* * * * *

SELINA GOMEZ-RODRIGUEZ

Phone: 818-***-****

adyxrk@r.postjobfree.com

EDUCATION

Devry University

Healthcare Administration BHCA [Bachelor of Science in Healthcare Administration]

****-*******

RAS (Rosemead Adult School)

Computer software, Typing, Writing Class, History

(Continue Education Course)

2013-2022

MA United Education Instituted (UEI) Medical

Assistant

CDH Los Angeles, CA Certified CNA, HHA, RNA

October 2010

2003

Peter J. Parker MD. Inc, October 2014-Present

1106 W. Glenoaks Blvd.

Tel: 818-***-****

Fax: 818-***-****

• Medical Billing: Responsible for managing billing insurance and processing payments, including the preparation and submission of claims for medical procedures and services provided to insurance companies. Effective communication with patients regarding outstanding balances and the collection of payments is also a key responsibility. Additionally, management of a clearinghouse for the identification of rejections, missing information, or corrections that may be necessary for billing. Finally, will be responsible for organizing a monthly revenue template that includes information on accounts receivable for delinquent payments.

• Appeals and Grievance: understanding the guidelines and reason for denial, obtaining proper documentation to submit to pa

• Medical office: Responsibilities of a healthcare assistant are multifaceted and require a high level of attention to detail. Duties include scheduling appointments, obtaining prior authorizations, verifying eligibility and coverage criteria, answering calls, and managing contracts with healthcare insurance providers. Additionally, providing educational information to patients regarding specialty drugs, including explanations of the reasons for prescription, the process of obtaining prior authorization, and the approval or denial appeal process. Healthcare plays a key role in following up with both insurance providers and patients to ensure that all necessary processes have been completed. Skilled in back-office duties such as administering injections, mixing vials, entering patient data into electronic medical records, completing the CAIR process, gathering patient histories, and understanding the reasons for their visits. Furthermore, possess a comprehensive knowledge 2 P a g e

of prescription drug interactions, side effects, contradictions, and counseling. Responsible for conducting skin tests, ordering necessary supplies, managing inventory, recording vital signs, and providing information on health plans such as BMI, smoking cessation, and illegal drug counseling. HIE notes also be communicated to referring doctors, while any changes in a patient's condition, allergies, or other important information is documented in a timely and accurate manner.

• Credentialing: Contracts with Health Care Insurance Group, maintaining up-to-date demographics for our providers, CV’s, Malpractice insurance, DEA, License, add or delete any providers from Pecos, Palmetto, DME credentials

• Human Resource: Making sure new employees get accurate and proper training, HIPPA, OSHA, background checks, W-4, I-9 paperwork, payroll, record keeping for all Doctors, and employees.

PROFESSIONAL TRAINING

Seminar Alzheimer's Disease and Dementia

Walk to end Alzheimer’s Disease:

Held annually in more than 600 communities nationwide, the Alzheimer's Association Walk to End Alzheimer’s is the world’s largest event to raise awareness and funds for Alzheimer’s care, support and research. Sunrise of San Marino, Resident Care Coordinator,

• Hospice awareness: Mimi-Module for family understating changings, how to cope with aggressive behavior/ Became the lead training for company teaching and educating awareness

• Medication Educator: Importance on documentation on all Medication administered or refusal, PRN medication.

• Behavioral Awareness: Educating on behavioral changes, management, aggression, and negligence and abuse awareness alerts, and report guidelines as per OMBUDSMAN regulations. LANGUAGES

English: Native Language

Spanish: Intermediate Listener, Novice Speaker, Advanced Reading and Writing COMPUTER SKILLS

Programming: Meaningful Use, PQRS, MIPS, Credentialing, Pecos (Medicare) Medical Doctor’s Software Knowledge: MediTab (IMS), Dr. Chrono software, Yardi care software, Amazing Charts, Cover My Meds application, NextGen REFERENCES

Upon Request.

Contact this candidate