Admitting Representative resume examples

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Skillful Admitting Representative resume

This resume is created in 7 minutes.
Dawnya Alexander
Skills
  • Strong interpersonal skills
  • Dedicated team player
  • Active listener and quick learner
  • Highly organized
  • Excellent communication skills
  • Accurate and detailed
Work History
Instructional Aide, 08/2017 to Current
Mesquite Independent School District Mesquite, TX
  • Provide operational and clerical support to teachers by grading assignments, operating instructional equipment, making copies and laminating documents.
  • Covered the classroom in the teacher's absence.
  • Facilitate small group sessions and provide one-on-one support instructing students in basic concepts.
  • Assist in the implementation of the curriculum under the direction of the teacher. 
Appeals Representative, 02/2017 to 08/2017
UnitedHealth Care Dallas, TX
  • Research and review all types of appeals and grievances.
  • Utilize appropriate claims processing systems to ensure that the claim is processed appropriately.
  • Make appropriate determinations about whether a claim should be approved or denied based on available analysis/research of claims information.
  • Work with applicable business partners to obtain additional information relevant to the claim.
  • Document final determination of appeals or grievances using appropriate templates, communication processes, etc.
  • Communicate appeal or grievance issues/outcomes to all appropriate internal or external parties.
Clinical Administrative Coordinator, 11/2015 to 02/2017
United Health Group - Optum Home Health Dallas, TX
  • Prepare and send patient reports to physicians and insurance case managers on weekly basis.
  • Manage medication orders for patients daily and as needed from pharmacy and distribution center.
  • Prepare and manage patient billing and reports.
  • Answer incoming phone calls and route to the appropriate team member.
  • Accurately document phone/voice mail messages and distribute timely according to service provided.
  • Obtain and track all physician signatures on all incoming verbal orders.
  • Train new hires on administrative tasks.
  • Perform general administrative duties as assigned.
  • Maintain all Phoenix medical records.
Auditory Trainer, 03/2013 to 11/2015
Mesquite Independent School District Mesquite, TX
  • Provided auditory training in compliance with individualized education plans for deaf education students.
  • Consulted with campus audiologist to maximize student progress towards IEP goals.
  • Assisted in the implementation of the curriculum under the direction of the teacher.
  • Maintained confidentiality of students and their families.
Front Office Specialist, 04/2014 to 01/2015
First Choice Emergency Room Richardson, TX
  • Obtained demographic, insurance verification and financial data to complete registration.
  • Greeted patients and provided paperwork.
  • Updated and maintained patient database.
  • Completed and balanced all daily transaction paperwork.
  • Maintained an open line of communication with all team members.
Insurance Verification Specialist, 12/2012 to 03/2013
Texas Regional Medical Center Sunnyvale, Texas
  • Responsible for verification and precertification of insurance, including commercial insurance, worker's compensation, and state programs, for pre-admitted, admitted, or discharged patients.
  • Determined patient responsibility, if applicable, and notified patients of deductibles or copays.
  • Created and updated patient accounts with benefit information.
  • Completed telephone and online verification with multiple insurance providers.
  • Maintained knowledge of ICD-9 codes.
Unit Secretary, 09/2009 to 12/2012
Texas Regional Medical Center Sunnyvale, Texas
  • Answered telephones, took messages, and greeted visitors.
  • Scheduled cesarean sections and inductions.
  • Transcribed physician orders.
  • Worked closely with nursing personnel, medical staff, and the public.
  • Maintained patient charts and medical forms.
  • Input unit charges and delivered specimens and transports patients.
Admitting Representative, 10/2008 to 01/2010
Methodist Richardson Medical Center Richardson, Texas
  • Obtained current and accurate demographics and insurance information in order to register patients.
  • Verified insurance coverage and eligibility via phone, fax, and/or online.
  • Customer service provided through answering phones and assisting patients.
  • Ran nightly reports and accurately balanced daily payments.
Surgery Scheduler, 08/2007 to 07/2008
Pinnacle Anesthesia Dallas, TX
  • Responsible for CRNA and anesthesiologists' surgery schedules through provided computer software.
  • Collected patient's demographic and billing information in order to schedule them appropriately.
  • Coordinated with 50 doctors and 22 medical centers to assist in scheduling anesthesia needs.
  • Communicated with CRNAs and anesthesiologists on their availability for anesthesia needs in emergency situations.
Unit Secretary, 02/2006 to 12/2007
Richardson Regional Medical Center Richardson, TX
  • Answered telephones, took messages, and greeted visitors Transcribed physician orders with accuracy.
  • Utilized various types of office equipment to include intercommunications system, computer, fax and copier.
  • Worked closely with nursing personnel, medical staff, and the public.
  • Maintained patient charts and medical forms Input patient charges.
Access Services Representative, 04/2007 to 08/2007
Baylor Specialty Hospital/Kelly Services Dallas, TX
  • Answered phones, greeted visitors, and sorted incoming mail.
  • Input physical, speech, and occupational therapy charges for Our Children's House and Baylor Specialty Hospital.
  • Provided daily spreadsheets regarding patient charges.

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Job-winning Admitting Representative resume

This resume is created in 7 minutes.
Roger RamirezRogerRamirez
Professional Summary
Innovative customer-oriented healthcare professional with background in managed, ambulatory, and long-term care. Strong background in quality assurance, claims analysis, and emergency room principles and practices. Exceptional customer service skills where inquiries and problems are resolved as they arise.

Innovative customer-oriented healthcare professional with background in managed, ambulatory, and long-term care. Strong background in quality assurance, claims analysis, and emergency room principles and practices. Exceptional customer service skills where inquiries and problems are resolved as they arise.

Skills
  • Project management authority
  • Effective staff coach
  • Analytical thinker
  • Knowledge of Medicaid statutes and regulations
  • Medicaid Management Information Systems
  • HIPPA Trained
  • Multi-phone Line
  • Data Entry
  • POS Device proficient
  • Strong presentation skills
  • Strategic planning capability
  • Planning and development
  • Independent judgment and decision making
  • EMR trained
  • Budgeting proficiency
  • Bilingual: Spanish
  • Project management authority
  • experience in admitting verification
  • ipa contract verification
  • Knowledge of Medicaid statutes and regulations
  • Medicaid Management Information Systems
  • HIPPA Trained
  • experience in patient placement and admission.
  • Data Entry
  • POS Device proficient
  • Strong presentation skills
  • Strategic planning capability
  • Planning and development
  • experience as financial councelor
  • EMR trained
  • Budgeting proficiency
  • multi lingual:English, Spanish and sign language
  • Project management authority
  • Experience in admitting verification
  • IPA contract verification
  • Knowledge of Medicaid statutes and regulations
  • Medicaid Management Information Systems
  • HIPPA Trained
  • Experience in patient placement and admission.
  • Data Entry
  • POS Device proficient
  • Strong presentation skills
  • Strategic planning capability
  • Planning and development
  • experience as financial councelor
  • EMR trained
  • Budgeting proficiency
  • Multi lingual:English, Spanish and sign language
Work History
Admitting Representative, 09/2007 to Current
Children's Hospital Los Angeles Los Angeles, CA
Responsible for answering and transferring incoming calls greeting and directing patients and visitors to their destinations. Register all emergency room patients, ensuring the proper paper work is properly filled out and signed, then distributes the paper work to the appropriate department. All registrations are completed accurately to ensure timely billing. Responsible for collecting co-pays, entering payment history into the electronic medical record. Provides support to nursing staff. Check coverage and eligibility from contacted insurance companies, healthplans, and IPA's by speaking directly with their member services department or logon to eligibility webportal or use the POS device, and or the medi-cal website. Organized the department in accordance with administrative guidelines in order to provide specified registration services to meet the legal, organizational and medical staff guidelines. Interpreted and communicated new or revised policies to staff. Strategically planned methods to achieve operational goals and targets. Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
Admitting Representative, Current
Children's Hospital Los Angeles Los Angeles, CA

Responsible for registration and admission of patients, insurance verification and verifying patient's insurance eligibility; as well as offering presumptive eligibility to patients who do not recieve medical insurance or medicaid.Responsabilites also extend to meet the legal, organizational and medical staff guidelines. Interpreted and communicated new or revised policies to staff and patients. Strategically planned methods to achieve operational goals and targets. Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.

Stocking-Team Lead, 04/2007 to 09/2007
Target Montlair, CA
Responsible for replenish a shelf, bin or pegged area with stock and transporting merchandise by hand pulling. The physical removal of goods from a truck and putting empty pallets, security cages, and transfers back on the truck. Responsible for the use of various material-handling equipment. Re-merchandise any selling space, to regroup items, or to make space for new merchandise. Read both written and numerical verbiage, comprehend spatial relationships, and have the ability to set merchandise according to the layout. Safe operation of a blade-type instrument designed for opening cased merchandise, as well as returning the blade to its non-operational position when not in use. Returning merchandise to its proper location on the sales floor as designated by aisle layouts. Required knowledge of sales floor locations and proper merchandising techniques. Manually placing price shelf labels on lip below merchandise or on scanner peg hooks. Moving merchandise to and from the perimeter and gondola overstock areas. Promoted to team lead, oversaw a team of 6 to ensure team met deadlines for specific merchandise. Trained new staff and responsible for their performance.
Loading and unloading, 06/2003 to 09/2007
Intex Ontario, CA

Responsible for ensuring an efficient flow of the unload process. This included setting up receiving equipment on the conveyor and materials such as pallets, shrink and wrapping, unloading received merchandise, and preparing and distributing merchandise from receiving to the appropriate truck or cargo unit. Also responsible for providing excellent customer service by assisting customers in locating, selecting, demonstrating, and loading of merchandise in a friendly and professional manner.

Machine Operator, 01/2002 to 06/2003
Yillik Corp. Ontario, CA
Responsible for reading and interpreting blueprint or job order for product specifications such as dimensions, tolerances, number of parts to be machined, and tolling instructions such as cutting speeds, feed rates, depth of cuts, and cutting tools to be used. Positioned and secured specific collets, bushings, and stock pushers onto stock feeding mechanism and loaded bar stock into feeding mechanism. Installed and adjusted specified cams, gears, and stops to control stock and tool movements at each station. Positioned and secured tools in tool holders. Set cutting speeds and feed rates. Moved controls to cycle machine through settings, stopping machine and adjusting tool positions and machine controls to allow for operating factors such as timing, clearance between moving parts, and chip removal. Started machine, observed operation, and inspected first run and sample work piece to ensure machining conformed to specifications. Replaced worn tools. Operated bench grinder to sharpen tools. Performed general routine maintenance of the machine.
Education
Associate of Science: Kinesiology, Current
Mt SAC - Walnut, CA
GED: 1995
Park West High School - Pomona, CA

References Available Upon Request

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