Highly motivated and committed Medical Assistant with proven history of superior performance at individual, team and organizational levels. Multitasks and prioritizes workloads with little or no supervision. Detail-oriented professional looking to bring medical background and team-building skills to deadline-driven environment.
Overview
20
20
years of professional experience
Work History
Long Term Disability Anaylst
The Hartford Insurance Group
09.2022 - 08.2024
Analyzed trends and data to inform decision-making and program development.
Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
Managed workload and priorities to meet claims processing meet deadlines.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
Created and managed budgets, efficiently allocating resources for social and community service projects.
Researched best practices and developed strategies to improve program outcomes.
Medical Office Supervisor
Ageless Spa & Internal Medicine
01.2015 - 01.2022
Managed budgets, Coached 100% of new hires on company processes while managing employees to achieve maximum production. Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records. Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement and Workers Compensation claims.
Standardized office structures and processes to promote collaboration and increased performance.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Updated reports, managed accounts and generated reports for company database.
Delivered performance reviews, recommending additional training or advancements.
Set priorities and problem-solved workflow issues to maintain rapport with customers and managers.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Coordinated special physicians meetings and managed schedules.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Followed up with customers about resolved issues to maintain high standards of customer service.
Screened applicant resumes and coordinated both phone and in-person interviews.
Generated invoices upon receipt of billing information and tracked collection progress.
Administrator
Rodden Assisted Living
01.2005 - 01.2015
Conducting performance reviews on employees.
Advocating for 30 residents and receive standard of care deserved. Instituting policies, rules, and procedures for facility to protect everyone involved and to comply with governmental and New York state Health Department regulations. Overseeing billing of residents for services rendered. Helping families cope with their loved one's condition and progress. Coordinating visits from other health care professionals, such as physicians, occupational therapists, and psychiatrist. Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Coordinated daily medicine schedules and administration to help clients address symptoms and enhance quality of life.
Performed calculations in overtime, vacation and sick hours to provide accurate data to payroll processing database.
Meeting with prospective residents to tour facility and to explain services provided. as well as their families. Working with clinical staff to create plan of care for each resident and to oversee residents progress and condition.
Networked with industry professionals to exchange best practice knowledge and stay abreast of latest developments.
Education
Approved By New York Health Department -
New,York State
02.2005
National Certified Medical Assistant - Medical Insurance Billing/Coding
Dover Technical School
Ronkonkoma, N.Y.
06.1998
American Red Cross Adult & Pediatric CPR Certified -
Dover Technical School
Ronkonkoma, NY
06.1998
National Certified Phlebotomy Technician -
Dover Technical School
Ronkonkoma, NY
06.1998
Skills
Microsoft Excel
ICD-9 Coding
Insurance Billing
Honesty and Integrity
Motivational Leadership
Goal Setting
Strong Interpersonal and Communication Skills
Critical Thinking
Time Management and Organization
Analytical Thinking and Problem Solving
Building Customer Trust and Loyalty
Medical Terminology
Assisting with Physical Exams
EMR Systems
Microsoft Outlook
Patient Relations
Timeline
Long Term Disability Anaylst
The Hartford Insurance Group
09.2022 - 08.2024
Medical Office Supervisor
Ageless Spa & Internal Medicine
01.2015 - 01.2022
Administrator
Rodden Assisted Living
01.2005 - 01.2015
National Certified Medical Assistant - Medical Insurance Billing/Coding
Dover Technical School
American Red Cross Adult & Pediatric CPR Certified -
Dover Technical School
National Certified Phlebotomy Technician -
Dover Technical School
Approved By New York Health Department -
New,York State
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