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Medical Quality Assurance

Location:
Stafford, TX
Posted:
August 04, 2012

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Resume:

Lisa Annette Reed

*** ****** *****

Rosharon, Texas 77583

Home: 281-***-**** Cell: 281-***-****

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

Objective/Skills

To obtain a responsible and challenging position within a great company or agency, with growth potential that utilizes my experience, strong interpersonal skills and background where my case management and administrative duties as well as my passion for event planning that will be of great value. To gain employment with company or agency that can utilize my superb organizational and administrative skills.

Work History

Office Manager

Fresenius Medical Care North America

Houston, Texas December 2007 - Present

Provide general administrative support to the Clinic Manager. Monitors attendance records and FMLA procedures. Initiates forms required for salary actions and other personnel activities. Administers all payroll activities, and maintains payroll records. Maintain employee files. Arrange conferences and meetings. Creates and maintains monthly drug report for the clinic. Maintains and prepare inventory of office forms and supplies

Performs secretarial/receptionist functions as needed. Assists with account receivables and accounts payables. Compiles and maintains medical records of both the in-center and home patients in the dialysis facility according to company policies and procedures and in compliance with all applicable regulatory requirements. Maintains files in accordance with the procedures defined by Fresenius Medical Care Compliance Records Management department. Ensures compliance with federal, state and local regulations.

Prepares hemo-dialysis records according to HIPAA standard procedures.

Charts, posts, and files appropriate information per defined company procedures.

Collects patient statistical profile information and Continuous Quality Improvement data.

Maintains accurate records of hospitalization, patient travel to facilitate coordination of patient scheduling and ancillary testing. Conducts audits of patient records for ongoing compliance with medical record standards. I was also responsible for planning patient and staff’s, Holiday parties and also family and friends Appreciation Day.

Case Manager/Employment Specialist

Bannum Place of Beaumont

Beaumont Texas Jun 2002- Apr 2004

Assisted the Director in the day-to-day operation and administration of the facility.

Scheduled new and existing client appointments. Input client data on new and existing clients via computer and processed information for client participation

Provided fiscal management of client funds for the purpose of collection and disbursement for program participation. Devised special approaches to special patient groups such as the aging, women, mentally ill, homeless and minorities. Provided daily consultation to the Program Director on progress in the behavioral sciences and devised programs, and policies to improve the day to day operation of the treatment programs. Monitored all resident referrals, admissions, and discharge activities. Created and managed office policy and procedures manuals and bookkeeping systems.

I have a wealth of experience in various positions that involved scheduling of appointments and ensuring that the clients and or patients had access to care. In my role as Employment Specialist at Bannum Place of Beaumont over 50% of the clients I assisted were veterans. I was required to direct the veterans in my care to services of the Veterans Administration. I was required to assist the clients in scheduling appointments and accessing medical care. In my role as Employment Specialist I would review the Veterans Administration policies and procedures to ensure that the clients who were veterans were able to schedule their required appointments, ensuring they would receive their medical assistance. As Registration Clerk for Mid-County Family Practice I was responsible for collecting data from patients to prepare their medical records for admission. I verified that all patients had proper insurance documentation, collected payments and scheduled future medical appointments. I was also responsible for the discharge of patients from the medical facility, and reviewed medical for accuracy and quality assurance to ensure they adhered to standards

Clerk III

Texas Department of Criminal Justice, Parole Division

Beaumont Texas Feb 2001 – Nov 2001

Managed parole referrals, admissions, and discharge activities

Supervised the organization and distribution of all facility files, incoming and out going correspondence

Achieved top ranking among four other team members for exceptional performance (efficiency and effectiveness in handling consumer calls)

Prepared quarterly reports, graphs, and quality assurance grids for the Parole Superintendent

Secretary II/Administrative Assistant,

Texas Department of Criminal Justice, LeBlanc Unit

Beaumont Texas Feb 1997 – Jun 2000

Managed the day-to-day administrative operations of a 1000 bed Treatment Unit, including admissions, discharges, and referrals. Created and maintained all facility case files

Coordinated all travel arrangements for staff. Assisted in the drafting of New Employee Reference Guide, which helped employees better understand the agency operations, policies and procedures. Assisted Program Director in budget reconciliation, and other activities

Registration Clerk

Mid-County Family Practice

Nederland, Texas March 1996 – Feb 1997

Created charts for new admission of patients. Processed patient records for discharge.

Verified insurance on all incoming patients, also updated old patient information.

Archived patient charts in the medical computer information system. Collected co-payments from patients. Scheduled patients for future medical appointments. Switchboard operation for entire facility staff, routing calls to appropriate staff and troubleshooting client concerns.

Clerk II

Texas Department of Criminal Justice, Pardon and Parole Division

Austin, Texas Feb 1996 – May1996

Managed all inmate files routed through the Pardon and Parole Division.

Solely responsible for ensuring inmate records were routed to designated units for disposition, 300 to 400 on an average daily basis. Reviewed and processed all inmate records after case disposition. Monitored and documented restitution payments for all inmates

Case Coordinator/Therapist I,

Life Resource/ATAR

Beaumont, Texas Mar 1989 - Jan 1996

Managed all client records, insured client confidentiality. Participated in recreation therapy with dual diagnosis patients. Transported dual-diagnosis patients to outside groups and medical appointments. Managed parole referrals, admissions, and discharge activities.

Supervised the organization and distribution of all facility files, incoming and outgoing correspondence. Prepared all required reports and transmits billing to the Texas Department of Criminal Justice grant agency. Monitored and charted client progress in client files. Responsible for coordinate activists and plan outings for our patient and their family members for a new way of living.

Education/Advanced Training

Lonestar Community College

Certified Wedding and Event Planner

Longview Community College

Core Coursework in Business Administration

Metropolitan Community College (Penn Valley)/ First Step Fund

Family Care Entrepreneur Program

Early Childhood Education

Lamar University

Medical Office Billing

Medical Terminology

ICD9/CPT Coding

Microsoft Combo for Business

Windows XP Professional, Windows NT

Microsoft Excel, PowerPoint, Outlook



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