Summary

Jewel is a Staff Consultant with CSG Government Solutions and has worked in the Healthcare and Human Services Industry since 2001. Jewel functions as a Business Analyst/Project Coordinator and is a highly organized, detail oriented and quality-focused individual, committed to approaching administrative tasks with tenacity and attention to detail.

Expertise

• Project Coordinator
• Project Scheduling
• Project Management Analyst
• Executive Assistant
• EPIC ADT-Patient Access Tool
• HR/HIPAA Compliance
• Employee Training and Development

Professional Summary

Confidential

Staff Consultant

• Serves as a Business Analyst supporting CSG's Healthcare and Human Services practice.
• Serves as a Project Coordinator for State of Michigan Project Control Office
• Serves as Project Scheduler for the State of MI Fraud, Appeals Assessment and BPR Projects
• Creates Project Transition Plans
• Implements Project Management DED's
• Creates Statements of Work SOW
• Creates Work Breakdown Structures WBS
• Serves as a liaison between CSG's Project Control Office and The State of Michigan Project Leads, Admins Directors
• Monitors Project Schedules to identify possible Risks and Issues
• Provide project teams with updates to ensure knowledge of constant changes opportunities within the PCO
• Planned and organized Team Building Events for the Project Control Office and Lansing Offices.
• Provided Invoice Tracking for over seven agencies within the CSG MI single State Practice

Confidential

IT Epic Trainer

• Set up staff workstations with PCs, Macs, phones, and laptops.
• Gathered detailed use cases and requirement through regular on-site visits, virtual meetings, and customer advisory board sessions.
• Led bi-weekly Scrum planning meetings to develop team strategies and define project goals.
• Translated technical specifications into detailed product requirements.
• Maintained audiovisual equipment, including overhead projectors, laptops, and video conferencing equipment.
• Delivered on-site IT and AV technical support.

Confidential

Laboratory Support Specialist

• Scanned documentation and entered into the database.
• Produced monthly reports using advanced Excel spreadsheet functions.
• Entered numerical data into databases in a timely and accurate manner.
• Reviewed medical records for completeness and filed records in alphabetic and numeric order.
• Verified insurance and demographic information.
• Posted and adjusted payments from insurance companies.
• Identified and resolved patient billing and payment issues.
• Examined patient's insurance coverage, deductibles, possible insurance carrier payments, and remaining balances not covered under their policies when applicable.
• Updated patient financial information to guarantee accuracy.

Confidential

Executive Administrative Assistant

• Planned and coordinated logistics and materials for board meetings, committee meetings, and staff events.
• Created detailed expense reports and requests for capital expenditures.
• Ordered and distributed office supplies while adhering to a fixed office budget.
• Coordinated domestic and international travel arrangements, including booking airfare, hotels, and transportation.
• Screened applicant resumes and coordinates both phone and in-person interviews.
• Answered and managed incoming and outgoing calls while recording accurate messages.
• Assessed urgency and priorities before accepting or declining appointments and meetings with the CEO.
• Coordinated board and committee meetings, including schedules and information preparation and distribution.

Confidential

Patient Business Service Scheduler

• Scheduled appointments, registered patients, and distributed reminder letters.
• Precisely completed appropriate claims paperwork, documentation, and system entries.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
• Professionally and courteously verified appointment times with patients.
• Adeptly managed a multi-line phone system and pleasantly greeted all patients.
• Verified patients' eligibility and claims status with insurance agencies.
• Diligently filed and followed up on third party claims.
• Determined prior authorizations for medication and outpatient procedures.
• Updated patient financial information to guarantee accuracy.

Confidential

Bed Management Coordinator

• Scheduled appointments, registered patients, and distributed reminder letters.
• Precisely completed appropriate claims paperwork, documentation, and system entries.
• Correctly coded and billed medical claims for various hospital and nursing facilities.
• Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
• Professionally and courteously verified appointment times with patients.
• Verified patients' eligibility and claims status with insurance agencies.
• Prepared patient charts accurately and neatly for the clinic.
• Prepared patient charts, pre-admissions, and consent forms, as necessary.
• Compiled necessary documents for surgical billing packages.
• Determined prior authorizations for medication and outpatient procedures.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.