Administrative Medical Assistant/ Coder

Julia Hernandez

**** ****** ****** *****, ** ****1 860-***-**** **********@*****.***

Objective To obtain a position where my experience, enthusiasm, and skills can be effective utilized with the potential to grow to the next level.

Professional Experience 03/2008-04/2011 Senior Health Partners “Healthfirst Company” NY, NY

Service Coordinator

Maintain participant demographic information in all records including the face sheet of the health record and pace care

Arrange for contract services through the provider network as defined in care plans with specific responsibility to arrange homecare, transportation, medical appointments, durable medical equipment and home delivered meals

Supports enrollment with information and administrative support for referrals and submissions of required documentations

Provide Supervisors with weekly reports on all participants homecare hours.

Respond to participant questions and resolve minor problems

Schedule special transportation for participants to bring them to and from medical appointments or other trips as planned by Care Teams

Fax referrals and authorizations to vendors and update records

Managed approximately 100-200 cases on a daily basis. Handled heavy call volume regarding every services provided by agency

Prepared correspondence and maintained records pertinent to case activity

Facilitate conference to develop goal orientation action plans with members and families

Conduct investigation regarding claims/grievances filed forms a Senior Health Partners member against a particular agency for dissatisfaction of a service provided. This entitles of making thorough inquires for all parties involved, taking detailed documentation and determining the best way to resolve this issue within the same day

Emailed on a everyday basis

Knowledge of CCMS system

09/2007-03/2008 South Bronx Medical Bronx, NY

Customer Service (Part Time)

Provided information to members and family regarding the therapy and treatment services.

Coordinate services for members such as transportation and medical supplies.

Scheduled MRI, X-ray and attorney appointments.

Responsible for sending authorization to insurance companies for continuation of member services.

Followed up on unpaid insurance claims, including appeals and denials.

Obtained patient confidentiality to abide by the HIPPA laws.

01/2007-01/2008 Jewish Home Hospital Bronx, NY

Receptionist/ Medical Biller (Internship)

Submit form to insurance company.

Enter information into medical billing software.

Post payments in to the system.

Worked closely with Medicaid and Medicare insurance.

02/2006-05/2006 Ajune Medical Day Spa New York, NY

Receptionist/Customer Service

Entered and processed clients personal account information.

Answered all telephone calls promptly and courteously.

Responsible for greeting and being attentive to Medical Spa clients and co-workers, promptly checking- in patients and escort to treatment room or lounge.

Education 2001 Contiental Academy Florida

High School Diploma

Skills Knowledge of Word Processing, Out look MS Office (Word, Excel, Power Point), Electronic Medical Record and Lotus Notes. Type 40 wpm and Fluent in (Spanish/English)

References References are available on request.

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