Medical Professional

QUASHEMA JAMES, CMA

** ***** **** ******* *** *B Phone: 862-***-****

Budd Lake, NJ 07828 *******@*******.***

SUMMARY STATEMENT

Experienced Medical Professional seeking a role where my background in healthcare can be utilized to the benefit of my employer. I am a dedicated, reliable, and self-motivated individual that excels at meeting the challenges and demands of the healthcare industry.

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Core Competencies

Multi-task with attention to detail and excellent time management skills

Ability to communicate effectively, written and orally, with colleagues as well as all levels of management

Self-starter with an eagerness to learn and seek out new opportunities for advancement

Provide quality patient care with a positive demeanor

Proficient in Windows XP and MS Office Applications: Word, Excel, Access, Outlook, and PowerPoint

Knowledgeable in Medical Software: Medisoft, CollaborateMD, Soapware, Prophit, and NDOC

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EXPERIENCE

Account Representative – VNA of Saint Clare’s (Career Center Inc 2 month temp assignment), Sparta, NJ 2010 -2010

• Contacted Auto Insurance and major medical insurance companies to obtain precertification/authorization for Home Care Services

• Communicated with medical insurance companies in regards to reconciliations, appeals, and finalizing claims.

• Developed relationships with Insurance Nurse Case Managers and VNA Nurses and PT staff

• Processed Home Health Aid timesheet

• Account Receivables –posting insurance and patient payments etc.

Office Manager - Dr. Mark Jay Atkins, Randolph, NJ 2007-2010

Certified Medical Assistant – Administrative Assistant – Medical Billing

• Date Entry of patient demographics

• Scheduled and reconfirmed patient

• Obtained precertifications and authorizations for procedures

• Transferred patient records from paper charts into EMR

• Contact patients in regards to exam results

• Quick and accurately performed Vital Signs, Peak Flow, General PFT, and Vaccinations

• Experienced with billing insurance carriers such as Medicare, Medicaid, Horizon, Oxford, and Aetna etc.

• Processed and posted payments and adjustments from health insurance

• Claims finalized and paid in a timely manner

• Composed appeal and reconciliation letters for claims

• Placed collection calls to recoup funds and make payment arrangement

• Researched and resolved patient inquiries satisfactorily

Staffing Coordinator - Joule Business Services, Parsippany, NJ 2003-2006

• Promoted from Administrative Assistant to Staffing Associate to Staffing Coordinator

• Coordinated all facets of placement

• Participate in and support recruitment staff by sourcing, screening, and assessing candidates proficiency for available positions

• Determined qualifications of candidates by interviewing, also responsible for hiring and terminating employees from contract positions

• Ability to handle sensitive subjects in a professional manner

EDUCATION

2007 Certified Medical Assistant

2007 Berdan Institute, Wayne, NJ

2000 Diploma, Jefferson Twp. H.S.

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