Administrative Operations Specialist in Healthcare

TAMARDRUMMOND

**** **** ******, ******* ******* MD, 20743

Email: *************@*****.***

Mobile: 202-***-**** (C)

Clearance: Public Trust DOD Civilian Citizenship: United States BUSINESS & OPERATIONS ADMINISTRATIVE SPECIALIST CLINICAL CASE MANAGEMENT Performance-driven administrative professional with over 10+ years of experience in clinical operations, ensuring day-to-day action items, medical billing and coding, requests for appointments, and meeting logistics are prepared and coordinated in an effective manner. Works independently and in a team environment, managing multiple priorities, demonstrating the ability to provide support. to a diverse team of medical professionals within a variety of organizations, including civilian and military environments. Proficient in interacting professionally with all levels of staff and maintaining the highest level of integrity and confidentiality while adopting tact and diplomacy in handling sensitive issues. Strong organizational, analytical, and problem-solving skills, with the ability to delegate and manage resources effectively.

Effective communicator with ability to provide advice and guidance regarding areas that do not comply with regulatory requirements. In addition, offering administrative planning and oversight for a variety of special and continuing programs. Instrumental in streamlining workflows, managing office functions, and monitoring inventory management controls.

Strong capacity to synthesize large amounts of data for management reporting.

Technical Proficiencies: Microsoft Office Suite IPPS-A RAPIDS DEERS eMILPO EDAS SharePoint TEAMS SKILLS & EXPERTISE

Medical Billing & Coding Medical Manager and Med iSOFT computerized billing Accounts Receivable Processing Electronic Claims UB-92/ CMS 1500 Eligibility & Preauthorization Records Filing Medical Records Front desk Registration Customer Service Patient Relations Transition Processing Charge Entry Program Management Operations Support Office Management Medical Assistant Administrative Actions Oral & Written Communication Credentialing Processes PROFESSIONAL OVERVIEW

Department of Homeland Security- 5900 Capital Gateway Drive, Camp Springs, MD 20529 04/2025 to 09/30/2025 U.S. Citizens and Immigration Services

Administrative Assistant

Hours Per Week – 40 Type of Employment- Fulltime

Provide comprehensive administrative support by managing schedules, handling correspondence, organizing meetings, maintaining accurate records. Coordinate office operations,assisting with reports and presentations, and ensuring smooth communication. Selected Highlights:

• Prepare, review, and distribute reports, memos and internal communications.

• Schedule and coordinate meetings, appointments, and travel arrangements for staff and leadership.

• Accurately check and record employees work hours, leave request, and overtime.

• Assist employees with timekeeping system questions and troubleshooting access issues

• Manage daily office operations, drafting correspondence, and maintaining records. Maintaining filing systems to ensure accurate and timely retrieval of information.

U.S. Air Force—1060 W Perimeter Rd, Joint Base Andrews, MD 20762 09/2023 to 10/2024 Medical Evaluation Board Division (MEB)

Physical Evaluation Board Liaison Officer

Hours Per Week: 40 Type of Employment: Full-time

Served as a Physical Evaluation Board Liaison Officer, managing case management for Service members assigned to the integrated Disability Evaluation System (DES). Serve as the main point of contact between the service member, family, chain of command, the VA, and the PEB throughout the DoD Disability Process. Coordinate the smooth transition for each soldier to ensure the DES timelines and details in DOD are followed,

Selected Highlights:

• Compiled all information necessary to prove service-connection and Unfit for Duty, and properly assign Military Disability ratings for each of the service member’s medical conditions.

• Acted as liaison between their representative in the Veterans Administration, the Military Services Coordinator (MSC) and coordinate a multi-disciplinary briefing to discuss the entire IDES process, what to expect, and the service /member’s rights and responsibilities.

• Coordinated the required DoD DES appointments for the Service member and gather the required documents for the member’s DES case and safeguard the member’s personal identifiable information.

• Updated the automated systems that support DES and resolve issues that can disrupt the DES process and delay the member’s case.

• Reviewed PEB’s fitness decision and VA Rating results with service member and explain the decisions, answer any questions the service member may have, and counsel the service member on the choices they need to make, including whether or not to submit an appeal.

• Completed daily transactions in the automated systems such as extracting reports and input of data from official files into Electronic Military Personnel Office (eMILPO).

• Developed impactful methods and procedures to improve organizational communication and established relationships with first line leaders, building a network of actions and teamwork. Department of Defense FBCH— 9300 DeWitt Loop, Fort Belvoir, VA 22060 09/2020 to 09/2023 Medical Support Administrative Assistant

Pediatrics General and Sub-Specialty Pediatrics Clinic Hours Per Week: 40 Type of Employment: Full-time

Served as Medical Support Assistant in Pediatrics General Clinic, at the Department of the Army Health Care System. Scheduled appointments, including verifying provider orders in accordance with Army Health Care (MEDDAC) national scheduling guidelines. Responsible for processing all patient movements (admissions, transfers, discharges) for patients admitted. Arranged and scheduled all tests, procedures, appointments, return to clinic orders requested. Communicated effectively with medical clinicians across multiple disciplines to accomplish team goal setting to ensure medical care to patients is met. Verified demographics and insurance information and processes all emergency and non-emergency transfers to other Health Care facilities or private hospitals; performs basic enrollment, eligibility, and preauthorization requirements for specific coverage; uses Microsoft Office software to compile data and formulate reports. Provided staff with program updates, introduced policies and procedures, and addressed program issues during staff meetings.

Fort Belvoir Community Hospital (MEDDAC)— 9300 DeWitt Loop, Fort Belvoir, VA 22060 10/2019 to 09/2020 The Arbeit Group

Medical Support Assistant

Pediatric Outpatient Behavioral Health Clinic

Hours Per Week: 40 Type of Employment: Full-time

Served as Medical Support Assistant in Pediatric Outpatient Behavioral Health Clinic, managing the day-to-day operations and compiled routine and special reports, patients' medical records, appointing data, and health care options for beneficiaries to be utilized by senior management to improve efficiency and the effectiveness of clinical performance. Selected Highlights:

• Reviewed the referring consults, doctors' notes and/or drug treatment protocol in order to select and schedule the appropriate tests.

• Verified patient eligibility for treatment through the Defense Eligibility Enrollment Reporting System (DEERS) and check patients ID cards.

• Maintained the clinic patient appointment schedule for physicians.

• Greeted customers that inquired about appointment eligibility using different programs such as Tricare, Armed Forces Health Longitudinal Technology Application (AHLTA ) and Composite Health Care System (CHCS) in order to uphold established patient care.

• Initiated and performed various clerical, record keeping, and miscellaneous duties required for the proper and timely treatment and care of patients.

Fort Belvoir Community Hospital -9300 DeWitt Loop, Fort Belvoir, VA 22060 07/2017 to 10/2019 Worldwide Staffing Exchange

Medical Support Assistant

Pediatric Specialty Clinic

Hours Per Week: 40 Type of Employment: Full-time

Served as Scheduling Coordinator, Receptionist, Template Manager, Appointments Coordinator, and Managed Medical Care Consultant for all Specialty Care.

Selected Highlights:

• Adjust times of appointments, based on changes in healthcare provider's schedule, shifts patients to other clinic health care providers in case of unexpected absences of health care providers.

• Monitored end of day processing for data quality; captures Inpatient Consults on a daily basis. Takes corrective action with the appropriate staff to eliminate duplicate appointments, procedures, and other anomalies.

• Greet customers to inquire about appointment eligibility using different programs such as Tricare, Armed Forces Health Longitudinal Technology Application (AHLTA ) and Composite Health Care System (CHCS) in order to uphold established patient care.

• Provided patient data for approximately 5,000 patients per month, and administrative clinical support for over 150 providers and over 60,000 patients annually.

• Generate provider reports using automated systems for over 150 personnel for operational effectiveness: knowledgeable of clerical procedures, record management, and office automation.

• Verify patient eligibility for treatment through the Defense Eligibility Enrollment Reporting System (DEERS) and check patients ID cards.

• Provided clerical and administrative support while utilizing automated systems, to include the Microsoft Office suite (Word, Excel, etc.); maintaining records within a database and/or spreadsheet; and producing reports from various automated systems. Georgetown University Hospital - 3800 Reservoir Rd NW, Washington, D.C 20007 03/2016 to 07/2017 PUBS-Claims Processing Specialist

Hours Per Week: 40 Type of Employment: Full-time

• Submitted HCFA-1500 claim forms (electronic and paper) to third party carriers, accurately and timely.

• Ensured that claims meet billing guidelines for assigned carriers.

• Maintained tracking system to ensure claims submission to carrier billing requirements and assisting in changes to system and manual billing processes.

• Ensure that supporting documentation is provided at the time of claim submission to facilitate timely reimbursement. EDUCATION/CERTIFICATIONS

RAPIDS/ DEERS CERTIFICATION — Fort Belvoir, Virginia SANFORD BROWN INSTITUTE (MEDICAL BILLING & CODING)— Landover, MD TRAINING & PROFESSIONAL DEVELOPMENT

Characteristics of Students with Autism Spectrum Disorders, Intellectual Disability, Multiple Disability, Other Health Impairment, Developmental Delay, Visual Impairment, Deafness, Hearing Impairment, and Deaf-Blindness

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