Healthcare Management

TRINA MURPHY

*** ****** ****** ***. **** Henderson, NV 89015 702 - 902 - 3182 *****.********@*****.***

PROFESSIONAL PROFILE

Customer service oriented professional with 14+ years of combined medical administrative support and healthcare industry experience. Accustomed to working in environments where accuracy and accountability are essential. Consistently model and inspire high levels of integrity. Follows policies, procedures and guidelines to assure consistent quality.

oStrong verbal, written and interpersonal communication skills.

oWell-organized, manages time and priorities in multi-task environments.

oGreenway EHR MediSoft EMR.

oMicrosoft Office Applications / MS Excel; MS Word; MS PowerPoint Typing Speed: 35 WPM.

Certified Billing and Coding Specialist License: G2B8Z7W8

Certified Medical Administrative Assistant License: P5K6A8C9

Certified Electronic Health Record Specialist License: K6Q5C4F3

KEY QUALIFICATIONS

Charting Filing Processing Co-Payments Appointment Scheduling Medical Terminology

CMS1450 UB04 CMS1500 Healthcare Claim Cycle Insurance Verification HIPAA Compliance

Insurance Billing Procedures Medical Office Procedures

Accounting Payroll Banking Systems Healthcare Law Anatomy & Physiology

Human Resource Management Organizational Improvements Practice Structure Leadership & Management

Interpersonal Professional Communications Business Office Operations Medical Practice Management Systems

PROFESSIONAL EXPERIENCE

Molina Healthcare – Henderson, NV 11/2021 – Present

Customer Experience Representative 1

oProvide excellent Customer services skills within HIPPA guidelines

oComputer data entry Intake for ID cards

oPreformed changes for primary care physicians’

oOrdering PHI forms for patients

oAssist with navigation with the Molina app

oHelp with eligibility for prior authorization, Grievance and appeals

oAssist with the MCO changes

oHelp with prescription override, Pharmacy claims and Medical claims

oCall providers for eligibility for approval of Medicaid and Molina healthcare

oWork in Micro-office, Genesis, Sales force, PEGA, QNXT, CRM, Veriant, Cronos, Microsoft team, Video conferencing, Availity, and CVScare mark

oFast workspace with Inbound and outbound calling

Consumer Attorney Marketing Group – Henderson, NV 05/2020 – 08/2020

Administrative Representative

oInterfaced with customer via inbound and outbound phone calls.

oHandled intake for law firms and provided outstanding customer service.

oEntered data, handled authorizations, and acted with discretion when handling confidential information.

Precision Opinion – Las Vegas, NV 02/2019 – 04/2020

Research Associate

oSupported, planned, and coordinated operations for single and multiple surveys.

oCollaborated with researchers in the planning, implementation, and evaluation of surveys.

oConsulted with clients to identify survey needs and specific requirements, such as special samples.

oConducted surveys and collected data, using methods such as interviews, questionnaires, and public opinion polls.

oDirected and reviewed the survey and interviews according to survey data – sent to CDC, NORC, NIS in Chicago.

US Health Insurance – Henderson, NV 08/2018 – 02/2019

Call Center Agent

oConferred with customers by telephone about health insurance.

oChecked to ensure that appropriate changes were made to resolve customers' problems.

oVerified Insurance claims, benefits and answered questions pertaining to benefits.

oResolved customers' service and billing complaints, prepared change of address, or assisted with online log in issues.

Pacifica Senior Living – Las Vegas, NV 05/2016 – 12/2016

Medical Assistant

oPerformed administrative and certain clinical duties under the direction of a physician.

oScheduled appointments, maintained medical records, and took and recorded vital signs and medical histories.

oProcessed billing and coding information for insurance purposes and used Medisoft Software.

oPrepared patients for examination, or drew blood, and administered medications as directed by physician.

oCompleted payment updates and changed demographic information in patient records.

C3 Customer Contact Channels – Las Vegas, NV 09/2014 – 05/2015

Customer Service Representative

oPlaced inbound and outbound calls – dispositioning notes after every call, and transferring calls as needed.

oProcessed pharmacy, billing, and medical eligibility.

oProvided customer service for Humana Associate.

oVerified Medical Claims (Codes, Charges and other information on the billing statement.)

oSubmitted and verified authorizations.

oReviewed plans options, calling pharmacies and reviewing claims with pharmacy members.

oUsed a Humana Software to view Medicare coverage with patients online.

IHSS (In-Home Support Services) Public Authority Registry – San Bernardino, CA 05/2005 – 03/2013

In-Home Support Worker

oAssisted clients with assisted daily living skills (ADL) – cleaning, bathing, and laundry.

oTook vitals, assisted with medication moderation, and updated patient charts.

oAided with ambulation and transportation.

oMonitored blood sugar levels.

oPrepared meals and light housekeeping duties.

EDUCATION

Ultimate Medical Academy Associate of Science Degree – Healthcare Management, 2019

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