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Click here or scroll down to respond to this candidateCandidate's Name
Medical Supervisor/Health Data ManagementPHONE NUMBER AVAILABLE EMAIL AVAILABLE LINKEDIN LINK AVAILABLE Maple Shade, NJExperienceGrungo Law Cherry Hill, NJIntake Supervisor 03/2024 05/2024As the intake Supervisor I provided the support to call center staff to effectively complete profiles for potential personal injury claimsOversaw the afterhours on call staff and coverage for the evenings and weekendsWorked closely with management in the Marketing department as I compiled quarterly, weekly and daily data reports that encompassed the incoming call activityReport topics included type of cases, referral sources, status of leads, call duration, and follow-up activity, sign-upsConsensus Health Marlton, NJImplementations/Health Data Management 03/2016 12/2023In data management I worked with transferring various excel data sets from EMRs such as demographics, appointments, documents and clinical data into the new health system Athena. I made sure the quality assurance standards were met, that documents/images opened and were readable and performed data entry tasksWith our new clients I trained/coached all staff in operating and navigating the new medical system. Additionally, I was called upon to provide front desk coverage which included scheduling, addressing patient call inquiries, made follow-up calls and worked with Providers and other staff to resolve problems. I was actively involved in supporting referral and authorization and medical records requestsI have also supported the Population Health Department by helping practices meet their quality metrics and visiting them on site, obtained medical records and placed them into patient accounts and corrected document labeling. Supported billing by adding/grouping appropriate diagnosis codes for claim submissionsSouthern Jersey Family Medical Centers Burlington, NJFront Office Supervisor 1/2013 2/2016Responsible for the overall operation of the front desk for various departments such as Primary Care, Pediatrics, OB-GYN and DentalSupervised, trained, coached and evaluated front desk staff in scheduling, registration, insurance verification, medical records requests, patient phone inquiries, made follow-up callsWorked with Providers to resolve problems and had direct involvement in front-end revenue cycle managementReviewed billing batches, corrected several coding issues, completed end of day co-pay batch closing and prepared bank depositsMaintaining office equipment, troubleshooted issues and ordering supplies. Presented analysis and trend setting reportsSouthern Jersey Family Medical Centers Hammonton, NJOutreach/Mobile Supervisor 6/2008 12/2012As Outreach/Mobile Medic Manager I coordinated activities in the community for two medical vans, 3 counties and supervised a staff of 3-10 staffFor the medical vans, all licensures, maintenance, regulations and supplies were kept up to date by me in order to provide clinical services at sitesAnother area I was responsible for was to schedule transportation vans for maintenance and I transported patients as needed. I had direct involvement with registration, scheduling, insurance verification, medical records requests, patient phone inquiries, made follow-up calls and provided insurance application assistanceAdditionally, I performed duties as Acting Director for the Outreach Department and supported all operations for the Salems health center due to management absence and renovations. Presented analysis and trend setting reportsXerox/Affiliated Computer Services Hamilton, NJOutreach Manager 5/2005 11/2007During my time at Xerox, I was responsible for all Outreach project management implementation tasks and field enrollments for New Jerseys 21 counties and 4 regional offices under the NJ FamilyCare Program.I recruited 46 staff and provided direct input for the training modules, materials and procedures. During this process I worked with budgeting, balancing the workload and coverage time frames.Throughout my State travels, I developed working relations with Government and Community Agencies in order to provide enrollment opportunities for the program. I met regularly with the Division of Medical Assistance Health Services in order to develop outbound strategies to reach the uninsured children in New Jersey. I discussed trends and improvement plans with management.I assured goals were reached and reports submitted on a timely basis.EducationG.P.A. 3.70. Rowan University Glassboro, NJBachelor of Arts Degree in Education 12/1981 12/1985Villanova University Villanova, PABasic Counseling, Non degree 03/1989 - 04/1989Penn State Philadelphia, PAServing Our Stakeholders, Maximizing Our Skills, Non degree 01/1996 02/1996SummaryObjective: To secure a position in a professional team environment that will allow me to utilize my skills. My desire is to be part of an organization that offers career opportunities where growth and development are possible. During my work experiences I have accumulated 34 years of customer service, with 14 years in the medical field. I have worked with community organizations, Governmental Organizations, medical facilities and the public. As a leader and team player I have data management, managerial, supervisory, and effective communication skills.CertificationCertified Application Counselor for Marketplace/Affordable Care ActPresumptive Eligibility Assistor NJ FamilyCare/Medicaid, Mercer County CollegeCPR and AED trained, American Heart Association, Hammonton, NJLanguagesSpanish Advanced FluentSkillsEpic, Athena, IDX, Aprima, Navinet, NJMMIS, Data Management, Data Entry, MS Office, Quality Assurance, Auditing, Analytical, Trainor |
