Administrative Assistant Claims Examiner

MaryJoan Schanne

Cell No.: *** -***.-**** E-mail: ******@*******.***

Skills:

MS Office 360, outlook email, contacts, reminder, notes, word, excel, power point, Learning Management Systems, Webex, Office Teams, Zoom, Adobe acrobat pro, Intranet, Website portals

Certificate:

Medical Billing and Coding Certificate, June 2021 (CBCS)

Work Summary:

Experienced hospital administrative assistant eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of medical terminology and electronic health records training in Medical Coding and Billing. Motivated to learn, grow and excel in healthcare industry.

Work Experience

01/2022- Present Elevance Heath (Anthem)

Claims Examiner

Reviewed and processed all incoming claims to verify necessary information

knowledge of CPT/HCPC and ICD9 coding, procedures and guidelines

Ability to interpret and apply laws, rules and regulations

Ability to maintain records, prepare reports and conduct correspondence related to the work

06/1998 – 06/2022 MMC Holding of Brooklyn, Inc. (associated with Maimonides Medical Center)

HR Administrative Assistant/Administrative Assistant to Executive Director and HR Manager

Assisted with meetings and special events coordination, conference calls

Prepared client billing, correspondence, memos, emails

Managed Outlook, scheduled meetings, conference calls, various appointments

Managed travel arrangements and expense reports

Acted as gatekeeper to executives through managing channels of communication

Created, modified Excel spreadsheets and PowerPoint presentations as needed

Provided high touch telephone coverage, delivered messages promptly and accurately; followed up to ensure appropriate responses were made to all calls in a timely manner

Maintained hard copy and electronic files, including correspondence, expense reports, and client bills

Performed onboarding; new hire booklets

Supported the HR Manager with projects related to HR issues

Prepared and post advertisements for positions as necessary

Screened resumes, referred qualified candidates to appropriate managers

Coordinated and scheduled training and development; monitored performance evaluation processes

Prepared and calculated RN Payroll and recorded data

Supported hiring efforts with appointment setting for all new hire candidates and follow-up i.e. I-9 Forms, Employee Heath Clearances

Recruit, interview, test, select to candidates to fill vacant positions, update managers regarding status of searches

Recruit with temp agencies for temporary personnel and check invoices for payment.

Ensure paperwork for new hires, promotions, transfers and terminations is accurate and complete for processing

Check website for valid licenses for health professional personnel

Coordinated and participated in department projects, monitored progress of ongoing projects and performed special projects

Assisted and prepared the release of monthly financial reports

Assisted the Executive Director and HR Manager in a variety of projects and initiatives including new hire orientation, compensation, HR policy review, employee year-end packets, development and documentation.

Prepared the new hire benefits orientation for the organization's benefit programs i.e. I-9 Forms, W-4, I95(1) Forms etc.

Managed and maintain employee files and corporate files.

Prepared and released all 1099-R, 1099-Misc, 1096 forms

Assisted with the management of certain administrative aspects of various projects and initiatives.

Ordered all office supplies and office provisions when needed. i.e. heat and a/c repair, leaks, broken alarm, etc...

Performed other designated duties and complete special projects as requested

Adapted to all COVID requirements and guidelines for Office and staff.

Education:

New Utrecht HS, June Graduate

SUNY BEOC, Medical Billing and Coding, June 2021

Language: ASL American Sign Language

References; References will be forwarded upon request

Contact this candidate