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Click here or scroll down to respond to this candidate|Candidate's Name | | | | | ||Street Address Rossiter | | | | | ||Detroit, MI Street Address | | | | | ||PHONE NUMBER AVAILABLE | | | | | ||EMAIL AVAILABLE | | | | | || | | | | | || | | | | | || | | | | | || | | | | | || | | | | | || | | | | | || | | | | | || | | | | | || | | | | | || |SKILLS AND ABILITIES | | | | | | | || |10 + Years Administrative Assistant Experience | | | | | | | || |10 + Years Call Center Experience | | | | | | | || |Ability to make proactive decisions base on established policies and | | | | | | | || |procedures | | | | | | | || |Proficiencies: Microsoft Products, Type 45 WPM | | | | | | | || |Stairway to Excellence, U.S. Department of Veterans Affairs | | | | | | | || |Knowledge of function and relationships within a hospital environment| | | | | | | || | | | | | | | | || |DrFirst and Web DENIS | | | | | | | || | | | | | | | | || |EXPERIENCE | | | | | | | || | | | | | | | | || |07/2016 -11/2016 - Wayne County Treasurer Register of Deeds, Detroit,| | | | | | | || |MI | | | | | | | || |Indexer | | | | | | | || | | | | | | | | || |Data entry of scanned documents, i.e., mortgages, warranty deeds, | | | | | | | || |discharges, judgment liens, quit claims, modification loan, | | | | | | | || |assignments | | | | | | | || |Work daily with a dual monitor screen to review, research and | | | | | | | || |retrieve property related | | | | | | | || |Identify incomplete or inaccurate documents and correctly applying | | | | | | | || |indexing codes | | | | | | | || |Input data from scanned land records into database, utilizing grantor| | | | | | | || |and grantee entities | | | | | | | || | | | | | | | | || |05/2016 - 07/2016 - Detroit Medical Center, Detroit, MI | | | | | | | || |Credentialing Specialist, Graduate Medical Education | | | | | | | || | | | | | | | | || |Processed applications for appointment/re-appointment of providers | | | | | | | || |Requested or renewed membership of incoming providers | | | | | | | || |Maintained physician database and performed all primary source | | | | | | | || |verifications | | | | | | | || |Coordinated, monitored re-credentialing process | | | | | | | || |Scanned and appended electronic attachments to the appropriate | | | | | | | || |electronic file | | | | | | | || |Prepared, processed on boarding orientation of new incoming and | | | | | | | || |outgoing medical residents | | | | | | | || |Gathered, logged and organized State of Michigan's program license | | | | | | | || |for specialty programs and control substance licenses | | | | | | | || | | | | | | | | || |09/2015 to 12/2015 - Blue Cross Blue Shield, Detroit, MI | | | | | | | || |Administrative Analyst, Medical Review and Appeals | | | | | | | || | | | | | | | | || |Provided administrative support to Senior RN Analyst and six or more | | | | | | | || |Senior Analysts | | | | | | | || |Worked closely with Senior RN Analyst to support timely entry of 900 | | | | | | | || |Medical Review and Appeals cases received within 24 hours in NCSW | | | | | | | || |system | | | | | | | || |Accessed/updated 5000 plus decisions monthly from Share Point data | | | | | | | || |base for further review | | | | | | | || |Communicated with executive services to accurately report finalized | | | | | | | || |900 Medical Review and Appeals cases to eliminate duplication | | | | | | | || |Documented 800 routine cases generated from the BCBSM processing | | | | | | | || |system | | | | | | | || |Managed and maintained time sheets through People soft (procurement) | | | | | | | || |Entered claims into computer utilizing knowledge of CPT, ICD-9 codes | | | | | | | || |and medical terminology | | | | | | | || | | | | | | | | || |2 | | | | | | | || | | | | | | | | || |05/2012 to 04/2015 - Wayne County Community College District, | | | | | | | || |Detroit, MI | | | | | | | || |Procurement Administrative Assistant | | | | | | | || | | | | | | | | || |Coordinated activities for daily delivery goods and services | | | | | | | || |Follow up with vendors, set up new vendor accounts, processed orders,| | | | | | | || |updated shipping information Created log inventory documents | | | | | | | || |Worked directly with senior purchasing on buyer preparing bids, RFP | | | | | | | || |requisitions and proposal documents for upcoming renewal contracts | | | | | | | || |for five campuses | | | | | | | || |Maintained contact with vendors to obtain delivery and arrival status| | | | | | | || |on product or service | | | | | | | || |Purchased/ordered school supplies, computers and office furniture | | | | | | | || |ranging up to $70,000 | | | | | | | || |Controlled confidential bid/contract files for 500 plus institutional| | | | | | | || |vendors | | | | | | | || |Served as a college liaison for the Chancellor and each campus | | | | | | | || |president | | | | | | | || |Provided executive level administration support | | | | | | | || |Conducted research and data analysis for executive/committees | | | | | | | || |Made recommend routine purchases based on urgency needs at a moment | | | | | | | || |notice | | | | | | | || | | | | | | | | || | | | | | | | | || |05/2010 to 12/2011 - Henry Ford Health System, Detroit, MI | | | | | | | || |Customer Service Representative | | | | | | | || | | | | | | | | || |Addressing patients' balances | | | | | | | || |Consulted with nurses to properly identify CPT codes | | | | | | | || |Recorded T-capture medical billing from collected co-pays and prior | | | | | | | || |balances owed | | | | | | | || |Obtained authorization/verification, correct medical insurances and | | | | | | | || |updated demographics | | | | | | | || |Verified insurance eligibility/coverage through four data base | | | | | | | || |systems | | | | | | | || |Coordinated meetings, scheduled clinical appointments for | | | | | | | || |departmental divisions | | | | | | | || |Explained policies and procedures, maintained medical office files | | | | | | | || |Provided customer service within internal medical clinics and | | | | | | | || |submitted requests | | | | | | | || |Trained in Medpac, T-capture billing, Dr First and Web Denis | | | | | | | || |Verified and entered demographic information on insurance | | | | | | | || |Distributed forms to patients with necessary explanation, collected | | | | | | | || |HIPAA forms | | | | | | | || |Reviewed patient charges at time of check-out to ensure basic billing| | | | | | | || |protocols | | | | | | | || |Collected and processed payments (both current and previous balance | | | | | | | || |due) and balances all payments Handled activities that assist with | | | | | | | || |coordination of patient care, orders, referrals, and prior | | | | | | | || |authorizations | | | | | | | || |Employs proper, compliant patient liability collection techniques | | | | | | | || |before, during & after date of service, performs Hospital cash | | | | | | | || |reconciliation & secured payment entry in adherence to financial & | | | | | | | || |cash control policies & procedures | | | | | | | || | | | | | | | | || |06/2002 to 08/2006 - US Department of Veterans Affairs, Detroit, MI | | | | | | | || |Medical Administrative Office Support | | | | | | | || | | | | | | | | || |Handled schedule appointments and walk-in insurance verifications | | | | | | | || |for returning veterans and locally Developed liaison relationship | | | | | | | || |between patients and hospital | | | | | | | || |Registered patients, obtained and verify various insurance of | | | | | | | || |providers | | | | | | | || |Updated demographic data for timely and accurate billing reporting | | | | | | | || |Assisted and directed patients without medical coverage by providing | | | | | | | || |resource to financial literature and forms for counseling services | | | | | | | || |Educates patients about patient financial liabilities | | | | | | | || | | | | | | | | || | | | | | | | | || | | | | | | | | || |3 | | | | | | | || | | | | | | | | || | | | | | | | | || |EDUCATION & TRAINING | | | | | | | || | | | | | | | | || |Bachelor Criminal Justice, Criminal Justice, University of Phoenix, | | | | | | | || |Southfield, MI | | | | | | | || |Certificate, Medical Office Specialist, Kaplan Career Institute, | | | | | | | || |Detroit, MI | | | | | | | || |Health Insurance Portability and Accountability Act (HIPAA) | | | | | | | || | | | | | | | | || | | | | | | | | || | | | | | | | | | |
