Hi, I’m
RAQUEL GRAVES
Irvington,NJ
Summary
Skilled administrative team member with in-depth understanding of medical standards, compliance requirements and operational procedures. Practiced problem-solver with friendly and caring mentality and excellent communication skills. Expertise in inventory management, customer service and inner-office operations.
Overview
11
years of professional experience
Work History
Avodah HomecareNorth Augusta, South Carolina
Certified Nursing Assistant
04.2022 - 05.2024
Job overview
- Reported changes in patient condition to registered nurse or physician.
- Assisted with ambulation of patients utilizing appropriate equipment safely.
- Responded quickly to emergency situations involving sudden illness or injury.
- Administered medications as directed by registered nurse or physician.
- Observed patients for any changes in their physical or mental condition.
- Monitored vital signs including blood pressure, pulse rate, respiration rate.
- Assisted patients with activities of daily living such as bathing, grooming, and dressing.
- Served meals to patients in their rooms and assisted with feeding when needed.
Fern Terrace Lodge Bowling Green, KY
Medical Receptionist/Medication Aide
08.2018 - 03.2022
Job overview
- Greeted and checked in patients, updating patient information in computer system.
- Verified insurance coverage for appointments and collected co-payments as required.
- Scheduled patient appointments, verifying accuracy of appointment times with providers.
- Answered incoming calls, responding to inquiries from patients and other medical offices.
- Prepared charts for new patients, ensuring all necessary forms were completed correctly.
- Assisted with filing of medical records and documents, maintaining accurate electronic files.
- Processed referrals for specialist care when requested by physicians or patients.
- Maintained supply inventory for office area, ordering items as needed and stocking shelves.
- Entered insurance, demographics and health history into patient database.
- Answered multi-line phone system and directed callers to requested personnel and departments.
- Delivered high-quality administrative and customer service to sustain patient and work flows.
- Protected patients by observing strict HIPAA guidelines.
- Retrieved faxes and uploaded documents to patient charts to assist clinical staff.
Crown Services Inc.Bowling Green, KY
Detox Intake Specialist/Medical Receptionist/Medication Aide
09.2018 - 12.2019
Job overview
- Conducted initial intake interview to obtain client information, including biographical data, medical history, presenting problem, legal status, and other pertinent information.
- Provided crisis intervention services as needed to clients in distress.
- Communicated regularly with clinical staff regarding client progress and changes in condition or behavior.
GenPact– Danville, ILDanville, IL
Insurance Verification Specialist
04.2016 - 07.2018
Job overview
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Processed manual claims when necessary due to incorrect or incomplete information from providers or patients.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Evaluated policies and procedures related to Insurance Verification activities.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
Gardenview ManorDanville, IL
Certified Nursing Assistant
03.2013 - 06.2018
Job overview
- Proved successful working within tight deadlines and a fast-paced environment.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Delivered individualized patient care by recording vital signs, documenting observations, administering treatments, and evaluating patient needs.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing, and teeth brushing.
- Assisted with feeding and monitored intake to help patients achieve nutritional objectives.
Education
Ultimate Medical Academy - Tampa, FL
Associate of Science Degree – Healthcare Management
01.2017
SKCTC – Bowling Green, KY
Certified Medication Assistant
01.2012
Danville Area Community College - Danville, IL
Certified Nurse's Assistant
01.2004
Danville Area Community College - Danville, IL
GED
01.2000
Skills
- Medical Terminology
- Leadership & Management
- Business Office Operations
- Medical Office Procedures
- HIPAA Compliance
- Practice Management Software
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Greenway Healthcare Computer Information Systems
- Medical Practice Management Systems
- Accounting, Payroll, and Banking Systems
- Healthcare Law
- Insurance Billing Procedures
- Healthcare Claim Cycle
- Insurance Verification
Timeline
Certified Nursing Assistant
Avodah Homecare
04.2022 - 05.2024
Detox Intake Specialist/Medical Receptionist/Medication Aide
Crown Services Inc.
09.2018 - 12.2019
Medical Receptionist/Medication Aide
Fern Terrace Lodge
08.2018 - 03.2022
Insurance Verification Specialist
GenPact– Danville, IL
04.2016 - 07.2018
Certified Nursing Assistant
Gardenview Manor
03.2013 - 06.2018
Ultimate Medical Academy - Tampa, FL
Associate of Science Degree – Healthcare Management
SKCTC – Bowling Green, KY
Certified Medication Assistant
Danville Area Community College - Danville, IL
Certified Nurse's Assistant
Danville Area Community College - Danville, IL
GED
References
References upon request
References
References upon request
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