Liliya Segal
***** ********* ** ******** *****, CA 91364 • 818-***-****• ***********@*****.***
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SUMMARY
Motivated, resourceful, and enthusiastic individual seeking a full time position. Driven team player with a positive “can-do” attitude and a pleasant demeanor. Extremely organized, detail-oriented, and deadline sensitive attributes will be a great asset to any company. Ability to work in a fast-paced environment while incorporating a unique and creative touch to any project.
Other skills include:
• Fluent in English and Russian. Proficient in Mac and PC, Microsoft Office, Internet, EZ-Cap.
• Excellent interpersonal communication skills.
• Critical thinker and an excellent problem solver.
• Acquired leadership skills through work experience.
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EDUCATION
•Santa Monica Community College
Currently enrolled in Fashion Merchandising program for 2013 Spring semester
•California State University Northridge
Bachelor of Science in Health Administration
Emphasis: Management/Marketing
Los Angeles, CA
May 2011
•Los Angeles Valley Community College
Associates in Liberal Arts
Los Angeles,CA
Aug 2008
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PROFESSIONAL EXPERIENCE
MedPoint Management
April 2011 – Current
Provider Relations
Manage, coordinate and organize database for 10 different Medical Groups (IPAs).
Provide support for contracted physicians
Physician and/or vendor profile maintenance, fee schedules corrections and upholding.
Evaluate physician contracts on daily bases; verify its validity, create new profiles, assess fee schedule/compensation
Work closely with credentialing department; examination of physician applications, system profile updates.
Work closely with claims department on physician claim issues such as incorrect pricing and claim submission.
Phone coverage on daily bases.
Creating and updating spreadsheets.
Extensive knowledge of EZ-Cap program
Cal State Northridge (SHEPSEP Project)
October 2010 – December 2010
Student Coordinator/Administrative Assistant
Student coordinator for program that provided students with volunteering experience in their area of interest.
Provide proper information for students
Organize/host events, meeting and learning seminars.
Accompany students to their volunteer sites; making sure that all the proper procedures are being followed
and both the students and the site personnel are receiving proper experience from program.
Handle e-mail traffic between students and the head professor.
In charge of project documents (spreadsheets, contracts, assessments, applications, flyers, etc)
Providence Holy Cross Medical Center
October 2010 – December 2010
Patient Quality Improvement
Academic Internship
In charge of audits of physician telephone orders and nursing station bulletins which in turn improves hospital compliance with physician performance/care taking and nursing awareness.
BRS Comprehensive medical group
March 2006 – December 2006
Front Office Manager
Greeting customers, making appointments, answering phones; maintaining office supplies; insuring patient satisfaction; typing up letters, referrals; filling out necessary forms for patients’ care; entering data into the computer such as new patient information. Maintaining patients’ charts; receiving payments, Medical Insurance verification with (all carriers HMO,PPO,POS, Medi-Medi, workers compensation); communicating with pharmacies regarding patient prescription coverage.
Cedars-Sinai Medical Center
September 2001 – August 2003
Cedars-Sinai Human Resources/YED
Administrative/Clerical
Filing and organizing documentation; analyzing classes’ evaluations; various clerical work; participated in JHACO, organized Nursing Symposium
References available upon request