Administrative assistants, Claims processing, Data Entry, EMR systems
Resume:
ELICIA MONTGOMERY
*************@*****.***
LINKEDIN.COM/IN/ELICIA-MONTGOMERY-4028B7232
OBJECTIVE
A highly organized and hard-working individual looking to secure a career opportunity that will maximize my training and skills, while allowing me to make a significant contribution to the success of the company.
SKILLS
Microsoft Office including Excel, PowerPoint and Word
Data Entry
Highly adaptable and efficient
Inquisitive& detail oriented
EXPERIENCE
CLAIMS SPECIALIST
January 2021 – January 2022
Maintained and operated storage and retrieval systems to collect, classify, store and analyzed information
Established and maintained relationship with clients
Established & maintained electronic case files
Transcribed medical reports
Reviewed records for completeness, accuracy and compliance with regulations
Evaluated information for relevance to claims
Compiled medical records for purposes relating to research
Consulted classification manuals to locate information about disease processes
Maintained up-to-date knowledge of entitlement programs and benefits for state and federal assistance programs.
Applied knowledge of coding systems, including ICD-9-CM, CPT
Completed high volumes of work at a rapid pace without sacrificing accuracy
Exhibited strong attention to detail
Prepared applications and forms for applicants for compensation and medical assistance
Verified completeness and accuracy of applications & claim packets for appropriate documentation
Initiated procedures to grant new assistance or modify previously existing assistance to best serve our clients current needs
Made necessary decisions when information was limited or unclear.
Interpreted state and federal policies
Ensured all handling of claims complied with company guidelines, government regulations
Presented cases at claim committee meetings
Processed and prepared business and government forms
Protected the security of medical records to ensure that confidentiality is maintained
Prepare reports to be submitted to company's data processing department.
Converted hard copy records from clients into electronic system in order to simplify and provide access to authorized members.
Collect evidence to support contested claims in court.
AUTHORIZATION SPECIALIST
March 2020 – January 2021
Interviewed individuals and family members
Compiled background information on clients
Performed patient needs assessments
Dealt with issues relating to disabilities, illness
Carried a caseload
Referred individuals to public agencies for assistance
Maintained up-to-date knowledge of entitlement programs and benefits for state and federal assistance programs
Assessed and treated patients from diverse cultures
Entered data
Developed and managed databases
Archived and organized data
Reviewed relevant scientific literature
Demonstrated excellent organizational skills
Demonstrated strong interpersonal skills
Compiled and recorded medical histories
Served as a liaison between doctors and patients
Operated word processing, spreadsheets, Microsoft software
Transcribed letters, lectures, manuals, notes.
Developed innovative new ways to perform routine aspects of job
Coached new hires and other team members on specialized approaches and skills to increase their capabilities and effectiveness
MEMBER BENEFIT ADVOCATE
July 2019 – March 2020
Interviewed patients to verify documents
Determined eligibility of applicants for government assistance
Demonstrated strong interpersonal skills
Compiled and recorded medical histories
Served as a liaison between doctors and patients
Delivered maximal assistance to clients including exploration of new options and solutions when faced with seemingly unsolvable issues
Operated word processing, spreadsheets, Microsoft software
Enrolled applicants in eligible government programs
Answered applicant questions about benefits
Interviewed benefits recipients at specified intervals to verify eligibility for extended benefits
Informed applicants of their legal rights
Prepared applications and forms for applicants for medical services
Kept records of assigned cases
CLINICALLY CERTIFIED MEDICAL ASSISTANT
August 2018 – July 2019
• Operated diagnostic equipment including: EKG, PFT, Glucose Monitor, Centrifuge
• Expert use of EMR systems such as EPIX, Centricity
• Solely responsible for updating and maintaining patient records in EMR for a physician with a patient load of 4000 individuals
Successfully transferred over 4000 medical records from paper files into EMR system to assist in new physicians transfer into private practice
• Interviewed patients to obtain relevant histories and created a visit note for the physician to review
• Assisted physician or other healthcare providers during exams and medical procedures
• Administered medications and interventions as directed by a physician
• Collected and prepared laboratory specimens and prepared them for immediate processing or transport to outside laboratory
• Perform sterile laboratory procedures and processing of biological specimens.
• Provided patient education including explanation of treatments, procedures, medications and side effects
• Prepared medical opinion letters for physician to review and approve.
• Submitted prior authorization approvals and referral for all patients as requested by physician
• Refilled patient prescriptions via electronic submission
• Scheduled patient appointments
• Prepared patients for transport via EMS in emergency situations
SERGEANT, USAR - MEDIC
February 2008 – December 2017
Trained to maintain professionalism and attention to detail in high-stress environments
Experienced in leadership, team-building and decision making
Gained ability to adapt to multiple environments and to overcome personal weaknesses in order to achieve a common goal
Adapted to overcome obstacles by using ordinary objects or ideas in unconventional ways.
Individually responsible for medical readiness, maintenance and education of a company of 500 soldiers and entrusted with administration of medication and lifesaving interventions as necessary
Initiated daily operation of battalion medical clinic as Non-Commissioned Officer In Charge (NCOIC) and oversaw operations with zero incidents
Maintained upkeep and accountability of equipment valued over $200K with zero losses or incidents
Evaluated soldiers’ performances and provided recognition for their strengths as well as guidance and motivation for their personal and professional growth.
Instructed upwards of 3000 soldiers annually on environmental preparedness and combat lifesaver techniques
Awarded AAM, AGCM, NCOPD, ASR, ASU, NDSM, GWOTSM
EDUCATION
BACHELOR OF SCIENCE (BS)/ JANUARY 2017
Grand Valley State University
Minor in Adult Aging. 3.8 GPA
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