Medical Assistant with experience in a fast pace environment providing all aspects of clinical and administrative duties in all areas of the medical practice. Has an in-depth knowledge and understanding of patient care procedures, medical clerical duties, and any other duties assigned. Have excellent oral communication, and written skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Claims Representative
UnitedHealth Group
10.2022 - Current
File and process client insurance claims
Ensure the coverage and figure the payment amount for each claim
Draft and send statements of amount of coverage
Send payments to doctor’s offices or hospitals for covered procedures
Assist new customers in signing up for insurance coverage
Enter all customer information into the computer system for future record
Reimburse customers for payments made that should have been covered
Help with customer appeals to denied claims.
Patient Access Representative (Emergency Room) II
Memorial Hermann Katy Hospital
11.2018 - 04.2022
Updating patient demographics into health Quest
Insurance verifications
Obtain preapproval if necessary
Collecting ER copays, deductibles and Co insurance
Assist other coworkers in the hospital
Checking patient into the Emergency rooms
Making sure I recognize code stroke and Heart Attacks
Scheduling patients for Orthopedic Follow up
Obtaining consents for Emergency room visits
Voted as Employee of the Month.
Regional Float Registered Medical Assistant
Memorial Hermann
08.2015 - 11.2018
Room patient and document patient medications, histories, allergies, past medical
Perform Strep, flu, Rsv, testing along with glucose and mono testing
Check in and check out patient
Answering phones
Medication refills according to policy and procedures
Collect copay, deductible, coinsurance Verify insurance the day before visit
Travel and Assist multiple doctors with MHMG offices
Help with patient satisfaction and making sure every patient gets quality care
Scanning and faxing documents
Assist with new hire medical assistant and training
Performing accurate, legal, and ethical documentation at all times
Discharge patient at the end of visit and re-schedules as applicable
Print Care of Plan at the end of visit
Other duties as assigned by applicable manager/leader
Travel to different Memorial Hermann Medical Group throughout the Southeast Region.
Medical Assistant
Central Care Community Health Center
04.2014 - 08.2015
Room patients, perform and document vitals, administers vaccines, medications, injections according to policy and procedure
Pain assessment
Update medication list in EMR, give patients a copy of updated medication list
Perform EKG's
Visual screening using Snelling eye Chart
Audiology screening
Emergency equipment function checks
Monitor/document temperature checks, document corrective actions as applicable
Phlebotomy, waived lab tests according to protocol in the absence of assigned lab person
Participate in proficiency testing
Perform and document emergency equipment function checks
Check crash cart at required interval and restock as necessary
Practice effective infection control
Assist or initiate care in life-threatening emergency situations such as Code Blue
Ask patients to complete satisfaction surveys
Abides with all HIPAA rules and regulations
Disposing of biohazard waste according to OSHA standards
Practicing OSHA safety standards
Performing accurate, legal, and ethical documentation at all times
Discharge patient at the end of visit and re-schedules as applicable
Print Care of Plan at the end of visit
Other duties as assigned by applicable manager/leader
Asks patients to complete a satisfaction survey on each day of visit (10 daily)
Performs other duties as assigned inclusive of travel from one CCCHC site to another to perform.
Care Manager
Sunrise Senior Living
06.2011 - 05.2012
Provide assistance to residents with tasks involving grooming and personal hygiene
Assist with daily living activities including light housekeeping
Providing dining services
Doing laundry and more
Attend social outings with residents while ensuring their safety
Lead/attend group activities for social enjoyment and learning
Notify management of changes in condition of residents and recommend adjustments in level of care and service
Interact with residents' families and provide status updates.
Medical Assistant Externship
Beach Health Clinic
11.2010 - 01.2011
Responsible for setting appointments, updating patient files, and filing charts
Responsible for ensuring that patient's rooms were cleaned after each appointment
Responsible for checking patient's vital signs
Preparing patients for examinations, recording medical histories, and assisting the doctor during examinations
Responsible for drawing blood and collecting urine samples
Responsible for the sterilizing and cleaning instruments and preparation of treatment.
Education
Associate of Applied Science in Medical Assisting -
Medical Careers Institute
Virginia Beach, VA
Skills
Knowledge of Microsoft Word
Microsoft Excel
Spreadsheet and PowerPoint
HIPAA Compliance
Claims Processing
Microsoft Office
Insurance Verification
Healthcare regulations
Payment Negotiation
Cerner
EPIC
Certification
Registered Medical Assistant
Typing Speed
50 words per minute
Personal Information
Title: Registered Medical Assistant
Timeline
Medical Claims Representative
UnitedHealth Group
10.2022 - Current
Patient Access Representative (Emergency Room) II
Memorial Hermann Katy Hospital
11.2018 - 04.2022
Regional Float Registered Medical Assistant
Memorial Hermann
08.2015 - 11.2018
Medical Assistant
Central Care Community Health Center
04.2014 - 08.2015
Care Manager
Sunrise Senior Living
06.2011 - 05.2012
Medical Assistant Externship
Beach Health Clinic
11.2010 - 01.2011
Associate of Applied Science in Medical Assisting -
Senior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth GroupSenior Provider Relations Advocate, Account Manage at UnitedHealth Care, UnitedHealth Group
Clinical Transformation Manager at UnitedHealth Group- UnitedHealth Care DivisionClinical Transformation Manager at UnitedHealth Group- UnitedHealth Care Division