Kaylee Charles-Rivera
Lansing,MI
Summary
T Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
11
11
years of professional experience
Work History
Medical Staff Coordinator
Eaton Rapids Medical Center
11.2021 - 06.2023
- Maintaining all Medical Staff files and ensuring they are up to date
- Maintained various policies and forms, such as Medical Staff Bylaws and regulations, and kept them at a constant state of survey readiness.
- Maintained Audio Digest subscription/program for physician education.
- Verifying and maintaining provider state licenses, DEA licenses, certifications, liability insurances, and National Provider Data Bank (NPDB).
- Processes new and reappointment applications for providers who are applying/renewing membership/privileges within the hospital.
- Take detailed minutes for Medical Staff and multiple clinical meetings and quality meetings.
- Process all payments to Medical Staff and creates the treasurer report for quarterly Medical Staff/Medical Executive meetings.
- Set up processes and enrolling providers with insurance payers that the hospital are in network with
- Having proper follow up with insurance payers on any denials or issues with provider enrollment
- Update CAQH for all providers and the hospital
- Will provide assistance with multiple tasks given by CNO and Director of Quality and Risk Management
- Participated in committee's within the hospital and help organize and implement Nurses Week.
- Hold current memberships with NAMSS (National Association of Medical Staff Services) and MAMSS (Michigan Association of Medical Staff Services).
Receptionist
Capital Urological Associates
12.2019 - 11.2021
- Greet patients, check in and out patients
- Collect copays, update patient demographics in chart
- Answer phone calls, triage phone calls to either schedule appointments, send messages to MA or Provider for guidance on patient concerns
- Very detailed orientated
- Scan medical records into patient charts, request for medical records from physician offices
- Place all incoming faxes in appropriate location either in charts
- Process in all incoming medical records requests that are outgoing
- inmate secretary. Scheduled all in office appointments for all inmate patients, ensure medical records are on file for provider
- Stay after hours for vasectomy clinic, making sure vasectomies' patients are checked in, checked them out and made sure their follow up appointments are scheduled
- Worked weekends occasionally for vasectomy reversal clinics, check in patients and checked out as well to ensure proper follow up.
Receptionist
Capital Internal Medicine Associates
01.2019 - 12.2019
- great patients and check them in
- Review patient demographics with patients , update charts when demographics has changed, collect copays and outstanding balances, schedule appointments, help patients who come in who are not on schedule.
- Validate Medicaid and Blue Cross plans on WebDennis
- Would work on scheduling patients for their physicals or follow ups and follow PCMH guidelines, and also keep my providers schedules full
- Would look up hospital records for patients with accessing both Cerner and Epic EMR systems
- Mail out letters, make appropriate copies of forms that are needed in office
- On occasions will put in requests for medications to providers and script nurses.
RECEPTIONIST & MEDICAL RECORDS CLERK
LAKE LANSING FAMILY PRACTICE
04.2014 - 12.2018
- Facilitate opening clinic, collect co-payments, and check in/out patients, schedule upcoming appointments, fax medical records, keep front office clean and tidy
- Clear fax server of incoming faxes, scan medical records into EMR system, and enter in data in chart such as lab data
- Answer all incoming phone calls into practice and help triage calls to either make an appointment or send messages to appropriate staff member
- Tracked referrals that was placed to other offices for patients, and made sure patient's were seen and retrieve office notes from that office
- Followed HIPAA compliance at all times with working with all medical records
- Cleaned and organized all drug closets and fridges.
ADMINSTRATIVE ASSISTANT
GREAT LAKES HEALTH CONNECT
05.2012 - 01.2015
- Administrative assistant to the Human Resource Manager
- Answer all incoming phone calls and making sure all messages where sent the appropriate staff, as well schedule lunch meetings for staff members
- Would coordinate conference rooms for board meetings and staff meetings, assist marketing and sales departments on multiple occasions
- Create newsletter templates and help maintain company website
- Help maintain office supplies and prepare mailings and packages.
Education
ASSOCIATES - Human Resource Management
LANSING COMMUNITY COLLEGE
Lansing2015
ASSOCIATES - Management and Leadership
LANSING COMMUNITY COLLEGE
Lansing, MI2015
ASSOCIATES - General Education
LANSING COMMUNITY COLLEGE
Lansing, MI2014
HIGH SCHOOL DIPLOMA -
Leslie High School
Leslie, MI05.2008
Skills
- Customer Service
- Experience with multi-lined phone systems
- Advanced knowledge of multiple EMR Systems (Meditech, Epic, Cerner, Allscripts, and Practice Partners)
- HIPAA trained
- Medical Records
- Microsoft suite (Word, Excel, Powerpoint, ect)
- Medical Billing
- Phone Etiquette
- Triage
- Insurance Verification
- Office Administration
- Medical Scheduling
- Insurance verification
- Provider Enrollment
- Medical Terminology
- Staff Support
- Medicare Compliance
- Accreditation Coordination
Timeline
Medical Staff Coordinator
Eaton Rapids Medical Center
11.2021 - 06.2023
Receptionist
Capital Urological Associates
12.2019 - 11.2021
Receptionist
Capital Internal Medicine Associates
01.2019 - 12.2019
RECEPTIONIST & MEDICAL RECORDS CLERK
LAKE LANSING FAMILY PRACTICE
04.2014 - 12.2018
ADMINSTRATIVE ASSISTANT
GREAT LAKES HEALTH CONNECT
05.2012 - 01.2015
ASSOCIATES - Human Resource Management
LANSING COMMUNITY COLLEGE
ASSOCIATES - Management and Leadership
LANSING COMMUNITY COLLEGE
ASSOCIATES - General Education
LANSING COMMUNITY COLLEGE
HIGH SCHOOL DIPLOMA -
Leslie High School
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