JOLANTA HUGHES
Chicago,IL
Summary
Dedicated and empathetic Certified Medical Assistant offering experience in direct patient care and medical office management experience. Committed to obtaining highest level of patient satisfaction. Dedicated to ensuring regulatory compliance and adherence to practice standards. Cultivates trust and rapport with patients through excellent communication and interpersonal skills.
Overview
15
15
years of professional experience
1
1
Certification
Work History
HEDIS Admin/Clerk Specialist (Contract Position)
Blue Cross and Blue Shield
01.2022 - 09.2023
- Met needs of physicians and other treating team members with timely retrievals of patient medical records
- Proficient in the use of Microsoft Office Suite, including Word, Excel, PowerPoint, and Outlook
- Strong organizational and time management skills, with the ability to prioritize tasks effectively
- Extensive experience in creating, formatting, and editing documents, spreadsheets, and presentations
- Delivered high-quality customer service through deep commitment to knowledge and performance
- Protected medical information against unauthorized access, loss or corruption by consistently following security protocols
- Demonstrated self-reliance by meeting and exceeding workflow needs
- Reviewed and clarified case notes, processed daily case work assignments and document retention, and conducted record searches to support field investigators.
Practice Manager
Hinsdale & Oakbrook Women's Clinic
11.2019 - 09.2021
- Supported entire practice's staff, which boosted efficiency and improved overall process flow
- Motivated staff by offering direction and providing constructive feedback
- Interviewed, hired and trained medical office teams and conducted performance reviews
- Contacted insurance companies to obtain necessary prior authorizations needed for upcoming tests and procedures
- Coordinated resolutions for issues and appealed denied authorizations
- Ordered all supplies needed and kept tabs on inventory levels
- Complied with OSHA and HIPAA regulations
- Coordinated financial operations, including budgeting, accounting, expenses and financial reporting
- Created and maintained electronic record management (EMR) systems to store data and develop reports
- Created and maintained facility documents and records, maintaining accuracy while managing sensitive data
- Confirmed facility and user credentials to initiate and maintain registration and enrollment processes
- Completed enrollments into Medicaid, Medicare, and private insurance plans
- Delivered high-quality administrative and customer service to sustain patient and workflows
- Developed policies and procedures for effective practice management
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Certified Medical Assistant
Hinsdale & Oakbrook Women's Clinic
06.2008 - 07.2013
- Performed preliminary physical tests to accurately record results in patient history summary
- Scheduled appointments for patients via phone and in person
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies
- Efficiently performed insurance verification and pre-certification and preauthorization functions
- Enhanced patient outcomes by providing knowledgeable education on procedures, medications, and other physician instructions
- Organized charts, documents and supplies to maintain team productivity
- Contacted pharmacies to submit and refill patients' prescriptions
- Obtained blood samples for medical testing and transfusion through venipuncture or capillary puncture
- Followed all principles of asepsis and infection control to meet patient safety guidelines
- Performed, validated and reported laboratory tests for prognosis, diagnosis, treatment and research
- Collected forms, copied insurance cards and coordinated patient information for billing and insurance processing
- Assessed, documented and monitored vital signs for patients within outpatient setting
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes.
Education
Bachelor of Science - BSN Nursing
Chamberlain University of Nursing
Addison, IL09.2024
Certified Nurse Assistant - Nursing Assistance
Moraine Valley Community College
Palos Hills, IL11.2009
Certified Medical Assistant - Medical Assisting
Everest College
Chicago, IL08.2008
High School Diploma -
Gurdon S. Hubbard High School
01.2006
Skills
- Workflow management
- Mail Management
- Business Correspondence
- Medical Terminology
- Insurance Verification
- Documentation Skills
- Telephone Customer Support
- Medical Office Management
- Precertification requirements
- HIPAA and OSHA regulations
- Staff supervision
- EHR Records management
- Reliable and trustworthy
Websites
Certification
BLS Provider CPR Certification
Sigma Theta Tau International Honor Society of Nursing
Languages
English
Polish
Spanish
Timeline
HEDIS Admin/Clerk Specialist (Contract Position)
Blue Cross and Blue Shield
01.2022 - 09.2023
Practice Manager
Hinsdale & Oakbrook Women's Clinic
11.2019 - 09.2021
Certified Medical Assistant
Hinsdale & Oakbrook Women's Clinic
06.2008 - 07.2013
Bachelor of Science - BSN Nursing
Chamberlain University of Nursing
Certified Nurse Assistant - Nursing Assistance
Moraine Valley Community College
Certified Medical Assistant - Medical Assisting
Everest College
High School Diploma -
Gurdon S. Hubbard High School