Vilma "Jen" Muller
Port Richey,USA
Summary
Detail-oriented and knowledgeable Administrative Medical Assistant with a strong foundation in analytical thinking, effective communication, and collaborative teamwork. Proven ability to quickly adapt to new environments while maintaining a focus on delivering high-quality support. Committed to leveraging skills to enhance team performance and contribute meaningfully to organizational growth. Eager to bring a proactive approach to problem-solving and a dedication to excellence in every task.
Overview
4
4
years of professional experience
Work History
Case Management Assistant (CMA)
HCA Bayonet Point Hospital
Hudson, FL
08.2024 - Current
- Managed logistics of patient discharges, prioritizing safe and efficient transportation.
- Analyzed transportation challenges and reported findings to facilitate timely patient discharges.
- Established strong communication channels with team members and patients to ensure seamless information exchange.
- Managed processes for reviewing and addressing patient discharge appeals to ensure compliance with healthcare regulations.
- Clarified Medicare rights for patients to ensure informed decision-making during the admission process.
- Coordinated tracking and distribution of "important message" notices to ensure compliance with Medicare regulations.
- Assisted in coordinating referrals to skilled nursing facilities, home health services, and inpatient rehabilitation programs. Supported patients in navigating care options to enhance recovery outcomes. Collaborated with healthcare teams to facilitate smooth transitions for patients.
- Coordinated patient placement and coding processes to ensure compliance with insurance authorizations.
- Fostered a culture of reliability and professionalism while enhancing teamwork dynamics.
- Facilitated coordination between insurance companies and healthcare providers to optimize patient benefits.
- Maintained patient privacy and confidentiality through strict compliance with HIPAA regulations to support ethical healthcare practices.
- Managed incoming phone calls with professionalism and courtesy.
- Facilitated case management processes through diligent administrative support, emphasizing precision and thoroughness in task execution.
- Facilitated communication between patients and medical staff to enhance service delivery.
- Engaged in continuous professional development to enhance expertise in case management assistance.
- Participated in quality improvement initiatives, identifying areas for potential growth and implementing changes to enhance overall case management services.
- Participated in regular case management and staff meetings to enhance team collaboration.
- Facilitated smooth transitions between care settings by arranging necessary transportation and communicating relevant information to receiving facilities.
- Maintained detailed case notes documenting each interaction with clients, ensuring a consistent approach across the care continuum.
Medical Records –HEDIS Abstractor
Access Healthcare Physicians
Hudson, FL
12.2021 - 08.2024
- Scheduled patient appointments and assisted with coding of physician orders.
- Facilitated scheduling processes and communicated policy updates to enhance operational efficiency.
- Led efficient and successful implementation of HEDIS-related activities, enhancing quality improvement and patient care outcomes.
- Facilitated the gathering and organization of medical records and reports to support HEDIS compliance efforts.
- Oversaw the systematic coordination and preparation of medical records for HEDIS review, ensuring compliance with healthcare standards.
- Coordinated with medical clinicians to enhance workflow efficiency through effective prioritization and deadline management.
- Facilitated timely submission of HEDIS measures to insurance and QAPRIMA portals to ensure compliance.
- Educated patients on necessary health measures to ensure full compliance and optimal outcomes.
- Coordinated communication efforts to ensure understanding and support among team members and patients.
- Safeguarded patient confidentiality during data input, creation, modification, and merging within the EMR system.
- Collected and evaluated data to support operational improvements and enhance performance.
- Executed diagnostic order generation by physicians to ensure timely testing and imaging services.
- Analyzed and interpreted HIPAA requirements to ensure compliance and safeguard patient information.
- Fostered a culture of reliability and professionalism while enhancing teamwork dynamics.
- Ensured accurate verification of patient insurance eligibility to facilitate seamless healthcare access.
- Facilitated administrative operations within a dynamic healthcare setting.
- Oversaw documentation processes and ensured accurate record management for compliance.
- Conducted thorough reviews of patient records to ensure adherence to regulatory requirements.
- Facilitated collaboration with healthcare providers to clarify information and resolve discrepancies.
- Oversaw efficient data entry into electronic health records systems.
- Established and enforced quality control measures to ensure excellence in record abstraction.
- Maintained current knowledge of abstractor best practices through proactive adjustment to industry changes.
- Utilized reference materials to enhance accuracy, clarity, and completeness of reports.
- Cultivated a positive work environment by building strong professional relationships with colleagues and supervisors.
- Coordinated efforts to obtain necessary records from outside entities, enhancing patient care chart accuracy.
Education
Bachelor of Applied Science (BAS) - Supervision & Management
Pasco-Hernando State College
New Port Richey, FL12.2024
Associate of Arts -
Pasco-Hernando State College
New Port Richey, FL12.2023
Skills
- Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook, Internet)
- Prioritization, Coordination, Scheduling, & Registration
- Strong organizational, financial, and time management skills
- Strong interpersonal communication skills (written and verbal)
- Analytical decision-making
- Medical Terminology
- Medical Office Administration and Records Management
- HIPAA Compliance & Regulatory Awareness
- Teamwork & Interpersonal Skills with leadership potential
- Strong work ethics and willingness to learn
- Customer Service & Patient Relations
- Insurance Verification & Authorizations
- Electronic Health Records (EHR/EMR)
- Problem Solving & Organization
- Reliable and efficient in task management
- Adaptable in fast-paced environments and committed to professional growth
- Multitask and prioritize daily workload, organize files, records, and other materials to meet deadlines and objectives
- Experienced in customer service and communication skills
- Knowledge of modern office practices and procedures
- Concise and comprehensive written reports
- Data confidentiality
Timeline
Case Management Assistant (CMA)
HCA Bayonet Point Hospital
08.2024 - Current
Medical Records –HEDIS Abstractor
Access Healthcare Physicians
12.2021 - 08.2024
Bachelor of Applied Science (BAS) - Supervision & Management
Pasco-Hernando State College
Associate of Arts -
Pasco-Hernando State College