yyyyyy x. yyyyyy

(xxx-xxx-xxxx • abc@xyz.com

 

 

profile of qualifications

 

bilingual management professional specializing in public- and private-sector healthcare operations, quality improvement, administrative support, provider relations, and customer service eager to utilize clinical / pharmaceutical knowledge and experience toward maximizing an employer s success.  top-performer with the ability to make decisions which reflect positively on operations productivity, corporate well-being, and client satisfaction.  integral leader who promotes a company s vision, value, and goals to profitably ensure a loyal and satisfied client base.  excellent communicator who can delegate and / or handle multiple assignments within deadline-driven environments.  ambitious self-starter who demonstrates superior attention-to-detail.  planning to pursue pharmacy tech certification.  fluent in spanish.

 

key areas of expertise

 

medicare / medicaid / schip                       team building                          marketing support                             quality assurance

cpt / icd-9 coding                                    hr support                             workers compensation                    workflow prioritization

online transcription                                     account management              accounting / billing                             financial recordkeeping

medical / pharmaceutical terminology        provider communications        hipaa / osha / clia / jcaho        policy / procedure development

 

professional synopsis

 

 

pharmacy client and provider servicers (2007 c 2009)

         applied dynamic leadership talents toward serving as primary contact for state of colorado clientele and providers to include promptly responding to pharmacy questions / issues (i.e. medicare part d benefits) and effectively resolving key business challenges.

         optimized customer service efforts by employing a strong understanding of plan benefits information and multiple state of colorado data systems (i.e. eligibility, utilization, claims, drug data).

         contributed sharp analytical skills toward evaluating complex benefits coordination between medicaid / medicare or part d providers.

 

customer support coordinator (2006 c 2007)

         supported clientele and providers in navigating comprehensive healthcare systems by responding to diverse questions, billing issues, and benefits information to include providing critical advisement regarding medicaid / medicare and schip.

 

 

assistant practice administrator

         strategically steered administrative operations by directing all insurance, patient, and workers compensation billing to include managing online transcription processes of medico-legal reports and pre-qualifying new patients upon verification of responsible source.

         interfaced with attorneys regarding personal injury and / or workers compensation cases to ensure seamless business processes.

         expertly reconciled daily charges and payments, along with producing monthly insurance and patient reports as required.

 

 

clinic operations manager

         drove health services efficiency by leading a top-performing 16-member front desk, medical records, and pharmacy team in supporting 13 high-volume providers, a dental practice, and pharmacy, as well as overseeing all facility management and supplies inventories.

         recruited and trained staff, along with planning and delegating tasks to provide cost-effective labor and optimal use of resources.

         created streamlined processes by developing solid operational policies / procedures to include participating in various quality improvement initiatives and steering committees.

 

 

medical office manager

         maximized business management and operations success by supervising a solutions-focused team of desk and scheduling personnel to include actively providing assistance to attending providers and maintaining full facility responsibility and equipment maintenance support.

         utilized broad scope of industry knowledge to liaise among referring providers and provide high-quality services.

         increased referral base by participating in innovative marketing initiatives (i.e. mass mailings, physician sales calls).

 

additional professional roles held prior to 2002

 

education and professional development

 

bachelor in administration (strategic management minor)                                     instituto tecnol gico aut nomo de m xico (itam)

 

privacy / security • quality improvement management • quality improvement theory

leadership and employee coaching • medical practice management • healthcare financial management