PATRICIA KALUA
Las Vegas,US
Summary
Knowledgeable in the Healthcare Industry committed to fostering great relationships with patients and staff members. Energetic professional offering professionalism and strong collaboration skills. Ready for a new position involved in supporting patients and ensuring quality care.
Overview
7
7
years of professional experience
Work History
Commercial Group Billing
United Healthcare Group
12.2022 - Current
- Verified client information by analyzing existing evidence on file.
- Reviewed and verified addresses, phone numbers, names, ages and values.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Calculated adjustments, premiums and refunds.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Posted payments to accounts and maintained records.
Healthcare Administration Manager
CareFirst Urgent Care, Boulder and Nellis
03.2021 - 10.2022
- Worked with customers to understand needs and provide excellent service
- Improved operations through consistent hard work and dedication
- Upheld strict security procedures to maintain data confidentiality
- Ordered all pharmacy supplies and kept check on inventory levels
Account Executive/Lab Liaison
Platinum Laboratory Services
12.2021 - 09.2022
- Worked to develop network by identifying and pursuing new leads, attending industry events and building rapport with clients
- Exceeded sales goals, increased revenue and facilitated sales
- Identified issues, analyzed information and provided solutions to problems
Sales Operations Manager
Tru By Hilton
08.2017 - 01.2020
- Organized promotional events and interacted with community to increase sales volume
- Created plans and communicated deadlines to complete projects on time
Guest Services Manager/Event Coordinator
Queen Ka'ahumanu Center
12.2015 - 08.2017
- Developed and implemented strategies to improve guest experiences and build loyalty
- Reviewed upcoming events and planned for expected challenges
- Led weekly team meetings to communicate upcoming promotions and current metrics
- Assisted with guest check-in and check-out procedures
- Arranged availability of audio-visual equipment, transportation and displays for various types of events
Education
Bachelor of Science - Nursing
Nightingale College
Ogden, UT10.2026
Medical Assistant/Phlebotomist
Northwest Career College
Las Vegas, NV10.2023
Associate of Applied Science - Medical Billing & Coding
Asher College
Las Vegas, NV07.2022
Associate of Applied Science - Health Information Technology
Asher College
Las Vegas, NV03.2022
Skills
- Sales Strategies Implementation
- Medical Billing & ICD Coding
- Medical Scribe
- Customer Relationships
- Accounts Payable and Accounts Receivable
- Business Growth Opportunities
- Billing Data Verification
- Adjustment Posting
- Sales Quota Management
- Customer Complaint Resolution
- Brand Marketing
- Coordinating Drug Refills
- Updating Medical Records
- Clinical and Operational Judgement
- Regulatory Compliance
- Patient Care Assessment
- Workflow Planning
- Judgment and Decision-Making
- Medical Terminology
- Team Management
- Prepare Treatment Rooms
- Vital Sign Monitoring
- Specimen Collection
- Drawing Blood
- Strategic Planning
Timeline
Commercial Group Billing
United Healthcare Group
12.2022 - Current
Account Executive/Lab Liaison
Platinum Laboratory Services
12.2021 - 09.2022
Healthcare Administration Manager
CareFirst Urgent Care, Boulder and Nellis
03.2021 - 10.2022
Sales Operations Manager
Tru By Hilton
08.2017 - 01.2020
Guest Services Manager/Event Coordinator
Queen Ka'ahumanu Center
12.2015 - 08.2017
Bachelor of Science - Nursing
Nightingale College
Medical Assistant/Phlebotomist
Northwest Career College
Associate of Applied Science - Medical Billing & Coding
Asher College
Associate of Applied Science - Health Information Technology
Asher College
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