Jennifer Lopez

• Assisted in MDPCP / ACO as of 2026 with medicaid and( maryland primary care program)
• Join monthly meetings to meet requirements and goals for MDPCP patients.
• Financial reporting through CMS
• Submitting ECQMs to CMS and getting data from athena
• Running Reports in Athena
• Assisting in " rxlive" for patients who need help and education on there medications
• Assisted in remote monitoring programs for patients who had hypertensive disorder, high hemoglobin a1c ( diabetics )
• Hospital admissions and helping patients by educating them when the importance of a emergency visit and visits that are not emergency
• Following up with patients who were in care plans and needed more managing and education
• Making sure providers completed medicare annual well visit and social determinations for there patients
• Training medical assistants in quality measures to ask the correct questions in intake process for the patient
• Assisted in PCMH for blue cross blue shield
• Closed Gaps in Care
• Had providers complete there monthly/quarterly training with carefirst
• Cologuards and worked closely with exact sciences to help patients close out there measures
• Demonstrated a high level of initiative and creativity while tackling difficult tasks.
• Gained extensive knowledge in data entry, analysis and reporting.
• Proved successful working within tight deadlines and a fast-paced environment.
• Managed time efficiently in order to complete all tasks within deadlines.
• Helping and providing information to providers for home health needs, wound care
• Adding clinical providers in Athena and update referral process for providers
• Providing support to providers when needed

Value Based Care Program

• Monthly meetings with insurance payers who we have contracts with when it comes to revenue and meeting requirements in quality measures
• Risk data for patients who are over due on mammograms, colonoscopy, statin therapy, rential diabetic eye exams, patients who are not controlled with blood pressure
• Aetna better health MCO review data and gap closures based on claim submission data
• Wellpoint MCO checking on patients who are complaint with all quality measures that need to be satisfied
• UHC MCO meetings monthly to review annual physicals, overdue measures, and overall how we are doing in our numbers

• Developed training programs for staff, improving service delivery and compliance with protocols.
• Analyzed workflow processes to identify bottlenecks, resulting in optimized resource allocation.
• Coordinated scheduling and staffing to ensure adequate coverage during peak hours.
• Supervised day-to-day operations to meet performance, quality and service expectations.
• Making sure CMS and license requirements were up to date
• Assisting in Merging clinics opening when adding a new location on board
• Adding new lab accounts to the practice
• Adding new accounts on Mckesson for inventory purposes
• Making sure interface was working properly with labs and our EMR system in Athena
• Assisting in adding any new cleaning companies to the facility
• Assisting in financial reporting and expenses when ordering inventory
• Used Monday. com to help daily flows in management
• Resolving complaints and assisting patients in a great manner
• Mastery in spreadsheets and organization
• Assisting in help any punch ins or punch outs in ADP
• Enrolling fingerscan in ADP for new onboarding employees
• Assisting in adding new providers signatures , dictation system , adding navina to help new providers with RAF codes for assessment and plan
• Assisting in helping providers complete and add order sets in athena to better help them with there visits and follow up appointments
• Assisted in troubleshooting any credit card machines at the front desk when needed and if a new location opening helping set up scanner, athena credit card machine,
• Freezing and blocking provider schedules when not in office or if they are on vacation
• Assisting in CPT/Billing codes when needed
• Assisting in TSI ( collections ) athena , when documents needed to be submitting, and if collection balances patients had already paid, to submit proper documentation
• Enforced company policies consistently while handling disciplinary actions when necessary with fairness and respect.
• Coached new employees, ensuring smooth onboarding process and quicker adaptation to their roles
• Adding new users to availity, carefirst, united health care
• Discharging patients from the facility if provider requested for either being belligerent towards staff , non compliance in appointments - as it does effect in meeting measures. Providing proper documentation and montgomery county society information to patients who are discharged.

February 2021- September 2022 ( promotion in same company)

• Responsible for executing and oversight of office clinical and
  administrative tasks
• Responsible for onboarding and training of new Medical Assistants for multiple practice locations.
• Leader in institutional knowledge for all practice locations.
  Oversee all inventory management.
• Innovation in strategic scheduling to reduce patient wait times by as much as 50% and maintain the daily
  flow of incoming patients’ arrivals.
• Main contact and connection between practice and laboratories
  Successfully multi tasked various roles and areas inside an extremely fast paced environment medial
  environment.
• Able to answer patient questions, solve patient issues, educate patients/staff on the nuances of health
  insurance billing for both commercial and non-commercial insurance companies.
• Collaborated with management to professional development all staff members training and evaluating
  them on office protocols, health insurance administration, HIPAA compliance, patient communication
  strategies, and overall office improvement.
• Succeeded in delegation and organization of daily tasks and micro tasks for 1 practice location.
• Excellence in communication, problem solving, and managing people and personalities.
• Responsible for increase of daily collections of copays, coinsurance's, and deductibles by 20% over 1 year.
• Leader in communicating office protocols in an ever-changing medical office environment
• Successfully implemented strategies to increase in efficiency in patient follow up scheduling, provider
  encounter close time, completion of patient requests and outside office requests.
• Implemented a Remote Patient Monitoring program for Doctors First through a partner company out of
  state, Accuhealth. The main point of contact for the program.
• Mastery of EMR systems including Athena EMR 8 years experience.
• Handled and troubleshot patient complaints towards staff and/or office protocols
• Worked with and assisted providers to manage workloads and timely completion of responsibilities.
• Maintain all working knowledge of the standard Medical Assistant position

August 2019 - January 2021 ( promotion in same company)

• Able to triage patients inputting data such as reason for visit, patient preferences, medical and family
  history, medications, vaccines, surgical history, symptoms, and history of presented illnesses.
• Able to take vitals such as blood pressure, weight, height, oxygen levels, and respiratory rate.
• Perform procedures such as EKGs, ABI testing, Spirometry, and Diabetic eye exams.
• Perform injections such as B12, Flu shots, COVID vaccines, etc.
• Assist during GYN procedures such as pap smears, and annual GYN
• Able to easily perform other office procedures such as strep tests, H-Pylori tests, Nebulizer treatments
  and pregnancy tests.
• Mastery of front desk management and operations.
• Welcoming and greeting patients who enter the clinic into a warm smooth atmosphere.
• Able to identify health insurance issues and educate patients on the steps to adequate insurance billing
  and collecting.
• Execution of prior authorization requests.
• Able to interpret all communications from providers to patients such as lab reports, clinical advice,
  medication instructions, and treatment notifications.