Heather Simas
Stockton,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Big picture focus with excellence in communication skills.
Overview
8
8
years of professional experience
Work History
Correspondence Phone Support-Advanced MCCR
Blue Shield Of California
10.2021 - Current
- Answer incoming calls to the call center in a tactful, efficient and effective manner while always practicing my 4 C's.
- Utilize all information and tools available in order to proactively assist member's with all questions pertaining to plan benefit coverage, claims and other inquiries.
- Initiate all necessary activity and communication within the company to resolve member issues and concerns.
- Acts as a leader for my supervisor to assist my team in any way needed, answer team questions in chat and provide guidance
- Performs other activities, tasks and special projects as requested by management.
- Projects: Appeal and Grievance 12/2022-01/2023, GMAPD-UEBT Project 02-03/2023
- Great Place to Work Committee-Current
Patient Care Coordinator
Tri-Valley Orthopedic
01.2021 - 10.2021
- Maintained confidentiality of patient data and condition to safeguard health information.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Acted as main point of contact for patients, doctors, and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
- Worked closely with patients to deliver excellent and direct individualized patient care.
- Assisted with providing training to new incoming employee's
- Worked side by side with physician to assist in all areas of daily functions
- Upheld confidentiality requirements and regulatory compliance guidelines.
- Delivered excellent patient experiences and direct care.
Certified Clinical Medical Assistant
Alpine Orthopaedic Medical Group
03.2015 - 08.2019
- Communicate with coworkers and supervisors professionally and provided training to incoming employees.
- Called and faxed pharmacies to submit prescriptions and refills.
- Documented vital signs and health history for patients in clinic and hospital environments.
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications, and other physician instructions.
- Liaised with patients and addressed inquiries, appointment requests and billing questions.
- Implemented care and efficiency improvements to support and enhance office operations.
- Helped improve patient outcomes by educating and advising on relevant treatments and care.
- Taught patients about medications, procedures, and care plan instructions.
- Collaborated with medical and administrative personnel to maintain patient-focused, engaging and compassionate environment.
- Oriented and trained new staff on proper procedures and policies.
- Explained procedures to patients to reduce anxieties and increase patient cooperation.
- In this role I worked with 17 surgeons but worked side by side with our spinal surgeon as well as orchestrated scheduling his many surgies
Education
No Degree - General Education
Delta College
Stockton, CAClinical Certified Medical Assistant - Medical Assisting
Heald College
Stockton, CA12.2015
State License - Medical Assisting
National Healthcare Association-Current
01.2015
Skills
Excellent communication skills
Problem-solving abilities
Strong work ethic
Dependable
Interpersonal skills
Active listening skills
Leadership skills
Attention to detail
Timeline
Correspondence Phone Support-Advanced MCCR
Blue Shield Of California
10.2021 - Current
Patient Care Coordinator
Tri-Valley Orthopedic
01.2021 - 10.2021
Certified Clinical Medical Assistant
Alpine Orthopaedic Medical Group
03.2015 - 08.2019
No Degree - General Education
Delta College
Clinical Certified Medical Assistant - Medical Assisting
Heald College
State License - Medical Assisting
National Healthcare Association-Current
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