SUMMARY:

• Digital Imaging (IKON Disc) (EMR) (E - Copy ShareSacn) *Data Entry/ file HIPAA rules and regulations *Medicare guidelines/ Re Staff Mentoring & * Coordinating / Scheduling
• Seeking a challenging position in Health Care, Medical Billing and/or related fields that will offer the opportunity to utilize my health care experience and knowledge, and expand my leadership abilities where my skills are needed.

TECHNICAL SKILLS:

Software: Microsoft Access 2010 Citrix/Cerner ( Homework/Road Notes) CPSI System Client Ware

PROFESSIONAL EXPERIENCE:

Confidential, Modesto CA

Case management Clerk (Social service Department)

Responsibilities:

• Assure responsibility of approved authorizations claims and being proactive with follow- Make Appointment/ Scheduling, and also responsible for the correct arrangement of transportation and follow-up/ outside test.
• Demonstrates knowledge of pre- and concurrent review processes.
• Ability to send concurrent review to designated insurance agencies on a daily basis and in a timely manner.
• Keeps Unit Clerks and/ or Tele Techs informed of pertinent Information related to authorizations, appointments, and transportation time.
• Coordinates 32 Confidential t on the 2nd floor with appointments, Scheduling up phone calls.
• Lite ICD-9/10-CM and CPT codes for authorizations process
• Able to communicate difficult and challenging situations with Case Managers in order to resolve any problems that may arise with Vendors or Agencies.
• Knowledge Of HIPPA regulations and disclosures for release
• Assure that the right of all Confidential ts are respected and maintained by allowing for privacy confidentiality and dignity in the provision of service.
• Maintains required applicable and in-service requirement and participates in departmental staff meeting ( through attendance or reading meeting minutes)
• Performs all other duties as assigned.
• Data Entry and 10-key touch
• Various clerical duties such as sorting data entry, typing. Correspondence, and filling, photo coping, scanning and indexing document.
• Assists with special project and takes initiative during downtime to complete other department related tasks. May assist in orientation of new staff.

Confidential

Health Information Management Clerk

Responsibilities:

• Appropriately and accurately pulls records for Confidential t care, quality review, and audits in a timely manner.
• Observe confidentiality and safeguards all Confidential t related information.
• Responsible for coordination the release of medical information to insurance companies, lawyers, state, and federal agencies.
• Responsible for processing of subpoenas and court orders, at the direction of the H.I.M.S director.
• Ensure that all requests for records are stamped with date received and logged in the correspondence book.
• Notify requester when records are available.
• Maintain a good working relationship within the department and other departments.
• Provide excellent customer service.
• Filling of all records
• Lite billing for requesting records
• Answering main phone line in the department.
• Consult with doctors and other healthcare providers to ensure that Confidential t records display the most update information.
• May perform additional administrative duties and others duties as, lite scanning (EMR); meeting preparations; assembling of medical records; analyzing records ( flagging deficiencies); responding to requests for medical records; transcribing and retrieving dictated reports and filing them in the Confidential t chart; faxing and tracking physicians for record completions and all other jobs assigned by the Director of Medical Records.

Confidential, Modesto, CA

Physician Administrative Assistant

Responsibilities:

• Creates and maintains Physician and Nurse Practitioner visit list and assist in Scheduling patent visits
• Prepares and Disperses Physician monthly calendar schedule
• Provides supportive service to the Medical Stuff “Physician and Nurse Practitioner”
• Coordinates the development and functions for Peer Review
• Coordinates and oversees the Death process and completion
• Oversees the processing of all Physician’s credentialing, assists with prescription processing, prepares and disperser
• Provides supportive services to the Medical Staff, manages all physician related calls, and coordinates schedules and attends monthly Medical Staff QAPI meetings, also minutes for meetings
• Creates and Maintains databases or tracking for a variety of information and activities for Quality Department
• Integrates and collects data from Medical Records Homework’s, and databases to prepare reports and graphs related to audit outcomes for Medical Staff Services
• Utilize appropriate performance improvement tools for presentation of Confidential indicators.
• Provides clerical assistance including, but not limited to, typing correspondence, reports, and agendas for the Medical Staff

Confidential

Clinical Records Specialist

Responsibilities:

• Maintains document scanning and image into IKON DISC Imaging on a daily basis and verifies that all documents are complete before imaging
• Direct support to Confidential t Care Manager, Team Leader, Nurses, Social Workers and Chaplains
• Update IDT List daily for Gold team ( Modesto) and Stockton Branch
• Chart editing and reviews (open and Close Charts) processing the Plan Of Treatment/485 and Physician Interim Orders in Order Management, Sending for physician signature via Right Fax, Tracking retunes in Right Fax Utilities and receiving in Orders Management within 14 days
• Coordination of weakly meetings (IDT-Interdisciplinary Team)
• Utilized All scripts to monitor Confidential t information, clinical indicators for re and list of medications
• Follow up on faxes, phone calls and e-mails

Confidential, Modesto, CA

Medical Assistant -Full- Time Externship

Responsibilities:

• Confidential ts measure vital signs including pulse rate, blood pressure, temperature, weight, height and keep it as a record on Confidential t's charts
• They hand instruments and materials as directed from doctors
• Responsible for keeping care of the treatment rooms before examine Confidential ts
• Lite lab work
• Faxes and filling