables, etc to identify revenue trends. Work with all Microsoft Office applications, Cerner Millennium and Cerner Invision.

REVENUE ANALYST • MEDRISK INC • JUNE 2017– DECEMBER 2018

Identify trends and opportunities for more efficient workflow and optimal collection rates. Research moderate to high complex billing, claim processing and reimbursement issues. Knowledge and usage of CPT codes, ICD-9 codes, NCCI edits and EOB’s. Work with programs such as Salesforce, MedManager, Medata and Microsoft Office. Training new hires in day to day tasks. Basic SQL knowledge and usage.

ADMINISTRATIVE SERVICES • OCT 2016 – JUNE 2017

Synovos, Inc. -- Provide administrative support for senior level Human Resource Team. Conduct background checks on new employees. Lead and finalize projects using Orange Tree, Luceo, Concur, and MS Applications.

The Hamels Family -- Maintaining household order. Organize and schedule the adolescent’s activities and needs to ensure they are completed in a punctual manner.

PHYSICAL THERAPY AIDE • A.U.M. PHYSICAL THERAPY • MAY 2016– OCT 2016

Assist patients with their exercises. Work with patients and their insurance companies to be sure the right care and coverage is provided. Perform front desk duties while using programs such as MS Applications, Optimus PT, and NaviNet.

INTERN • FRIEDRICH’S ATAXIA RESEARCH ALLIANCE • MAY 2015– AUG 2015

Research the prevalence of Friedrich’s Ataxia in foreign countries and among demographics. Work with Microsoft Excel and Microsoft Word.

EDUCATION

HEALTH SCIENCE • MAY 2016 • JAMES MADISON UNIVERSITY

Related Courses: U.S. Healthcare Systems, Statistics, Medical Terminology, Human Anatomy, Health Research Methods, Cell and Molecular Biology, The Nature of Mathematics, Epidemiology, General Chemistry

VOLUNTEER EXPERIENCE OR LEADERSHIP

Co-Founder of Dukes Against NTDs

Participated on the Intramural Soccer team at James Madison University

Special Olympics of Virginia—trained athletes prior to Olympic meet day, supported athletes and set up activities on day of event

Checked in and informed runners of procedures for race day at the Philadelphia Marathon

Aided and observed patients during sessions, cleaned and organized work areas at Theraplay in West Chester

Organized, documented data, pack/distributed giveaways at various events for The Hamels Foundation

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