Medical professional adept at evaluating clinical data and ensuring compliance with regulatory standards. Skilled in analyzing medical records, identifying discrepancies, and collaborating with healthcare teams to achieve accurate and timely results. Known for adaptability, reliability, and strong communication skills. Proven ability to navigate complex medical documentation and uphold high standards of accuracy and efficiency.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Review Specialist
Telligent Health Care
01.2024 - Current
Managed approximately 60 incoming calls, email, and fax per day from customer.
Conducted root cause analysis on recurring issues encountered during reviews; proposed viable solutions that led to long-term improvements.
Implemented best practices for documentation management, ensuring easy access to critical information when needed.
Maintained up-to-date knowledge on industry trends and regulations, providing informed guidance to colleagues and clients alike.
Reviewed high-priority cases with heightened attention to detail, mitigating potential risks associated with non-compliance issues.
Managed a high volume of reviews within tight deadlines, ensuring timely completion and client satisfaction.
Customer Service Representative
Kaiser Permanente
02.2015 - 11.2023
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Managed approximately 100 incoming calls, per day from customers.
Responded to customer requests for products, services, and company information.
Created and maintained detailed database to develop promotional sales.
Contributed to sales growth by upselling products and services based on individual customer requirements.
Collaborated with team members to develop best practices for consistent customer service delivery.
Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
Medical Assistant
Comprehensive Primary Care
01.2013 - 01.2015
Managed approximately 100 incoming calls, emails, and faxes per day from customer.
Obtained client medical history, medication information, symptoms, and allergies.
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Performed medical records management, including filing, organizing and scanning documents.
Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
Aided in accurate diagnoses by performing laboratory tests and preparing specimens for analysis.
Measured patient spirometry.
Supported duties for diagnostic and technical treatment procedures, such as setting up and operating special medical equipment.
Medical Assistant
Family Medical & Rehab Center
04.2009 - 03.2013
Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Sanitized, restocked, and organized exam rooms and medical equipment.
Provided compassionate care for patients, addressing their concerns and ensuring a positive experience.
Reduced wait times for patients by maintaining an organized schedule and swiftly preparing examination rooms.
Collected and documented patient medical information such as blood pressure and weight.
Assisted physicians with various procedures, ensuring comfort and accuracy for optimal patient outcomes.
Assisted with routine checks and diagnostic testing by collecting and processing specimens.
Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
Liaised with patients and addressed inquiries, appointment requests and billing questions.
Measured patient spirometry.
Implemented care and efficiency improvements to support and enhance office operations.
Conducted monthly and quarterly inventory of supplies using facility cost reporting records.
Collected pertinent data and calculations to aid physician in interpreting results.
Measured patient pulse oximetry.
Oriented and trained new staff on proper procedures and policies.
Prepared lab specimens for diagnostic evaluation.
Completed EKGs and other tests based on patient presentation in office.
Obtained and documented patient medical history, vital signs and current complaints at intake.
Managed 60 incoming calls, emails and faxes per days from customer
Performed medical records management, including filing, organizing and scanning documents.
Obtained client medical history, medication information, symptoms, and allergies.
Expedited insurance claims processing by verifying coverage details and submitting accurate documentation in a timely manner.
Implemented improvements in workflow processes that led to increased productivity amongst staff members.
Performed diagnostic tests accurately, contributing to swift diagnosis and appropriate treatment options.
Educated patients on preventative care measures, effectively reducing the risk of future health complications.
Increased patient safety by meticulously following infection control protocols and maintaining a sterile environment.
Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
Streamlined communication between healthcare providers, facilitating timely treatment plans and decision making.
Prepared and administered medications to alleviate patient symptoms.
Medical Assistant/Orthopedic Technician
Johns Hopkins Hospital
02.2007 - 01.2009
Coordinated patient scheduling, check-in, check-out and payments for billing.
Checked patient insurance, demographic, and health history to keep information current.
Helped patients complete necessary medical forms and documentation.
Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
Adhered to strict HIPAA guidelines to protect patient privacy.
Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
Managed multi-line phone system and pleasantly greeted patients.
Provided compassionate customer service, creating a welcoming atmosphere for patients and their families.
Developed strong relationships with patients, fostering loyalty and trust in the practice''s services.
Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
Maintained current and accurate medical records for patients.
Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
Handled billing procedures accurately, ensuring prompt payment from both patients and insurance providers.
Organized essential medical documents, streamlining access to vital information for healthcare providers during appointments.
Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
Facilitated patient education by distributing relevant health and wellness pamphlets.
Improved front office organization by implementing new filing systems and maintaining cleanliness in waiting areas.
Improved patient follow-up, reducing missed appointments through effective reminder calls.
Maintained strict confidentiality of patient records in compliance with HIPAA regulations.
Maintained confidentiality and privacy of patient information.
Education
Associate of Science - Nursing Administration
Montgomery College
Rockville, MD
04-2009
Skills
Industry Expertise
Feedback Management
Coaching and Mentoring
Task Delegation
Performance Analysis
Teamwork and Collaboration
Problem-Solving
Time Management
Attention to Detail
Problem-solving abilities
Multitasking
Reliability
Excellent Communication
Active Listening
Adaptability and Flexibility
Training and mentoring
Microsoft Office
Analytical and Critical Thinking
Self Motivation
Task Prioritization
Leadership Development
Conflict Resolution
Customer Relationship Management
Human Resources Support
Goal Setting
Professionalism
Human Resources Management Systems
Continuous Improvement
Written Communication
Personnel Management
Project Management
Data Analysis
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Resolved product issue through consumer testing.
Supervised team of five staff members.
Certification
Certified Medical Assistant (CMA)
First Aid Certification
Basic Life Support Certification (BLS)
Microsoft Office Specialist (MOS) Certification
CPR/AED Certification
OSHA Certified
Project Management Professional (PMP)
Languages
English
Full Professional
Timeline
Review Specialist
Telligent Health Care
01.2024 - Current
Customer Service Representative
Kaiser Permanente
02.2015 - 11.2023
Medical Assistant
Comprehensive Primary Care
01.2013 - 01.2015
Medical Assistant
Family Medical & Rehab Center
04.2009 - 03.2013
Medical Assistant/Orthopedic Technician
Johns Hopkins Hospital
02.2007 - 01.2009
Associate of Science - Nursing Administration
Montgomery College
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