Summary
Education
Skills
Languages
Timeline
Accomplishments
Work History
Affiliations
Certification
References
Reading and Journaling
Overview
Generic

Marcie DeFeo

San Diego,CA

Summary

Experienced Clinical Administrative Coordinator well-versed in handling clerical, case management and claims reviews in busy healthcare environments. Highly organized and detail-oriented with excellent planning and communication skills. Prepared to 25 years of related experience to a challenging new role with room for advancement.

Education

Pharmacy Technician - Pharmacy

United Education Institute
San Diego, CA

Medical Billing And Coding - Medical Billing And Coding

DeVry University
Jacksonville, FL
12.2021

High School Diploma -

Montgomery High School
San Diego, CA
06.1994

Skills

  • Direct Patient Care
  • Patient Services Management
  • Report Generation
  • Records Review
  • Medical Terminology
  • Employee Performance Evaluations
  • Policy Implementation
  • Patient Records Administration
  • Case Evaluations
  • Administrative Management
  • Staff Development
  • Patient Education
  • Managing Patient Cases
  • Unit Supervision
  • HIPAA Compliance
  • Transition Coordination
  • Patient Flow Coordination
  • Unit Leadership
  • Patient Care Planning
  • Workflow Processes
  • Computerized Charting
  • Medical Records Management
  • Microsoft Office
  • Organizing Staff Schedules
  • Office Organization
  • Provider Relations
  • Customer Satisfaction
  • Healthcare System Resources
  • Insurance Verification
  • Data Compilation
  • Telephonic Customer Support
  • Staff Training
  • Weekly Payroll
  • ICD-10 Coding
  • Data Communications
  • HIPAA
  • 25 years medical field experience
  • Medicare and Medicaid/MediCal literate
  • Staff Scheduling

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Clinical Administrative Coordinator

UnitedHealthcare
06.2011 - 12.2020

Medical Billing Associate/Front End Operations Manager

Choice Home Medical Equipment
10.2010 - 06.2011

Referrals and Authorization Specialist/Team Lead

TriWest Healthcare Alliance
10.2004 - 07.2010

Pharmacy Technician - Pharmacy

United Education Institute

Medical Billing And Coding - Medical Billing And Coding

DeVry University

High School Diploma -

Montgomery High School

Accomplishments

  • Supervised team of 14 staff members.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Work History

Clinical Administrative Coordinator

UnitedHealthcare
06.2011 - 12.2020
  • Provided comprehensive administrative support to department staff.
  • Reviewed cases to determine need for escalation.
  • Maintained high-level knowledge of federal and all state regulations on patient privacy.
  • Coordinated schedules with patients and facility calendar.
  • Performed patient census operations, collecting data to generate comprehensive profile of practice's performance.
  • Communicated with patients in both English and Spanish, providing translation services where needed.
  • Maintained knowledge of standardized medical billing codes.
  • Built strong relationships with patients and families for optimized care satisfaction.
  • Delegated tasks to administrative support staff to organize and improve office efficiency.

Medical Billing Associate/Front End Operations Manager

Choice Home Medical Equipment
10.2010 - 06.2011
    • Communicated with insurance providers to resolve denied claims and resubmitted.
    • Filed and updated patient information and medical records.
    • Reviewed patient diagnosis codes to verify accuracy and completeness.
    • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
    • Used data entry skills to accurately document and input statements.
    • Responded to customer concerns and questions on daily basis.
    • Collaborated with customers to resolve disputes.
    • Created improved filing system to maintain secure client data.
    • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.

Referrals and Authorization Specialist/Team Lead

TriWest Healthcare Alliance
10.2004 - 07.2010
  • Processed and certified documents for accuracy and compliance with government regulations.
  • Trained staff on current eligibility requirements and policies.
  • Communicated with people from various cultures and backgrounds on application process.
  • Processing authorizations for civilian and Military Treatment Facilities
  • Team Lead responsibilities, assisting immediate supervisor with answering team questions and directing to resources

needed for tasks

Providing active duty and retiree service members with questions regarding benefits and pending authorization questions

Affiliations

  • Member of AHIMA 2022
  • The National Society of Leadership and Success

Certification

  • Licensed Pharmacy Technician 2000
  • CCA

References

Professional and personal references available upon request.

Reading and Journaling

Enjoy reading medical journals and clinical studies in medicine and new technology advancements.

Journaling to center myself daily and putting all creative and organizational thoughts in order to later put them into sction.

Overview

16
16
years of professional experience
1
1
Certificate
Marcie DeFeo