**** ********* **., *****, ** ***** Cell# 347-***-**** Email:advkti@r.postjobfree.com

WORK EXPERIENCE

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Member Services Spec. Stonybrook WTC Health Prog, Mineola, NY Nov 2018 - Present Provide intake and outtake at clinical visits, including collecting research data, consenting members, scheduling follow-up appointments and answering members questions and educating on Program benefits. Outreach via phone, patient portal and other approved methods to provide member education and benefits education. Navigation of Member Services by coordinating internally among a variety of clinical and member service staff and acting as the point person for the member(s). Deal with difficult sub-populations and motivate to make annual appointments and deal with member issues and complaints. Support case management of members by ensuring the members follow through with referrals, paperwork, consents and other tasks important to their care. Support other disciplines by ensuring coordination of benefits such as pharmacy, nutrition, DME. Track and record interactions with members in database and ensure goals are met with regard to caseload and outreach to members. Assist in the development of educational and program materials for our members/ Participate in group education sessions and community events in the evenings and weekends as needed. Other duties as assigned.

Clinical Support Specialist Stonybrook WTC Health Prog, Mineola, NY May 2017- Nov 2018 Serve as a liaison between Patients, Clinical Staff, Providers, and Specialty offices to coordinate requests. Retrieve messages for multiple lines, including, Referrals, Authorizations and Test Results. Respond to patients' calls while determining the best staff member to deal with patient issues and direct calls to appropriate case manager. Validate requests by researching patients in Cerner for certifications and last visit. Forward referral requests to providers through Cerner. Keep logs, mail referrals, and communicate with patients on outcome of requests. Communicate with specialist offices providing specific information needed to process. Back up front desk to answer phones. Manage faxes; sorting and routing to proper person/department.

Clerk Receptionist II Stonybrook/WTC Health Program, Mineola, NY April 2016 – May 2017

Strong organizational and interpersonal skills. Detail oriented with a professional and friendly phone manner. Answering phones and taking accurate messages. Routing calls to appropriate staff. Make reminder calls to patients and schedule appointments for treatment. Respond to patient inquiries and /or direct calls appropriately. Greet and encounter patients. Assist with patient flow, i.e., coordinate with nurses, social workers and doctors. Assist in scanning of initial patient paperwork into EMR system. Assist in medical records request from patients and other medical providers. Process intake paperwork. Enter data into the WTC database. Distribute mail properly. Assist supervisor with correspondence, purchasing of supplies, mailings, etc. Other duties as assigned.

Research Assistant, Jacobi Medical Center, Bronx, NY January 2013 – April 2016

•Record and organize demographic information and HIV testing results for Project Brief, an

HIV counseling and testing program

•Compile and review all data; present data summaries at monthly meetings

Vanguard Temporaries Agency - White Plains, NY

Administrative Assistant, Office of Diversity Enhancement, Albert Einstein College of Medicine,

Bronx NY September 2012 – October 2012

•Answered telephones, forwarded messages via email and resolved communication issues

•Managed financials including processing check requests and securing proper authorization

•Reviewed daily emails and initiated action or resolution of request

•Completed data entry and maintained student database

•Edited and formatted daily calendar of events

Administrative Assistant, Early Childhood Center, Albert Einstein College of Medicine, Bronx,

NY March 2012 – June 2012

•Received and processed referrals, sent out appointment letters with packets, and confirmed appointments including pediatric and psychiatric appointments

•Answered telephone calls, took messages and directed calls to appropriate staff

•Registered new patients in the centers secure information system; edit and update patient information

•Create medical charts for new patients, manage all new patient information

•Directed patients to clinicians

•Coordinated transportation schedule, updated and edited schedule as needed

•Utilized online Medicaid system, EPACES to obtain approval for services

•Tracked and distributed metro cards to patients

•Typed program forms, routine letters, memorandums, schedules and related patient correspondence

Administrative Assistant to Medical Director, Morningside House Nursing Home,

Bronx, NY December 2011 – January 2012

•Coordinated daily medical appointments and transportation for residents with multiple departments

•Compiled daily schedule for residents travelling for daily appointments

•Met with medical director to schedule staff assignments and troubleshoot incoming requests Medical Secretary for Susan Thys-Jacobs, M.D. New York, NY May 2004 – August 2011 • Scheduled appointments, diagnostic tests and procedures with various hospitals and physician. Assisted with prescription requests and contacted pharmacies for fulfilling medications.

•Recorded demographics, insurance information; collected copayments and processed receipts • Managed financials including processing charges, initiating and completing the billing cycle; reviewed accounts receivable

•Collected outstanding accounts receivable amounts; resolved and corrected billing issues

Medical Biller, Per-Se Technologies, New York, NY November 2001 – May 2004

•Completed all data input of patient demographics, insurance eligibility, medical history and procedures

•Coordinated billing forms with department managers, coded all invoices for processing into MDIV Billing software.

•Greeted patients, collected insurance information and co-payments

•Reviewed all vendors billable and accounts payable invoices in preparation for payments • Printed checks for vendors and employees expenses; scheduled and attended monthly billing meeting with CFO and account executives to review A/P & A/R ledgers

EDUCATION

Interboro Institute, New York, NY September 1992 – April 1994 Associate Degree – Secretarial Studies/ Accounting

Caliber Training, New York NY June 2002 – August 2002 Medical Billing and Coding Specialist

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