Passion Carter
Summary
A highly resourceful, energetic and competent Medical Office Specialist with over 15 years of experience with various Medical Billing tasks. Seeking full time employment with opportunity for growth.
Organized and dedicated Administrative Assistant with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Detail-oriented administrative assistant with experience in customer service, data entry and office management.
Overview
13
13
years of professional experience
1
1
Certification
Work History
ADMINISTRATIVE ASSISTANT
STATE OF NEVADA Department
07.2023 - Current
- Positions at this level provide secretarial, clerical, and administrative support to the administrator of a complex division or the manager of multiple statewide programs, services, and activities or they perform specialized duties in support of a program or function which require previous knowledge and experience in the subject area
- Assignments are broadly stated in terms of objectives to be met, and/or they are specialized and require the use of analytical and critical thinking to determine appropriate action
- Problem resolution often requires research, comparison, and examination of detailed agency/program-specific information
- Errors directly affect the customized services provided to specific clientele or members of the general public; the content, quality, adequacy, and timeliness of services provided; and frequently have monetary consequences to the program or loss of agency credibility
- Incumbents interpret and explain complex regulations, laws, and program requirements; convince others to take a specific course of action; resolve difficult problems; and defend and justify agency actions to individuals or groups
- Critical assignments are reviewed to ensure conformance to standards of quality and general acceptability
- Positions at this level may or may not supervise lower level staff
Medical Records Clerk
Veteran Affairs Hospital
12.2017 - 06.2023
- Welcomes patients and visitors by greeting patients and visitors, in person or on the telephone; answering or referring inquiries
- Optimizes patients' satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone
- Keeps patient appointments on schedule by notifying provider of patient's arrival; reviewing service delivery compared to schedule; reminding provider of service delays
- Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area
- Ensures availability of treatment information by filing and retrieving patient records
- Maintains patient accounts by obtaining, recording, and updating personal and financial information
- Obtains revenue by recording and updating financial information; recording and collecting patient charges; controlling credit extended to patients; filing, collecting, and expediting third-party claims
- Maintains business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies; scheduling equipment service and repairs
- Helps patients in distress by responding to emergencies
- Protects patients' rights by maintaining confidentiality of personal and financial information
- Maintains operations by following policies and procedures; reporting needed changes
- Contributes to team effort by accomplishing related results as needed
- Working experience with Epic System, EHR System, DHR System, EMR System
Medical Records Specialist
Health Net/ Kelly Services
11.2014 - 08.2022
- Performed peer review quality assurance checks on eligibility Unit work processed daily
- Duties include ensuring that all Member Moves are processed and that notifications are mailed timely
- Ensured that all PCP transfers and Billing Claims were processed timely
- Collected patient information and verified insurance
- Ensured all new members were assigned to the correct Nurse Practitioner
- Processed and created eligibility lists and exports (includes electronic, hard copy-paper and diskettes exports)
- Validated membership enrollment for ID Card vendor processing
- Accurately processed Healthier Eligibility Tracking Forms (ETFs) and PCP transfers
- Verified HCO forms against information in QNXT/QCARE to ensure proper Plan/PCP assignment and make changes as necessary
- Accurately updated member eligibility in QNXT based on supplemental rosters received
Centralized Patient Scheduler (Aerotek Contract Assignment)
Hoag Memorial Hospital
05.2016 - 09.2017
- Extensive knowledge of scheduling and preparation of procedures and visits for all departments within Hoag Enterprise using the Unbiased System and interfacing clinical systems and ADT system
- Handle escalated issues or concerns to ensure the optimizing of services delivered with minimal impact
- Overall knowledge of the revenue cycle process, registration, insurance verification, pre-certification, billing compliance, payer contracts, patient estimation, financial assistance, ICD9, CPT, CMS regulations, DNFB and claim processing
- Scheduled patients, educated registers, verified and estimated services for the patient with a 'one call does it all' initiative
- Responsible for accurately scheduling appointments within a centralized department, which provides exceptional customer service
- Working experience with Epic System, EHR System, DHR System
Medical Front Office Specialist
24/7 Urgent Care Clinics
11.2011 - 12.2014
- Processed billing requests as needed and entered data into Electronic Health Record (EHR)
- Reviewed and processed Billing Claims
- Made outbound calls to Insurance Companies regarding pending/denied claims
- Checked patients in, verified demographics, and collected patient co-pays
- Verified and submitted insurance authorization documents
Call Center Agent
Maximus/ Arotek
06.2014 - 11.2014
- Obtained client information and verified insurance information
- Handled inbound and outbound calls to obtain missing information
- Determined patient benefit eligibility
- Established medical facility validation by entering client information into database
- Informed clients by explaining procedures; answering questions; providing benefit information
- Processed Referrals for VA hospital
Medical Front Office (Externship)
Dr. Pierce Chiropractic Clinic
10.2013 - 11.2013
- Reviewed and verified insurance billing information
- Made outbound calls to patients and scheduled appointments
- Ordered chiropractic office equipment and managed incoming mail
- Updated and filed patient healthcare charts
- Recorded patient medical histories and took vital signs such as blood pressure and temp
- Assisted chiropractors with X-ray procedures
Education
Medical Office Specialist Program -
Kaplan College
01.2013
Diploma - Medical Coding and Billing
Alison University
01.2023
Certified Medical and Clinical Administration - undefined
01.2023
Nursing Studies - The Physical Examination
01.2021
A.S. - Information Technology Administration
Healed College
01.2013
Skills
- Check processing
- Letter preparation
- Reception oversight
- Records retrieval
Accomplishments
- Computer Proficiency - Created PowerPoint presentations that were successfully used for business development.
- Achieved certification through the Institute of Certified Professional Managers (ICPM): Certified Manager (CM), [Date].
- Data Reporting - Compiled statistical data, such as patient admissions, discharges, deaths, births and types of treatment given.
- Billing - Cooperated with Medicare, Medicaid and private insurance providers to establish relationships and resolve billing issues.
- Developed and implemented [Procedure description], which resulted in increased company efficiency and productivity.
- Awarded "Employee of the Month" for delivering outstanding administrative support.
- Training - Trained medical billing staff of [Number] employees on the office policies and 3rd party insurance, Medicare, Medi-cal, HMO and PPO billing procedures.
- Assisted management with the training of [Number] new staff members.
- Recognized by customers and [Job Title] for expedient and effective service.
- Trained [Number] temporary accounting administrative staff during tax season.
Certification
- CAP - Certified Administrative Professional
- Certified
- CMAA - Certified Medical Administrative Assistant
- CPC-P - Certified Professional Coder-Payer
- NCMOA - Nationally Certified Medical Office Assistant
Timeline
ADMINISTRATIVE ASSISTANT
STATE OF NEVADA Department
07.2023 - Current
Medical Records Clerk
Veteran Affairs Hospital
12.2017 - 06.2023
Centralized Patient Scheduler (Aerotek Contract Assignment)
Hoag Memorial Hospital
05.2016 - 09.2017
Medical Records Specialist
Health Net/ Kelly Services
11.2014 - 08.2022
Call Center Agent
Maximus/ Arotek
06.2014 - 11.2014
Medical Front Office (Externship)
Dr. Pierce Chiropractic Clinic
10.2013 - 11.2013
Medical Front Office Specialist
24/7 Urgent Care Clinics
11.2011 - 12.2014
Diploma - Medical Coding and Billing
Alison University
Certified Medical and Clinical Administration - undefined
Nursing Studies - The Physical Examination
A.S. - Information Technology Administration
Healed College
Medical Office Specialist Program -
Kaplan College
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