Jessica L. Kaniho

*** ***** ****

Martinez, CA **553

925-***-****

Email: ads53h@r.postjobfree.com

OBJECTIVE To obtain a position that will allow me to use my skills and medical training.

EDUCATION Western Career College, Pleasant Hill, CA May, 2002

Associates of Science Degree, Medical Assistant Certificate

Externship completed at Kaiser Permanente, Martinez, CA

EXPERIENCE

3/2020 – Present John Muir Medical Center Walnut Creek, CA

Case Management Assistant – Inpatient

• Assists case managers and social workers with referrals by compiling and sending referrals for post-acute care services under the direction of the case manager or social worker utilizing the Allscripts referral program.

• Assists case managers with contacting insurance companies for benefits eligibility and authorizations.

• Responsible for management and delivery of the second notification for the Medicare IM.

• Organizes and sends clinical information for all Medicare Discharge Appeals.

• Arranges and makes sure necessary paperwork is completed for DME with appropriate delivery to patients.

• Fax Insurance review s to appropriate providers in a timely manner.

• Maintain appropriate community resources on internal web page.

• Prepare required patient correspondence as requested.

• Arrange conference rooms for patient/family conferences.

• Enter avoidable days into EPIC system.

• Set-up transportation and obtain necessary authorizations.

• Arrange follow -up appointments with County, La Clinica and others as requested.

• Generates daily call list for requested Insurance Reviews.

• Fax Insurance Reviews to insurance companies.

• Notifies case managers, clinical payment specialist, and management of Insurance denials

• Relief of Authorization Specialist.

• Relief of other department office coverage as required.

• Provides training to new department secretarial staff on both campuses

2/2019 – Present New Medical Lafayette, CA

Lead Medical Assistant Front/Back (Family Practice)/Office Manager

Schedule and coordinates resources regarding clinic appointments.

Answering telephone calls, respond to all voicemails and emails.

Triage patients over the phone, discuss treatment and action plans with provider, document every visit and phone call.

Train and assist new employees in facility protocol and job responsibilities, as well as medical assistant skills.

Maintain facility supplies by tracking and ordering through medical suppliers.

Meeting weekly with provider to determine facility needs.

Insurance verification, Pre-Certifications and Prior authorization.

Medical records and referral coordinator.

Insure accuracy of medical codes and charges before summiting to billing department.

Accurately apply payments to patients account.

Demonstrate proficiency in taking patient medical history and vital signs, as well as in performing injections, vaccinations, EKGs, urinalysis, Strep/Hcg/Mono/Influenza testing, Peak flows, Spirometry, nebulizer treatments.

Ensured the cleanliness, sanitation and maintenance of facility, exam rooms and equipment.

9/2017 – 2/2018 Diablo Family Physicians San Ramon, CA

Medical Assistant Front/Back (Family Practice)

Rooming patients and preparing for examinations.

Performing nursing duties such as EMR charting, obtaining vitals signs, glucose check, hemacult, strep/hcg testing, assist physicians with minor procedures and examinations, surgical tray and instrument preparation and sterilization, wound prep, dressing change, ear irrigation.

Greeting and registering patients, entering basic demographic data into computer system.

Answering multiple phone lines.

Discharging patients, collecting payments and conveying discharge instructions to patients.

Process medical claim authorizations with multiple insurance companies.

Scheduling all appointments including outside evaluations.

All aspect of patient administration including referrals and maintaining patients files.

12/2014 – 9/2016 John Muir Medical Center Walnut Creek, CA

Unit Secretary/Medical Assistant (Surgical Services)

Answer, screen calls, and take appropriate action to assure that request from caller are met in a time full and tact full manner.

Manage reception area and greet patients and family as they arrive to unit.

Provide information regarding hospital services and procedures.

Responsible for managing work flow of the unit for productivity and efficiency in a fast pace working environment.

Assist patients and families in filling out forms and applying identification armbands on admitted patients.

Prepare and process all paperwork and computer entry for surgical cases.

Scanning physician’s history and physical clinical notes into computer system.

Maintaining nursing stations and all required task.

Complete inventory and ordering supplies as necessary for unit.

Handling all incoming and outgoing correspondences.

Support and assist medical staff and patient for unit specific procedure.

Assist nurses with obtaining all vital signs on a daily basis.

Performing EKG’s and bladder scans on patients before surgical procedures.

Assist nurses with preparation for surgical procedure.

Rooming patient to the appropriate pre procedure room.

Provide care including undressing and dressing patients.

Ensured the cleanliness, sanitation and maintenance of pre op rooms and equipment.

Transporting patient on wheelchair and gurney

3/2009 – 12/2014 John Muir Medical Group Pleasant Hill, CA

Medical Assistant Front/Back (Family Practice)

Rooming patients and preparing patients for examinations.

Performing nursing duties such as EMR charting, obtaining vital signs, injections, EKG’s, nebulizer treatments, urinalysis, glucose check, hemacults, strep/hcg testing, assist physicians with minor procedures and examinations, surgical tray and instrument preparation and sterilization, wound prep, dressing change, ear irrigations.

Greeting and registering patients, entering basic demographic data into computer system.

Answering multiple phone lines.

Discharging patients, collecting payments and conveying discharge instructions to patients.

Process medical claims authorizations with multiple insurance companies.

Scheduling all appointments including outside evaluations.

All aspect of patient administration including referrals and maintaining patients files

8/2006 – 8/2008 The Doctors Center Medical Group Fair Oaks, CA

Medical Assistant Front/Back (Urgent Care)

Greeting and registering patients, entering basic demographic data into the computer and answering multiple phone lines.

Discharging patients, including collecting payments and discharging patient with home care instructions.

Rooming patients, preparing patient for exams, assisting physicians with minor procedures, obtaining vital signs and basic clinical information.

Performing such nursing duties as injections, venipunctures, EKG’s, heart monitoring, wound preps, dressing, strep testing, HCG testing, developing x-rays.

Surgical tray and instrument preparation and sterilization.

6/2002 – 8/2006 East Bay Medical Oncology/Hematology Concord, CA

Medical Assistant Front/Back

Process medical claims authorizations with multiple insurance companies.

Schedule all appointments including outside evaluations.

All aspect of patient administration including referrals, checking patients in/out of office, maintaining patients files.

Multiple clinical duties including rooming patients, clinical charting, vital signs, venipunctures and injections.

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