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Staff Consultant Resume Profile

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.

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