Healthcare Administration Professional with Reimbursement Expertise

MONIQUE T. CLARKE

Tel#: 585-***-**** - **************@*****.*** – linkedin.com/in/monique-black-892187226 PROFESSIONAL SUMMARY

Performance-driven and organized graduate with a career in healthcare administration. Wants to use experience in the medical field to help integrate into a management position. Understands how to prioritize organization and others' needs with developed multitasking skills. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

PROFESSIONAL SKILLS

● Excellent knowledge of modern office

practices and procedures

● Proficient in MS Office

● Teamwork and Collaboration

● Customer Service

● Problem-Solving

● Analytical skills

● Documentation

● Knowledge of Medical Terminology

● Electronic Health Information system

(EPIC)

● Medical records

● Healthcare Regulation

● Strategic Planning

● Scheduling

● Organizational and multitasking skills

WORK HISTORY

04/2023 to Current

06/2021 to 2/2023

Reimbursement Analyst

Excellus Health BCBS, Rochester NY

● Supported the analysis and implementation of provider reimbursement methodologies across multiple regions.

● Assisted in financial modeling and rate testing to ensure accurate and compliant payment structures.

● Collaborated with internal teams to monitor billing trends and identify opportunities for cost optimization.

● Maintained documentation and contributed to the development of standardized reimbursement approaches.

● Applied analytical tools to evaluate provider contracts and support strategic decision-making.

Medical Secretary

Calkins Creek Family Medicine, Part Highland Hospital – Rochester, NY

● Processing patient information for visits which may include reception, registration, charge capture and charge entry, appointment scheduling, medical records management, and telephone management

● Ensure accurate and timely input of collected information into the information systems

● Document patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.

● Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.

● Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

● Ensure abide by HIPAA laws and regulation when disseminate information 01/2018 to 06/2021 Nutrition Assistant

Strong Memorial Hospital, University of Rochester Medical Center

● Provide excellent customer service providing patient's dietary requirements.

● Maintains sanitation of work areas and always follows sanitary food practices.

● Ensure accuracy by identifying patients and collecting two identities when providing service.

● Assists with patient menu selection on the telephone or at the bedside, such as ensuring that their diet plan corresponds with meal selection. 05/2017 to 11/2017 Card Operator Summer (Intern)

Sagicor Bank

● Ensure corporate compliance to the credit card line of business and assist team members in resolving disputes related to credit card refunds and chargebacks

● Assists with managing the organization's corporate purchasing card program such as the issuance, renewal, and modification; cancellation, records retention, and distribution lists; compliance issues and customer service (credit limit increases, policy interpretation, exception transaction processing, etc. EDUCATION

Master of Science: Healthcare Administration (2024-2025) Roberts Wesleyan University

Bachelor of Science: Healthcare Administration (2021-2022) The College of Brockport, State University of New York - Brockport, NY Associates of Science: HealthCare Administration (2018-2020) Monroe Community College - Rochester, NY

Bachelor of Science: Economics (2015-2017)

University of Technology

CERTIFICATIONS

● Project Management Professional Certification /2022- Online Course (Coursea)

● First Aid/CPR Certified

ACCOMPLISHMENT

● Tau Sigma National Society Member 2022

● President List at College of Brockport 2021-2022

● Deans Lists at Monroe Community College 2018-2020

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