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Regional Clinical Manager

Location:
Pollock, LA, 71467
Posted:
February 21, 2023

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Resume:

Janet Lea Crawford

*** ****** **** *******, **. *1467

Cell: 318-***-****

February 1, 2019 – July 18,2021 – Mid La Surgical

Title: Medical Assistant – Bariatrics/General Surgery

Responsibilities: Perform and keep all patient files organized and to maintain the front office. File medical records and handle administrative duties, such as answering phones and scheduling appointments and surgeries. Responsible for managing insurance forms. Use knowledge and understanding of medical terminology and insurance procedures. . Required to assist doctors and work with patients. Duties include taking vital signs, sterilizing medical instruments, and assisting in office procedures. CPR Certified.

December 20, 2016 – February 2019 – Alexandria Urology

Title: Prior Authorization Specialist

Responsibilities: Verifying patient insurance benefits with insurance companies for the purposes of securing initial and continuing authorizations. Responsible for obtaining required paperwork necessary to meet each insurance company’s requirements, and verifying the accuracy of the paperwork before and after submission. Collaborate with internal departments and multiple branches to guarantee prompt and accurate information is given to insurance providers, therapists, and parents/guardians of patients while ensuring we are in compliance with HIPAA mandated policies. Interacts with insurance carriers, therapists and physicians to obtain authorizations and pre-certifications for therapy. Verifies insurance eligibility through internet access to various insurance carriers. Documents communications and authorization details for future reference needed for billing, patient health records, or other business needs. CPR Certified

January 28, 2016 - Present - Rapides Urgent Care Pineville, La. 71360 - PRN

Title: Customer Service Representative/MA Tech

Responsibilities: All front office functions including patient relations, telephone duties, patient registration, insurance verification, patient checkout, handling medical records, filing, performing urinalysis, h-pylori testing, applying braces on patients to injured limb, flu swab, strep swab, mono swab, glucose testing, EKG. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007, 3M and Medi-tech. License and Certifications: ICD-9/CPT Certification, Notary Public, Basic EKG and 12 Lead EKG

February 2014 – January 2016 - Hardtner Medical Center Olla, La. 71465

Title: Admission Supervisor

Responsibilities: Manages the day-to-day operations for the admitting department including bed assignments and completion of preliminary paperwork. Implements admissions policies and practices and coordinates with medical, nursing, and accounting staff to ensure appropriate patient placement. Ensures that all insurance benefits coverage meets standards of admission as dictated by hospital policy. Requires at least 5 years of experience in the field or in a related area. Familiar with a variety of the field's concepts, practices, and procedures. Relies on extensive experience and judgment to plan and accomplish goals. Performs a variety of tasks. Leads and directs the work of others. A wide degree of creativity and latitude is expected. Typically reports to a head of a unit/department. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007, 3M and Meditech. License and Certifications: ICD-9/CPT Certification, Notary Public, Basic EKG and 12 Lead EKG

September 2011 – January 2013 Rapides Regional Physician Group Alexandria, La. 71301

Title: Clerical Specialist/Medical Office Specialist

Responsibilities: All front office functions including patient relations, appointment scheduling, telephone duties, patient registration, insurance verification, handling medical records, filing, cashiering, and computer work, billing, coding, and denials. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007, 3M and Meditech. License and Certifications: ICD-9/CPT Certification, Notary Public, Basic EKG and 12 Lead EKG

September 2009 – August 2011 Natchez Regional Medical Center Natchez, Ms. 39120

Title: Health Information Management Coder

Responsibilities: Perform coding on all diagnoses, procedures, professional services, and supplies with the most accurate and descriptive ICD-9/CPT and HCPCS code for reimbursement purposes. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007, 3M and Meditech. License and Certifications: ICD-9/CPT Certification, Notary Public, Basic EKG and 12 Lead EKG

August 2007 – September 2009 Huey P. Long Pineville, La. 71360

Title: Health Information Management Coder

Responsibilities: Perform coding on all diagnoses, procedures, professional services, and supplies with the most accurate and descriptive ICD-9/CPT and HCPCS code for reimbursement purposes, charting, filing, answering multi-phone lines, medical terminology, medical technology. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007, 3M and Meditech. License and Certifications: ICD-9/CPT Certification, Notary Public, Basic EKG and 12 Lead EKG

April 2005 – August 2006 Alexandria Cardiology Clinic Alexandria, La. 71303

Title: Medical Assistant/Medical Records/File Clerk

Responsibilities: Vital signs, injections, phlebotomy, charting, filing, answering multi-phone lines, scheduled patient appointments, transcribing medical terminology, sending patient history and physical to Alexandria and Vidalia Cath Lab for procedures, calling patients back to see physicians, systemize and preserve paper and electronic files. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007. License: Notary Public, Basic EKG and 12 Lead EKG.

September 1996 – March 2005 Rapides Regional Medical Center

Title: Unit Secretary/Telemetry Tech

Responsibilities: Charting, filing, answering multi-phone lines, medical terminology, medical technology, PKU testing, Bili-Lab draws, assessing patients, vital signs, accu-check testing(glucose), temperatures, ordering all physicians ordered test and procedures, monitoring telemetry patients-reports and documentation in charts. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007. License: Notary Public, Basic EKG and 12 Lead EKG.

May 1993 – September 1996 LaVergne’s Answering Service Alexandria, La. 71301

Title: Secretary/Dispatcher

Responsibilities: Office procedures, answering multi-phone lines, scheduled medical transportation, western union transactions, live office work, business vocabulary, record keeping, filing, and typing. Skills and Equipment: Scanners, telephone systems, computers, fax machine, copiers, emphasis on spreadsheet creations, excel, word processing, word perfect 2003-2007.

Education:

Grant High School

LSUA College - Notary Public License

References upon request.

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