Registered Medical Assistant with 5+ Years Experience
Resume:
MELINA URENA
CONTACT
PROFESSIONAL SUMMARY
******.*****@*******.***
Garner, NC 27529
Empathetic and patient-service focused Registered Medical Assistant with 5 years of experience in delivering medical care to patients in clinics and doctors' offices. Accountable supportive and restorative care under clinical supervision. Efficiency-oriented professionals with expertise in clinical and clerical functions.
SKILLS
EXPERIENCE
Bilingual – Spanish
M&R Certified
Word
Excel
First aid and CPR
Deliver exceptional care Collaboration
Medical records confidentiality
Patient relations
medical procedures
HIPAA compliance
Medical terminologies
Documentation and recordkeeping
Sterilize instruments
Prepare treatment rooms
Care Coordinator – Full Population Management at Optum
2023-Present
Serve as primary point of contact for providers or members regarding medical/behavioral/clinical services or benefits
Extract and review task requests for medical or clinical services
Receive calls requesting medical/behavioral/clinical services or benefits information (e.g., from providers or members)
Receive electronic referral form requests for medical/behavioral/clinical services-Utilize phone system to respond to and transfer calls to appropriate individuals
Ask callers standard questions to understand requests, gather necessary information, and assess urgency-Access electronic member files using policy or id number
Determine member eligibility-Follow protocols to task requests appropriately
Check procedure codes against notification requirements and benefit coverage to determine the next steps
Reference automated job aid tools via the computer to identify appropriate procedures.
Access claims information
Review and interpret call history documentation (e.g., case notes)
Navigate between computer screens and platforms to research information (e.g., medical, clinical, or benefits information)
Take calls and questions from members and/or providers regarding case status
Determine whether authorizations are required for requested medical services
Reference automated job aid tools via computer to research relevant rules, regulations, or procedures
Learn computer systems and process changes and updates and incorporate into daily work
Contact internal resources if necessary to clarify information
Identify appropriate resources (e.g., doctor, resource, contracted provider) to respond to medical requests.
explain benefit information to members/providers
Provide/explain authorization information to members/providers
Communicate with clinical team to ensure provider receives a response when necessary
Document call history information into relevant computer system
Enter medical request data into relevant computer system-Follow standard procedures to complete requests
Request medical review via relevant computer system as needed
Review and advise member/provider of status of a request (e.g., notification, authorization)-Schedule appointments for members based on request
Provide information regarding appointments and medical services to facilities staff to assist members
REGISTERED MEDICAL & SURGICAL ASSISTANT
61st Service Corp - Columbia University Medical Center New York, NY
2016-2018
Prepared specimens for outside lab testing.
Provided clinical support for patient care delivery.
Cleaned, prepared and maintained examination rooms and treatment areas.
Assisted physicians and clinicians with examinations, procedures and vital signs monitoring.
Organized, reviewed and forwarded incoming test results to care teams.
Engaged with patients, learning about each individual and establishing a connection to encourage personal comfort.
Maintained and updated patient information and vital signs in electronic medical records or hospital databases.
Delivered excellent patient service and strengthened patient clinician relationship through positive interactions.
Sterilized and positioned instruments and equipment for examinations and procedures.
Performed gamut of tasks, including maintaining files, verifying insurance claims on behalf of patients and scanning documents.
Answered phone calls and scheduled or followed up on appointments.
Reviewed all pre-visit work required for each exam for completion and checked availability of test results in electronic medical record (EMR).
Remained calm and poised in emergencies by calmly interacting with patients to avoid stress and panic. Prepared and applied sterile dressings post operatively to promote healing, protect and reduce chance of infection.
Replaced stock in rooms according to established par stock lists.
Worked with surgeons to check off operative consent, diagnostic data and patient-centered information.
Assisted with Dermatologic - MOHS surgical procedures and guided patients on treatments and follow-up procedures.
Set up and maintained aseptic techniques and clear, sterile surgical field throughout each procedure.
Performed patient pre-op and post-op instruction and care such as removing dressings, administering pain medications and removing staples.
Helped to properly position patients with body stabilizing equipment and protective padding, allowing for necessary exposure while protecting patients.
Administered oral medications and immunizations as directed by supervising physicians.
PERSONAL CARE ASSISTANT
Concepts of Independence New York, NY
2014-2016
Assisted clients with bathing and dressing to promote good personal hygiene.
Provided companionship throughout day, engaging clients in conversation and activities.
Cooked meals based on nutritional requirements and special diets.
Followed agency policy and procedures in administering care to clients.
Observed self-administration of medications to adhere to medication regimen.
Maintained safe and clean patient environment
EDUCATION
ASSOCIATE OF SCIENCE: MEDICAL ASSISTANT
Mandl School: College of Allied Health New York, NY
GPA 3.76 Dean's List Honoree, four semesters.
Graduated with honors.
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