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Click here or scroll down to respond to this candidateCandidate's Name
Garfield NJ Street Address cell: PHONE NUMBER AVAILABLEEMAIL AVAILABLEHomeInstead senior care Teaneck NJ 2/Street Address
Assistance with Appointments daily activities and physical therapyCareOne paramus NJ 2/Street Address
Recreational Assistant assisted in Recreational activities, current events, dailyAppointmentsHackensack Meridian Health Medical Center Hackensack NJ 11/18-12/18Intern, Community Health WorkerScreen Medicare and Medicaid clients for socially related needs, eg. Food, housing, interpersonal violence, transportation, and housingPerform personal interview for selected clients who screen positive for social needsAssist with gathering and mailing out appropriate referrals to clientsPlace phone calls to clients for follow up on referrals givenData entry to specific program with patient history, follow ups and resolutionsRecord client information to specific excel spreadsheets for patient completion monitoring Assist with patient translation when neededUnited Healthcare Iselin NJ 2009-2012Provider ContractorVerified provider credentialsExecuted provider contracts for all commercial, Medicare and Medicaid lines of businessMaintained active provider contractsAuthored contract revisions and correctionsCreated new contracts for eligible providersExecuted tin additions and tin terminationsEnsured contract masters and network templates were correct for proper contract loadSpecial deal and hard code executionsMarket interventionsWorked alongside network management team members to ensure proper fee schedules and provider demographics were updated and/or revised as necessaryUnited Healthcare Iselin NJ 2008-2009Network Account ManagerNetwork Management high level county presentationsLegal forms processing and distribution of provider service requestsProvider Insurance AmendmentsHandled provider escalation requestsFacilities/provider Insurance negotiationsAssisted fellow team members with insurance resolutions Passaic Pediatrics P.A. & Passaic Pediatrics II Passaic NJ 2006-2008 Medical Office ManagerOversaw office operationSupervised staff of 24 members / Scheduled work hours for employeesDeveloped and implemented new policies and regulations to ensure outstanding patient careEnsured proper processing of insurance and billing / Assisted bookkeeper/ bank depositsOversaw scheduling of patients and well visitsCoordinated physician on call servicePlanned and coordinated physician and staff meetingsHired, trained and evaluated employeesReviewed production and business reports weekly with physiciansOrdered all office supplies and equipmentPhysician credentialing and new enrollmentsProvider panel updates from all health insuranceAssisted in new business engagements / Event planning and coordinationColumbia Presbyterian Hospital, Center for Women's Health 2000-2006 NY NYMedical Office Manager / Medical AssistantDaily office managementDeveloped office policies and regulationsOversaw Practice Assistants / Assigned physicians to on call scheduleStatistics and referral analysis / Claims resolutionsBilling / Copays / Bank deposits to appropriate accountsInsurance verification / Insurance pre-certificationsOrdered all supplies and equipmentMedical appeal letters / Patient translationCoordinated Physician and staff meetingsPerformed Medical Assistant duties when necessaryPassaic Community College Paterson, NJCertified Community Health WorkerBergen County EMS Training Center Paramus, NJEmergency Medical Technician (EMT)Blake Business School (Medical Division) New York, NYMedical Assistant |
