Kelly Rose

Verona, PA *****

Summary:

• Kelly has 15 years of customer service and data entry experience.

• Experienced in data entry and Has 56 wpm typing speed.

• Knowledge of Medical billing and insurance billing

• Experience in PBM, Medicare Part D, medical terminology, Medhok, and Peoplesafe.

Education:

Associate in Medical Assistant

PCI - Pittsburgh, PA October 2016 to 2017

Certificate in Medical Assistant

Sanford Brown Institute - Pittsburgh, PA 2011 to 2012

Diploma

Westinghouse High School - Pittsburgh, PA 1984 to 1988

Certifications and Licenses:

• Driver's License

Skills:

• Medical Skills: CPR Certification

• BLS Certified

• Patient Scheduling

• Venipuncture skills

• Urinary drug screening

• Medical Terminology

• Chart pulling

• Scanning

• EMR experience

• Administration skills

• Data Entry

• General office skills

• Insurance billing

• Multi-Line phone system

• ICD9/10-Codes

• Customer Service Skills

• Data Entry

• Typing

• Data-Entry

• Excel

• Data Entry Operator

• Clinical laboratory experience

• Medical terminology

• Filing

• Microsoft Excel

• Computer skills

• Time management

• Microsoft Office

• Organizational skills

• Phlebotomy

• Vital Signs

• Experience Administering Injections

• PCI

Work Experience:

Gateway Health Plan - Pittsburgh, PA Jul 2018 to Apr 2022

Claims Processor Specialist

• Clerical support for functional groups in accordance with Processing Professional.

• Facility Claims with standard procedures, such as, data entry, filing, faxing and retrieving documents, indexing and scanning/imaging documents.

• Performed compiling and maintained records, posted and verified information, and resolved questions and problems.

• Supported Online processing system and used to perform one or more these clerical functions.

• Resolved discrepancies and communicated with a variety of internal and external customers.

• Expected to meet quality.

CVS Health - Pittsburgh, PA Nov 2017 to May 2018

Clinical Service Representative 1

• Worked as a Clinical Service Rep 1.

• Worked in a fax center environment.

• worked closely with healthcare providers to process Prior Authorizations (PA) and drug benefit exception requests.

• The role of the Clinical Rep 1 is essential to ensuring member and client satisfaction.

• Ensured all work performed is in accordance with Medicare D guidelines.

• Experienced in PBM, Medicare Part D, Medhok, and/or People safe, worked all tech review queues...

PNC Operations - Pittsburgh, PA Jun 2017 to Sept 2017

Data Entry Clerk

• Supported the Client Information Files department.

• Duties consisted of inputting customer information into computer system credentialing their Signature cards when they open a new bank account.

• Compared information already entered into system, update files when necessary.

• Worked in a program called OFAC Sanctions where some passports from foreign countries had to be overseen in which they were flagged and were sent to a different department to be credentialed.

• Worked duel computer screens working in Excel Spreadsheets Microsoft office, and Outlook.

• Maintained levels of high volumes, accuracy and proficiency, attention to detail was very important skill in this position.

CVS Health - Pittsburgh, PA Nov 2016 to Mar 2017

Pharmacy Data Entry Clerk

• Entered customer prescription information.

• ordered through mail order.

• Verified prescription orders already entered into computer system.

• Sent various orders to different departments that needed physician review.

• Worked on dual computer monitors.

• Maintained a level of High Volume, Productivity and Accuracy.

Pittsburgh Family Practice - Pittsburgh, PA Jun 2012 to May 2015

Medical Assistant

• Worked as Lab Assistant for Opioid Dependency Clinic treating patients with Sub Oxone.

• collected urine samples using Clia-Waived 12 panel drug screen test kit, analyzing, and send out to an outside laboratory for confirmation if patient denies outcome of test.

• Performed random alcohol screening using Sputum samples from patients ordered to have drug and alcohol screens.

• Performed pregnancy testing, obtained vital signs, patient rooming.

• Noted results in patient charts for doctors to examine for treatment.

• Filled, copied, faxed, answered multi-line phone system.

Adagio Health - Pittsburgh, PA Jan 2012 to Mar 2012

Medical Assistant

• Worked in various departments in clinic.

• educated patients on different methods of birth control.

• STD screenings, pulling/filing medical charts for patients being seen.

• scheduled medical appointments, copying, faxing, answering multi-line phone system, stocking supplies.

• Utilized Autoclave for sterilizing used instruments.

Life care Hospitals - Pittsburgh, PA Jul 2010 to Oct 2010

Medical Records Clerk

• Scanned patient charts into Ricoh scanning machine.

• once charts are scanned they are then saved into a log on computer system to be reviewed at various locations.

• Flagged charts for doctor signature's, pull charts for patient's being seen.

• created new patient files, input patient demographics, some experience with EMR, filing, copying, working phone lines.

UPMC Nov 2007 to May 2009

Medical Records Clerk

• Scanned documents in Kodak 1660 scanning system

• Pulled charts for doctors having to see patients in various clinic sites.

• Scheduled appointments, filed, faxed, copied, and answered phones

PNC BANK - Pittsburgh, PA Mar 2006 to Jan 2007

Data Entry Operator

• Worked in A/R Wholesale Department

• Inputted customer accounts on Excel spreadsheets.

• Verified information that was entered into the system

• Extracted work that needed to be scanned through “TRD” machine

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