SUMALA PHUCHANE
Simi Valley,CA
Summary
Affectionate Babysitter with hands-on experience monitoring well-being and safety of children. Energetic in conducting fun, age-appropriate activities and modeling appropriate social behaviors. Alert and organized individual dedicated to maintaining child-friendly environment. Detail-oriented Medical Records Specialist proudly offering many years' experience in processing court orders and subpoenas. Hardworking professional with records filing and management expertise. Attentive to deadlines in fast-paced environments. Enthusiastic professional with several years of experience and well-developed administrative skills in team communication, bookkeeping and scheduling. Career-minded with talents in preparing reports, taking messages and sorting and routing mail. Comfortable working in fast-paced, demanding office environment.
Overview
23
23
years of professional experience
Work History
Part-time Babysitter, Caregiver
Self-employeed
Simi Valley, CA
07.2023 - 07.2024
- Maintaining a positive attitude while being patient and understanding with the children.
- Establishing trust through consistent communication with both parents and kids.
- Assisting with meals, snacks, and bedtime routines for the children.
- Teaching good manners by setting clear expectations for behavior in various settings.
- Engaging in age-appropriate activities like reading stories or playing games.
- Transporting children to school, sports activities, or other engagements when necessary.
- The elderly caregiver encouraged independence while helping with basic needs, such as eating meals, personal hygiene care, and medication reminders.
- Provided companionship and emotional support to elderly clients in their homes.
- Monitored vital signs such as blood pressure and pulse rate when instructed by nurse or physician.
Medical Records and Health Information Technician
Regal Medical Group, Inc.
Northridge, CA
03.2018 - 06.2023
- Maintained confidentiality of health information in accordance with HIPAA regulations.
- Developed processes for maintaining complete and up-to-date patient medical records.
- Scanned paper documents into electronic health record systems using document imaging software.
- Conducted periodic reviews of inactive charts to ensure compliance with retention schedules.
- Organized medical charts by assigning codes to diagnoses and procedures using ICD-10-CM and PCS, CPT, and HCPCS coding systems.
- Reviewed patient records for accuracy and completeness, ensuring that all required information was included.
- Assisted in auditing medical records for compliance with legal and regulatory standards.
- Generated reports on patient data and record-keeping activities as required by management.
Grievance Appeals Specialist
Regal Medical Group, Inc.
Northridge, CA
10.2016 - 03.2018
- Drafted written reports summarizing findings from investigations and appealed cases.
- Contributed to the development of an effective dispute resolution process within the organization.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
- Examined claims, records and procedures to grant approval of coverage.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
Customer Support Specialist
Regal Medical Group, Inc.
Northridge, CA
02.2015 - 10.2016
- Coordinated with third-party vendors when necessary for resolving escalated customer issues.
- Prepared daily activity reports summarizing activities related to customer support requests.
- Responded to customer emails and phone calls promptly, courteously, and professionally.
- Followed up with customers after issue resolution to ensure their satisfaction with the outcome.
- Maintained up-to-date knowledge of company products, services, policies, and procedures.
- Resolved issues with first call and escalated more complex issues to obtain necessary customer support.
Business Analyst
O Five International, Inc.
Bangkok, Thailand
04.2006 - 08.2014
- Monitored project timelines and budgets by tracking milestones, deliverables, tasks.
- Facilitated brainstorming sessions with cross-functional teams for problem solving activities.
- Prepared documentation summarizing findings from stakeholder meetings and workshops.
- Evaluated business processes for improvement opportunities through automation or streamlining.
- Assisted in developing training materials for internal staff on new products or services.
- Conducted detailed business analysis, outlining problems, opportunities, and solutions for a business.
- Developed and implemented data analyses, data collection systems, and other strategies that optimized statistical efficiency and quality.
Claim Examiner III
Health Net, Inc. of California
Woodland Hills, CA
02.2003 - 12.2005
- Reviewed and evaluated customer claims to determine coverage eligibility.
- Researched legal precedents related to specific types of claims as needed.
- Ensured compliance with applicable state laws, regulations and standards of practice.
- Assessed claim accuracy according to company policies and procedures.
- Prepared various reports documenting findings and recommendations regarding claims resolution.
- Reduced loss ratios through fair and prompt processing of claims.
Accounting Clerk
Exact Staff Employment Agency
Agoura Hills, CA
02.2001 - 02.2003
- Maintained up-to-date accounts receivable records and coordinated monthly billing activities.
- Performed daily general ledger entries to record financial transactions accurately.
- Generated financial reports for management review on a regular basis.
- Prepared bank deposits by compiling data from cashiers.
- Developed procedures to improve accuracy of financial data entry processes.
- Reviewed vendor invoices for accuracy prior to payment processing.
Education
MBA - Marketing
National University
La Jolla, CA05-2000
Bachelor of Arts - Public Relations And Organizational Communication
Bangkok University
Bangkok,Thailand06-1995
Skills
- Schedule Management
- Activity Planning
- Child Supervision
- Emotional Support
- Medication Management
- Billing and Invoicing
- Spreadsheet development
- Document Management
- Appointment Scheduling
- Knowledge of CMS 1500, UB 04, HMO, PPO, HIPPA, EZ CAP, REA, ACCESS, Microsoft Office
Timeline
Part-time Babysitter, Caregiver
Self-employeed
07.2023 - 07.2024
Medical Records and Health Information Technician
Regal Medical Group, Inc.
03.2018 - 06.2023
Grievance Appeals Specialist
Regal Medical Group, Inc.
10.2016 - 03.2018
Customer Support Specialist
Regal Medical Group, Inc.
02.2015 - 10.2016
Business Analyst
O Five International, Inc.
04.2006 - 08.2014
Claim Examiner III
Health Net, Inc. of California
02.2003 - 12.2005
Accounting Clerk
Exact Staff Employment Agency
02.2001 - 02.2003
MBA - Marketing
National University
Bachelor of Arts - Public Relations And Organizational Communication
Bangkok University