Data Entry Patient Service
Resume:
VONGA MBELENGA
Gaithersburg MD, *****
Alt Phone: 240-***-****
*********@*****.***
PROFESSIONAL PROFILE
Highly experienced Quadrilingual healthcare worker, seeking potential growth within the company. Ability to utilize my fluency speaking in English, Italian, French, Lingala and intermediate in Spanish, to facilitate translations to patients when needed. Great problem solver, very detailed oriented, self- starter, great team player, and excellent patient service. PROFESSIONAL EXPERIENCE
Holy Cross Hospital
Health Unit Coordinator- 08/21 – 12/24
Emergency Room
• Performed administrative / clerical work.
• Communicated effectively with staff members.
• Assisted in clinical departments.
• Obtained patients demographics / Data Entry
• Provided patients information as needed.
• Maintained a clean safe environment.
• Supported Holy Cross Hospital and Trinity Health
• Assisted performing audits / inventory.
• More duties as assigned.
Caremetx, Bethesda MD 09/18 – 04/21
Access Advocate
• Adhered and maintained compliance to all confidentiality, and HIPAA requirements as outlined. within the company’s policies and procedures.
• Aided patients and Healthcare Providers, to complete and submit any documents and program applications.
• Updated patients’ demographics in the system when necessary
• Translated to patients when needed.
• Informed patients of any third charitable funding organizations
• Monitored and documented patient pill counts.
• Provided patients additional assistance information when necessary.
• Followed up on Preauthorization outcome (Approvals, Denial and Appeals.
• Mailed Patient Assistance Program applications via FedEx to patients.
• Reviewed patients’ applications of the Patient Assistance Program.
• Maintained frequent contact with third party representatives, specialty pharmacies, patients, and Healthcare Providers.
• Verified Insurances.
• Copay Card Assistance Program
Kaiser Permanente, Gaithersburg MD 04/2018–09/18
Medical Records Specialist
• Obtained necessary health plan insurance information; ensures appropriate forms are completed/initiated/routed, photocopies insurance cards, etc.
• Referred patients to financial counseling assistance as needed.
• Registered patients on HPMS systems; entered demographics.
• Performed a variety of patient services such as providing information or explanation of problems pertaining to benefits, eligibility.
• Translated to patient when necessary.
• Assisted patients completing forms.
• Maintained Inventory.
• Prioritized workload and completed projects accurately, and in a timely manner.
• Obtained and processed patients’ document to HCPs. Amerisource Bergen/Lash Group, Rockville MD 06/16–11/17 Senior Reimbursement Counselor
• Reviewed all patient insurance information, obtained prior authorization approvals and or denial. Followed up with appeals.
• Enrolled patients into the Copay Assistance Program.
• Monitored and provided patients their MS therapy in a timely manner.
• Offered additional available resources to patients.
• Maintained frequent contact with HCP office, patients, pharmacy staffs, Nurses, third party customer service representatives and case managers.
• Responded to all incoming calls.
• Translated to patients when necessary.
• Followed the company HIPAA guidelines requirements.
• Scheduled baseline assessments, and first dose observations for patients.
• More duties as assigned.
Maryland Health Connections, Rockville MD 05/15–02/16 Administrative Assistant/Customer Service Representative
• Analyzed data to determine answers to questions from clients or members of the public.
• Assisted clients with Medicaid, dental, and pregnancy care enrollment applications when needed.
• Provided helpful information tools to clients according to nature of in office visit.
• Obtained/Maintained clients personal documentations secured due to HIPAA guidelines.
• Translated to clients when necessary.
• Up kept the database management system.
• Maintained office inventories up to date.
Horizon Vascular Specialists, Germantown MD 01/14–04/15 Certified Medical Assistant
• Triaged incoming patients for office visits.
• Verified Insurance information to obtain coverage benefits.
• Up kept all confidentiality and HIPAA regulations per company’s procedures.
• Prepared and submitted claims to various insurance companies electronically.
• Maintained patients wound cares, to avoid any infections.
• Updated patient’s medication list for documentation purposes.
• Monitored and cared the pre-op patients, observed, and obtained their vital signs.
• Informed patients with Lab Test/MRI results. Followed up with patient’s PCP.
• Set up procedure rooms and trays, for HCP Assistance during procedures. EDUCATION
Montgomery College 2023 - Present
Rockville, MD
Food and Beverage Management
MedTech Institute 2006
Silver Spring, MD
Certified Medical Assistant
John F. Kennedy High 2004
Silver Spring, MD
High School Diploma
SKILL SUMMARY
-Staff training–Compliance and Quality Assurance–Case Management–Telephone Communications– HIPAA regulations/HIPAA Compliant-Language Translations-Claims Research–Billing/Coding–Insurance Verification-Medicare/Medicaid-CPR/ First Aid Certification-CMA–Data Entry–Excel, Power Point, MS Word. Excellent verbal and Written Communication.
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