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Medical Assistant Service Representative

Location:
Miami, FL
Posted:
July 01, 2023

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Resume:

Jenny Vega Gutierrez

Contact

Plantation, FL

954-***-****

adx05o@r.postjobfree.com

Objective

A top-performing Healthcare professional with over 20 years of experience. Prepared to lead a team meet and exceed organizational goals, while improving processes within and amongs departments, through transparent communication and comprehensive training.

Education

JANUARY 2020

ASSOCIATE OF ART, ACCOUNTING-MIAMI DADE COLLEGE

DECEMBER 2021

BACHELOR OF SCIENCE, MIAMI DADE COLLEGE ACCOUNTING AND BUSINESS MANAGEMENT

CURRENT GRADUATING JUNE 2023

RASMUSSEN UNIVERSITY, MASTER OF BUSINESS ADMINISTRATION

OTHER QUALIFICATIONS

● Knowledge of Epic, E- Premis,Office Mate Electronic Practice Management, Exam WriterElectronic Medical Records and ECR Retriever

● Knowledge of advanced optometric and ophthalmologic technology such as Visual Fields Testing,Optomap retinal imaging, and Ocular Coherance Tomography (OCT)

● Knowledge of automated marketing and communication software such as Demand Force

● Proficient with Microsoft Office, Work, Excel, Power Point, and Outlook

Experience

DECEMBER 2019 – PRESENT

SUPERVISOR-PATIENT ACCESS, UNIVERSITY OF MIAMI BASCOM PALMER

● Courteously assist high volume of patient calls and walk-in while appropriately documenting patient records to established tracking and ensuring timely responses.

● Track and resolve escalated complex claim payment, reimbursement, and operational issues received from patients, doctor’s offices, and Ombudsman.

● Consistently and thoroughly review AR for claim denials, PPN, credit balance, and bad debt balance.

● Exceed department goals through managing and collecting out-of-pocket costs for high cost medical services.

● Engage Revenue Cycle and Coding/Reimbursement team to assist with claims denials.

● Effectively communicate with patients, office staff, Administrators, physicians, and Chief Medical Officers to engage in FCN/ FPL process for patients with non-participating insurances.

● Collaborate across departments to effectively and efficiently provide financial and clinical services adhering to “Patients First” guiding principle.

● Train departments throughout the Clinic on understanding insurance benefits and calculating out-of-pocket estimate both manually and while utilizing the Epic estimator.

● Assist supervisor in creating SOP using knowledge and input gathered from the team to proactively improve workflows within PFS and Clinic operations.

● Work closely with Manage Care for updates on new contracts, LOA process and insurance questions when in question.

● Operate independently and within a team setting to show strength in handling multiple roles and tasks efficiently in a fast-paced environment.

MARCH 2013 – Present

TEAM LEAD PATEITN FINANCIAL SERVICE REPRESENTATIVE III, MEMORIAL REGIONAL HOSPITAL, FL

● Courteously assist high volume of patient calls and walk-in while appropriately documenting patient records to established tracking and ensuring timely responses.

● Track and resolve escalated complex claim payment, reimbursement and operational issues received from patients, doctor’s offices, and Ombudsman

● Review accounts identifying and responding to account errors, claim denials, omissions, refunds, transfers and charge reversals, while keeping patients abreast of account disposition.

● Exceed department goals through managing and collecting out-of-pocket costs for high-cost medical services.

● Engage Revenue Cycle and Coding/Reimbursement team to assist with claims denials.

● Collaborate across departments to effectively provide financial and clinical services adhering to “Patients First” guiding principle.

● Provide beneficial suggestions of new ideas to be implemented, ensuring an effective and streamlined patient accounting process.

● Operate independently and within a team setting to show strength in handling multiple roles and tasks efficiently in a fast-paced environment

FEBRUARY 2010 – MARCH 2013

MEDICAL ASSISTNAT/PATIENT SERVICE REPRESENTATIVE, IMPERIAL POINT MEDICAL CENTER, FL

● Oversee highly active primary care office while concentrating on patient satisfaction by providing open communication and exceeding expectations

● Maintaining accurate health records by verifying insurance and eligibility, patient registration and uploading to chart

● Maintain and manage all aspects of Health Information Systems to comply with strict HIPAA standards

● Act as a liaison between patients, physicians, administrative staff, and provider service companies

● Obtain and process referrals and authorizations for both specialist and diagnostic exams

April 2007 – May 2010

ASSISTANT SUPERVISOR

CHEN MEDICAL ASSOCIATES, FL

● Tirage patients as they come into the office, whether it was for well visit or a sick visit

● Kept daily logs of immunization as well as performing daily control test on the CBC machine, throat culture and urinalysis

● Placed orders for immunizations as well as for the clinic inventory

● Perform clinical and laboratory procedures including phlebotomy, urinalysis equipment sterilization

● Patient Services Filing and Records Management housekeeping and inventory training and management of Medical Assistant department.

FEBRUARY 2005 – April 2007

MEDICAL ASSISTANT/RECEPTIONIST

NAPERVILLE EAR NOSE AND THROAT, IL

● Check-in and greeted all patient to ensure proper patient flow to minimize wait time.

● Registered patient for appointment, reschedule and schedule appointments.

● Managed patient records including prescriptions and records release authorizations

● Scanned documents such as patient identification, insurance information, referrals, and patient intake forms and outside prescription.

September 2002 – FEBRUARY 2005

MEDICAL ASSISTANT/RECEPTIONIST

CHEN MEDICAL ASSOCIATES, FL

● Order and process all office supplies for all the clinic

● Analyze health insurance benefits and verify insurance eligibility

● Handle incoming and outgoing correspondence

● Monitoring the waiting room area, evaluating patient satisfaction, supervising that the medical records are maintained according to the legal requirements for all medical documentations.

Language

Spanish

English



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