Operations and Data Specialist with Healthcare Focus

Jade Pineda

Gainesville, FL ***** +1-904-***-**** ******.****@*****.***

Professional Summary

To obtain a permanent position in a company/organization where my organizational and interpersonal skills will be fully utilized for the growth and advancement of the company as well as myself. Work Experience

Correctional Officer

RMC Lake Butler, FL

Present

Monitor the activities of the inmates in living areas, recreation activities areas, dining areas and visitation areas. While coordinating and monitoring inmate movements, conducting counts and providing emergency response as needed all while maintaining a safe and orderly environment.

Data Entry Specialist

Northeast Florida Endocrine & Diabetes Associates Jacksonville, FL January 2023 to March 2024

Input patient information into electronic health records (EHR) and other digital systems, and ensure that the data is accurate, up-to-date, and accessible.

Claims Analyst

Washington Regional Medical Center Fayetteville, AR November 2019 to October 2023

Working with claims including denials, rejections,appeals, and adjustments for Medicare. Verification of insurance, Outpatient and Inpatient demographics,scrubbing old claims, obtaining medical records. Responding to patient’s needs, inquiries,regarding pending balances and insurance coverage.

Patient Coordinator

Community Clinic Springdale, AR

November 2017 to October 2019

Greeting patients, check in/out, verify insurance, scheduling, confirming via phone appointments, entering registrations, sending referrals, faxing, and requesting medical records. Assisting Providers, as well MD's with translation, collection co-pays, working on various departments such as Pediatrics,

Women Health, behavioral and Chronic Adults.

Claim Analyst

Washington Regional Medical Center - Fayetteville, AR Present

Working on claims, like denials, appeals, also adjustments for patients with Medicare. Verification of Insurances, demographics for Out patient and In patients admissions. Scrubbing old claims, verifying of medical records. Life Insurance Assistant

Family Life Insurance Arlington, TX

January 2016 to September 2019

Calling prospecting clients, assisting Life insurance Agent for presentations, discussing different packages like final expenses, term life insurance, college education, translating Spanish speaker's clients, and scheduling appointments. Registrar

University of Miami Hospital Miami, FL

April 2006 to April 2006

Registering patients, for surgeries, In-patient, Out-patient, ER admits, verifying insurance, demographics, calling insurance companies for In-patient authorization, sending medical records, collecting co-payments, deductibles, pre-registering future surgeries. Data Entry/Medical Records Scrubber

North County Orthopedics La Jolla, CA

December 2000 to December 2005

Input patient chart information for worker's Compensation, assisting with medical transcription, obtain patient demographics and pertinent insurance information, sorting and scanning medical records for patient with Worker's compensation pending cases, as working directly with two Orthopedic Surgeons.

Medical Billing Specialist

Education

Secretarial Sciences

Catholic University Arecibo, PR

Ana G. Mendez University Manati PR Vista, CA

Skills

Leadership Scheduling Microsoft Word Intake Bilingual Word Documentation review HIPAA implementation Clerical experience Receptionist Restaurant experience Outlook Medicaid Medical referrals Anatomy knowledge Experience working with students IVR Customer Service Meditech Time management ICD coding Windows Medical Office Experience Data Entry Performed under pressure, team players, excellent interaction with customers. Bilingual, highly motivated, and Multi-tasker. Excellent Organizational and time management skills. Computer literate Word, PowerPoint, Excel, Windows, Meditech/Eclinical software.

Athenahealth Research Billing Patient demographics Multi-tasker Powerpoint Clinic Organizational Skills Driving Microsoft Office EDI Janitorial experience HIPAA Childcare ICD-9 Proofreading

Certifications and Licenses

Driver's License

CPR Certification

BLS Certification

Additional Information

Authorized to work in the US for any employer

Contact this candidate