Ainur Bilyalova
Winter Park ,FL
Summary
Dedicated and detail-oriented Custom Clinical Administrative Coordinator with 1 year of experience in healthcare administration. Proficient in managing administrative tasks, coordinating patient care, and ensuring smooth operations within clinical settings. Adept at fostering positive relationships with patients, healthcare professionals, and administrative staff to facilitate efficient service delivery.
Overview
3
3
years of professional experience
Work History
Custom Clinical Administrative Coordinator
Keruen
01.2020 - 01.2021
- Document all patient interactions in compliance with Model of Care, NCQA, and CMS regulations.
- Receive and respond to incoming Care Coordination inquiries from various communication venues.
- Coordinate and monitor documentation Care Management queues for referrals and UM requests.
- Conduct inbound and outbound calls for program requirements such as patient scheduling and surveys.
- Prepare daily Inpatient Census, monitoring UM cases and informing Care Management Manager of outstanding cases.
- Participate in market Patient Care Committees, preparing agendas, documenting minutes, and distributing to appropriate venues.
- Schedule and coordinate patient transportation and follow-up physician appointments.
- Complete timely data entry of member contact information into software applications.
- Provide clerical and administrative support to clinical staff and managers for special projects and reporting needs.
- Offer excellent customer service as a resource to internal and external customers.
- Attend required meetings and participate in ad-hoc committees as needed.
- Maintain knowledge of health plan benefits, network, CMS regulations, and health plan policies.
- Maintain monthly logs for Notice of Medicare Non-Coverage (NOMNC) per delegation requirements and distribute to management.
- Perform other duties as assigned.
Administrative Assistant
Phoenix Contact
02.2018 - 04.2019
- Provided administrative support to healthcare professionals, including scheduling appointments, managing correspondence, and maintaining records.
- Assisted in billing and insurance claims processing, ensuring accuracy and compliance with regulatory guidelines.
- Managed inventory and supplies, ordering as needed to maintain efficient operations.
- Coordinated meetings and conferences, including scheduling, logistics, and documentation.
- Assisted in the development and implementation of administrative procedures to streamline workflow.
Education
Bachelor of Science -
Ablai Khan Kazakh University
Kazakhstan05.2006
Skills
- Extensive knowledge of healthcare administration principles and practices
- Proficient in electronic medical records (EMR) systems such as Epic, Cerner, etc
- Strong organizational and multitasking abilities
- Excellent communication and interpersonal skills
- Attention to detail and accuracy in administrative tasks
- Ability to work effectively under pressure and in fast-paced environments
- Familiarity with medical terminology and procedures
- Knowledge of HIPAA regulations and patient privacy laws
Timeline
Custom Clinical Administrative Coordinator
Keruen
01.2020 - 01.2021
Administrative Assistant
Phoenix Contact
02.2018 - 04.2019
Bachelor of Science -
Ablai Khan Kazakh University