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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLEOBJECTIVEEXPERIENCEDedicated, Administrative Assistant with experience handling a wide range of administrative, technical, and executive - support tasks.QUALITY ASSURANCE MANAGERLifepath Systems MHMR/ McKinney, TX / 2/7/2022 3/25/2024Utilization Management Coordinator provides support to the Utilization/Quality Management Department and medical unit. Performance requires accuracy, attention to details, initiative, and a pro-active approach to duties and responsibilities.Process and track Utilization Management related issues in accordance with the Managed Care Organization's guidelines for entering and tracking authorizations, processing completed clinical assessments, and researching denial issues.Assist in preparation of regularly scheduled UM/QM reports, as well as reconciling and tracking data from multiple reports, communicating with applicable parties as needed.Helps support data collection and analysis for daily operation.Make corrections to Overlapping Services.Reviews TAC, Health and Safety Code, External contracts, and other sources regularly to ensure that Policy and Procedures.Supports compliance with semi-annual satisfaction surveys and responds to death review reporting.Responsible for knowledge of UM/QM guidelines and updates.Responsible for batching our MCO Generator Authorizations.Responsible for insertion of External Reviews on the Submission CalendarPerforms other tasks needed by the team lead, and supervisors.MEDICAL OFFICE SPECIALIST & UTILIZATION MANAGAMENT TECHNICIANLifepath Systems MHMR/ McKinney, TX / 07/2017 02/2022Performed clerical to include answering telephones, scheduling, following-up on appointments.Reconcile data from multiple reports.Verify insurance claims.Review patients records & make updates.Assign codes to diagnoses & procedures.Greet patients with a personalized inviting manner.Maintain the Providers & counselors, and case managers schedules.CHILDCARE TEAM LEADERYMCA- George H.W. Bush Elementary, Addison, TX 09/2016 07/2017Actively engage in activities with participants including physical activity, enrichment activity and Homework/CATCH time implementationMEDICAL OFFICE SPECIALIST EXTERNSHIP 200 HRSSynergy MSO, Addison, TX 01/2017 04/2017Reconcile medical billing claims from multiple reports for multiple clinics.Updated client information in the system for multiple clinics.Provider CredentialingBilling & Coding for multiple clinics.Verify insurance claims.LEGAL ADVOCATEDomestic Violence / Texarkana, TX - 11/2013- 09/2015Provide direct services to victims of domestic violence in the following areas Cass, Bowie, Miller, Lafayette, Little River, & Hempstead Counties. I serve as a representative for victims of Domestic Violence. I also provide direct service responsibilities to include support, information, advocacy, and court accompaniment to victims of domestic violence. Assist with restraining orders, civil, and other court matters, and legal referrals.MEDICAL ASSISTANT EXTERNSHIPGood Shepherd Garrett Clinic, Linden, TX / 06/2013 10/2013Greeting patients and their loved ones in a personalized and inviting manner. Performed clerical to include answering telephone, met, greeted, and seated patients, filed, and verified insurance claims, filed charts, pulled charts, called patients, scheduled patients, packed important items to send out, scheduled payment plans, assisted the Doctor with patients, cleaned tools, took X-Rays, etc. Work collections on past due accounts. Took vital signs, performed phlebotomy, and gave EKGs, immunizations, and has lab experience.MEDICAL ASSISTANTGood Shepherd Garrett Clinic, Linden, TX / 10/2013 09/2015File and verified insurance claims, filed charts, pulled charts, called patients, scheduled patients, packed important items to send out, scheduled payment plans, assisted the Doctor with patients, cleaned tools, took X-Rays, etc. Work collections on past due accounts. Took vital signs, performed phlebotomy, and gave EKGs, immunizations, and has lab experience.CORRECTIONAL OFFICE IV / EDUCATION/ PAROLETexas Department of Criminal Justice, New Boston TX / 02/2007 09/2013Participated in the day-to-day operations of the prison, maintaining security of the facility, escorting offenders within and/or outside the secure confines of the prison. Communicated effectively with a varied population of offenders, including individuals from diverse ethnic, racial, cultural, and economic backgrounds. This included persons for whom English was not a primary language, persons with developmental and learning disorders, and individuals with a wide variety of psychiatric and physical disorders.OFFICE ASSISTANT / MEDICAL FRONT / DATA ENTRYCornerstone Staffing / Addison, TX 09/2015- 08/2016Greet all customers in a timely, friendly, and professional manner. Answer all phone calls consistently and ensure all phone messages immediately communicated to the correct recipient,SKILLSEDUCATIONOffice Management SupportReliability and AdaptabilityStaff Development & TrainingTeambuilding & SupervisionUM/QM GuidelinesPolicies & ProceduresKnowledge of TAC, Health, and Safety CodesReviewer for Internal & External AuditsBilling & CodingMedical Billing/CollectionsEKG CertifiedX-Ray CertifiedPhlebotomy Certified with lab experience.Oral and written communication skillsReport & Document PreparationHEALTH ADMINISTRATION/ MAUNIVERSITY OF PHOENIX, PHOENIX, AZ06/2022- UntilBUSINESS ADMINISTRATION/ BACOLLEGE OF HEALTHCARE PROFESSIONS, HOUSTON, TX03/2018-05/2020HEALTH AND MEDICAL ADMINISTRATIVE SERVICES/AASCOLLEGE OF HEALTHCARE PROFESSIONS, HOUSTON, TX10/2017-03/2018MEDICAL OFFICE BILLING & CODING SPECIALIST/AASBRIGHTWOOD COLLEGE, DALLAS, TX10/2016-04/2017MEDICAL ASSISTANT SPECIALIST/ AASKAPLAN COLLEGE, SAN ANTONIO, TX01/2013-10/2013ORGANIZATIONSPOLICY COUNCIL COMMUNITY BOARD MEMBERHEADSTART OF GREATER DALLAS09/2020-untilBOARD OF DIRECTORS MEMBER / SECRETARYHEADSTART OF GREATER DALLAS09/2020-until2ND VICE PRESIDENT (MEMBERSHIP)E.D. WALKER P.T.A.04/2021-05/20232ND VICE PRESIDENT (MEMBERSHIP)W.T. WHITE PTO04/2021-untilPRESIDENTGAMMA PHI DELTA SORORITY INC.05/2023-untilQUAD STATES REGIONAL YOUTH ADVISORGAMMA PHI DELTA SORORITY INC.10/2020-until |
