PROFESSIONAL SUMMARY:

• Seeking a full - time position, a proactive Medical Administrative Assistant professional with extensive background in Utilization Review, Health Care Administration, Immunization, Information Technology, Medical Records, Occupational Health and Safety, Office Clerk, and Health Care Quality.
• Work directly with other team members and the client to schedule and plan meetings to allow for planning and updates throughout the course of a project and help with planning meeting content and presentations.
• OrganizeProject Logistics: Organize the logistics of a project, set a schedule, track dates, budgets and other information using spreadsheets by focusing on project’s particulars, which range from daily minutiae to long-term goals, in order to keep it on schedule.
• Maintain detailed records of all aspects of the projects development, sort reports, contracts, invoices and financial files for quick access and future reference.
• Interfacewith Clients: Work directly with the client to respond to their requests and communicate to them the status of the project, troubleshoot and clearly articulate proposed solutions to the client. Planning, vendor management, purchasing, budgeting, and reporting for clinical and non-clinical projects.
• Act as the subject-matter expert on E4A processes and systems, seeking input and escalating concerns appropriately in compliance with Confidential .
• Ensure all activities related to regulatory submissions are managed according to global and local processes.
• Medical Affairs global data reporting and tracking requirements compliance in entering, maintaining, and reporting data.
• Ensure data quality and integrity.
• Ensure operational tracking tools meet business needs.
• Meets departmental objectives established for quality satisfaction, growth and financial success, conducts timely and accurate utilization reviews as assigned using organization-approved utilization review criteria, organize claims denial statistical data as defined using EPIC, provides utilization review clinical documentation adequate and complies with payer requirements using EPIC, routinely collaborates with and supports front line insurance claims experts, monitors assigned work ques within EPIC electronic medical record system.

WORK HISTORY:

Covid Vaccine Registration Clerk

Confidential, San Francisco, California

Responsibilities:

• Providing clerical services in registering patients in healthcare setting
• Verify the eligibility of the patients as per the phases announced by the city
• Check in patients to receive COVID Vaccination
• Ensure all clinical data and demographic information is accurately entered into the information system
• Maintain medical records of patients
• Providing answers/responses to all patient inquiries

Immunization Administrative Assistant

Confidential, San Francisco, California

Responsibilities:

• Assists with setup of individual clinic sites
• Responsible for taking flu shot observations
• Provided flu shot health screenings per infection control guidelines
• Routinely interacting with patients while answering questions about potential side effects and other issues related to the vaccination process
• Ensure flu vaccination safety standards per CDC guidelines
• Ensure awareness of flu vaccination side effects to patients
• Confirm that parental/guardian permission slips for flu shots have been received and signed prior to administering shots
• Answered any questions patients had prior to administering flu vaccinations
• Carefully monitored initial patient reaction to the flu shot
• Assists customers with completion of correct paperwork
• Confirms that all documentation has been made properly and completely

Medical records Specialist

Confidential, San Mateo, California

Responsibilities:

• Provide computer data entry, general office practices and procedures including filing, record keeping, photocopying, and faxing
• Process clinical documentation to support the clinical team patient and billing information needs.
• Complete billing audit and discharge chart audit in a timely manner after patient discharge
• File all elements of patient record on a daily basis, assemble new patient charts according to policy, ensure and knowledge of HIPAA regulations, retrieve and copies medical records per agency policy when requested
• Prepare and transfers clinical record charts for interoffice transfer as per policy and procedures and manage all daily clinical records faxes including implementing clinical record policy
• Ensure clinical record systems are maintained within state, federal and JCAHO, and Title 22 regulations
• Provide administrative and clerical support in the processing of clinical records documentation

Case Management Specialist

Confidential, Oakland, California

Responsibilities:

• Assists care management team of social workers and nurses with functions such as but not limited to provide patients' census reconciliation, health administrative support for patients care coordination, patients discharge planning activities, and insurance authorization coordination.
• Working with public and private insurance payors, accurate and critical case management data entry and tracking using EPIC and Allscripts, and case management report creation EPIC electronic Health Record (EHR) and Allscripts Case

Utilization Management Analyst

Confidential, San Francisco, CA

Responsibilities:

• Conducts trend analyses using Excel Pivot Tables and helps develop resulting utilization management recommendations.
• Data entry, Excel Pivot Table reporting, and manipulation of data.
• Pulling various stats via EPIC/Apex, EPIC/Apex reporting.
• Gathers and analyzes patient and other utilization resource data; prepares reports or analyses operational utilization management activities, evaluates current and proposed utilization management services.
• Provides support for the review process and manage the data associated with reviewsappeals and denials.

Administrative Assistant

Confidential, Oakland, CA

Responsibilities:

• Supported four DCHE department directors as an Administrative Assistant
• Schedule, coordinate and manage calendaring of multiple complex staff onsite/offsite meetings with online conference capabilities and plans meetings. Arrange, coordinate and support meetings, events, and activities both on and off - site
• Process all DCHE department's payments and expense reports
• General office responsibilities: maintain files, order department office supplies, maintain photocopying equipment, order catering and other supplies for the department and for meetings and events, greet visitors, disseminate information, I.T. troubleshooting.
• Support meetings, monitor and respond to email inquires, answers phones, and routes to appropriate members and staff

ADMINISTRATIVE ASSISTANT and PROJECT COORDINATOR

Confidential, Oakland, CA

Responsibilities:

• Planmeetings, organize project logistics, maintain records, interface with clients.
• Provided more complex administrative support and project coordination for the department head, managers, and or staff members to include the following: Answers phones and takes messages, greets Confidential outside vendors, monitor and or respond to routine email inquiries, manages multiple calendars and schedules and plans meetings, arranges special events requiring solid understanding of meeting planning and coordination.
• Makes travel arrangements for the department head and or staff memberse - Builder construction management softer training and experience, liaise with e-Builder core team and end users, manage documents and schedule reports submitted through eBuilder, create, manage appointments and meetings using Calendars in Microsoft
• Outlook, adding, modifying meetings and tracking responses, managing and sharing calendars.
• Coordinated with other internal department staff, generate and analyze NFS departments project schedule, cost, and budget reports as requested

On-Site Operations

Confidential, San Francisco, CA

Responsibilities:

• Participated in and acquired an OSHA 10 Training Certification (Occupational Health and Safety for the Construction Industry) and practiced safety procedures
• Maintained and troubleshoot on a daily basis a cloud - based construction managementrecords keeping IT software system - data entry of employee application forms, scanning miscellaneous employee documents, printing badges for employees, maintaining employee activity logs, and printing employee activity reports for management using the IT system
• Maintained detailed and organized job site's office files and construction documentsmaintain construction jobsite's binders and logs, file and organize job site's office activities
• Maintained construction office supplies, incoming/outgoing mails, and jobsite's I.T. activities
• Coordinated and communicated efficiently with other construction field office personnel (I.T. Managers, Supply Order Personnel, Area Managers, and Safety Managers) to complete different construction activities