Medical Assistant Customer Service

Lydia B. Pineda

*** * ******* **. *******, AZ, **041

Contact number: 602-***-****

Email: *****.******@*******.***

Education:

South Mountain Community College- 2 years

Apollo College- Medical Assistant Diploma – 1 year

Professional Skills: Bilingual (English and Spanish), City of Phoenix eChris Database, PeopleSoft, Health and Safety Program, CCSMI Insurance, ICE Program, Concentra AllScript, OccuSource, Microsoft Suite, Strong organizational and project management skills

Employer:

HR Aide City of Phoenix January 2019-Present

Retrieve, review, input and track all 101 Industrial Report of Injury packets and 102 forms sent by City departments and Concentra

Notify the Industrial Commission of Arizona of all applicable industrial injuries.

Manage and file exposure/first aid injury documentation.

Researches requests and complaints and responds accordingly

Input and/or modify off-of-work days for industrial injuries.

Process Industrial Payroll (LI) (ILPA)

Verification of Authorization in CCSMI system.

Obtain authorization for industrial time through the adjustor assigned to the injury.

Receive/Input PK-Modify Schedule Industrial Leave Pay Authorization time and appointments approved by adjustor.

Responsible for Scanning/Filing all Industrial Leave Pay Authorization in the City’s internal drive as a permanent record.

Email/mail-out Supplemental Benefit Letter to all injuries that will exceed 2080/2912 industrial benefit hours provided for each industrial injury.

Receive/Review/Process a Cash Receipt for Restitution/Subrogation/Medical Refund Checks sent by CCMSI (Worker Compensation Insurance).

Responsible for inputting the WC Industrial notice communication received from CCSMI in eChris as a code stating current claim status, and notifying each payroll clerk within the employee’s department.

Follows up on Special Projects and assignments to ensure progress and completion

Collects and compiles data as needed

Answers and directs calls on the safety and workers comp mailbox

Screens City of Phoenix employees and pedestrians for entrance into secured building

Answers and processes biohazard calls

Translates for outside vendors as needed

Experience working with sworn Police and Fire employees

Experience working in Peoplesoft

City Of Phoenix Liaison Concentra February 2009-January 2019

Responsible for sending medical notes to the City of Phoenix workers’ compensation coordinator for review and confirmation of the first aid/exposure injury.

Responsible for filing the Industrial 102 at Concentra, once a first aid/exposure is confirmed by the workers’ compensation coordinator.

Emailed establishment of a first aid/exposure injury and sent notification to the City of Phoenix workers’ compensation/Concentra’s Billing Director for transfer of billing to the City of Phoenix.

Intermediated between the City's Worker’s Compensation Coordinator and Concentra's medical providers.

Obtained authorization if needed for medical care on a case-by-case basis for provider services.

Maintained the injury protocols for all the City of Phoenix-Departments, instructing staff/doctors on where to send the original workers’ compensation form, providing current City of Phoenix TPA for prescriptions/physical therapy.

Provided the WC Adjuster with all new City of Phoenix reports, which include dictation, activity status, and referrals.

Intermediated between the City's Claims Adjusters and Concentra's medical providers

Worked daily with the City of Phoenix’s Third-Party Administrator (TPA) to coordinate medical care, physical therapy, and specialty services.

Processed all non-injury and Injury City of Phoenix medical requests.

Trained Concentra employees from various locations on all City of Phoenix protocols and standards

Create spreadsheet

Run reports and analyze the data

Front/Back Office Specialist Concentra January 2008-February 2009

Provided excellent customer service to our key accounts

Worked directly with City of Phoenix, Southwest Airlines, and Maricopa County to ensure their company paperwork is completed accurately and timely to meet contractual obligations.

Designated to handle inbound and outbound calls that pertained to City of Phoenix.

Managed/updated protocols for the City of Phoenix, Southwest Airlines, and Maricopa County.

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