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Team Leader Resume Profile

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NM

OBJECTIVE A challenging employment opportunit where proven abilities in FRONT DESK SUPPORT for busy MEDICAL PRACTICE, HISTOLOG, office ManagemenT, CUSTOMER SERVICE, SALES, medical billings, and administrative support, can be drawn upon to make a gainful contribution toward the success and viabilit of your compan, agenc or organization.

SUMMARY OF

  • QUALIFICATIONS yExperienced FRONT DESK CHECK IN SUPPORT for bus medical office. With QUALIFICATIONS abilit to check in and register patients, complete check out process and collect mone due for services. Maintain medical records, switch board operation and other administrative duties.
  • Experienced HISTOLOG TECH for bus Dermatolog office. Mohs histotech for Mohs surgeon. Able to process biops's and excisions, including grossing and embedding of tissue and creating and cutting blocks for slides.
  • yExperienced OFFICE MANAGER ADMINISTRATIVE SUPPORT PROFESSIONAL with
  • a proven ability to oversee manage a full range of office activities specific talents in the reorganization and streamlining of office procedures systems to improve efficiency and reduce waste
  • yAccomplished TEAM LEADER trainer able to effectivel recruit, interview,
  • schedule, and supervise diverse employee groups instructs and motivates individuals
  • to achieve company objectives while achieving their highest potential
  • ySolid administrative clerical skills includes expertise in word-processing 70 wpm , computer data entry, light bookkeeping, collections, multiline phone
  • systems, records auditing, quality control, and the management of conventional
  • and computerized filing systems
  • In-depth knowledge of medical terminology over 15 years of experience in
  • medical work environments well-versed in ICD-9 CPT coding, HCFA and UB-92s, Commercial, Government billing, HIPAA Regulations, Appeals
  • COMPUTER LITERATE: WORD-PROCESSING SPREADSHEETS DATABASES INTERNET PRACTICE MANAGEMENT SYSTEMS COMPUTERIZED BILLING APPLICATIONS
  • PERSONAL y Professional company image business wardrobe and positive work attitude
  • PROFILE y Effective communication, problem-solving and time-management skills
  • Superior Customer Service Skills
  • Reliable TEAM PLAYER routinely goes beyond designated duties
  • Detail-oriented and precise with exacting performance standards
  • Works well under pressure, exercising prudent judgment and sound decision- making skills in all areas thrives in deadline-oriented, time-critical work environments

PROFESSIONAL

EXPERIENCE

Confidential

SLR/EHR Customer Service Representative

  • State Level Registry/Electronic Health Record
  • Provide ongoing support of the Electronic Health Record program. Dail communication with Eligible Professionals and Eligible Hospitals electing to participate in the EHR program. Development and preparation of information products for EP's and EHs and professional associations. Analyze attested data b the health care professionals and assist with problem resolution. Serve as liason between Medical Assitance Division, EP, EH and asoociates. Assist providers with registering for the payment incentive program thru NM Medicaid.

Confidential

Accessioning, Billing Coordinator

Perform accessioning of specimen collection kits received dail. Ensure patient data and insurance information is correctl reflected in the Lab Information System. Follow up with physician offices regarding missing or incomplete information, Answer customer service line and answer or appropriatel route patient and physician questions and requests for information. Track completed accessions to ensure reporting to physicians is completed, Track completed accessions to ensure billing information is interfaced to billing agent, Monitor billing system to ensure accessions are appropriatel priced and submitted for payment, monitor billing agent to ensure appropriate appeals processes are in place, manage changes to interface between LIMS and billing agent's system, ensure accounting system appropriatel reflects revenue and cash receipts, track and report dail sales figures, provide ad hoc reports as requested, compl with HIPPA requirements.

Worked closel with Chief Financial Officer and sales staff.

Confidential

Front Desk, Histolog

  • Register and check in patients, complete check out process, answer phones and schedule patient appointments, create and maintain medical records. Assist in other department as needed. Histotech in Mohs and Parrafin labs. Cut and process tissue for Mohs surgeon. Process dermatologic biops's, excisions, including grossing, embedding and cutting blocks for slides.
  • Given opportunity to train as a histotech after one year of service as front desk staff.

GEORGENE MOSELEY CONSULTING

Confidential

HEALTHCARE SPECIALIST

Provide medical billing services to independent physicians and providers, including ICD9 coding, accounting, follow up, appeals, posting of charges.

Confidential

Senior Customer Service Representative

  • Provide support services to the customers and management of Healthcare Extranets. Create and maintain customer contracts and files, including logging communications, problems/issues, and
  • financial status. Create customer sites, and train customers. Prepare customer utilization reports. Monitor utilization and identify trends requiring follow-up attention. Create and distribute custom reports to customers as required. Prepare large mailings and faxes to customers and potential customers. Disable sites and users ID's no longer contracted with HealthXnet. Schedule meetings among members of the advisory and steering committes, partners, customers
  • and employees. Maintain thorough knowledge of the products and services offered by Healthcare Extranets. Develop and perform activities designed to generate maximum utilization and satisfaction among existing customers. Assist in sales of services as needed including the
  • Demonstration of products offered b Healthcare Extranets to potential customers. Assist in testing of system enhancements as needed. Update website as needed.

Handpicked b Management team as Staff Leader and Categor Champion for specific categories of the Malcolm Baldridge criteria for the Qualit New Mexico effort.

Signed over 65 customers within the last two years

Received Employee of the year award for 2004

PROFESSIONAL

EXPERIENCE

Confidential

Continued

Processing Specialist / Team Leader

  • Researched disputed Medicaid, Medicare and commercial medical claims on behalf of client companies. Analyzed individual claims to determine proper primary, secondary and tertiary
  • payors. Collected on insurance claims 90 days to 3 years old. Ke clients included major hospitals and manufacturers of medical equipment in more than 10 states. As Team Leader, resolved problems and provided training to Processing Specialists, Research Analysts, and new hires.
  • Hired as Research Analyst Continued
  • Administrative Assistant
  • Initially worked through temp agency asked to join regular staff after three months
  • Continued Office Manager
  • Managed three satellite offices for company providing home health care personal assistance
  • to terminally ill patients, as well as grief counseling to patients and family members. Directed
  • and oversaw the work activities of six employees, including three office coordinators. Monitored and audited medical records and billings. Billed and collected on Hospice claims. Served as liaison between patients, physicians, and hospice staff.
  • Played a key role in startup of Hospice Division, including formulation of office systems,
  • procedures policies and the negotiation of contracts with health care provider organizations
  • Continued Department Secretar / Heart Station
  • In addition to routine administrative duties, also scheduled patient visits for 13 cardiologists,
  • managed medical records, processed ICD-9 codings billings, and assisted in the daily
  • coordination of Arrhythmia Clinic operations. Collected copays and deductibles for different insurance plans.
  • Hired as Clerk and promoted to Department Secretary within three months

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