Objective: To obtain a rewarding and challenging position within an organization that offers opportunity for professional growth and advancement, that allows me to express my ability to work well independently or part of a team; which also utilize my critical thinking, communication and interpersonal skills.
Experience:
Metropolitan Jewish Health System (Elderplan Inc.) Brooklyn, New York 11/2008 to Pres. Auditing, Training and Department Support Coordinator
v Coordinate with Pharmacist and Physician on participation for the different committee meeting to ensure that all information are updated in HPMS
v Work with in house Pharmacist and Medical Director to ensure that all participating Pharmacist and Physician on the committees are compliant with compliance regulation.
v Assist in the development and implementation of new software (testing).
v Coordinate, track and conduct various daily to monthly staff audits for the Coordinated Care & UM department for authorization accuracy
v Develops training manuals for the various systems utilized by the Medical & Quality Management departments.
v Train Med. Mgt. And Quality Mgt staff on all applicable System and Databases
v Prepare documents for audits, for the Med. Mgt., Quality Mgt. Departments which includes monthly Ipro audits
v Maintains and update Med. Mgt. departmental workflows, Policy and Procedures in the policy management software
v Updates and maintain binder for the Med. Mgt. Performance evaluation ,complete/tracks all jobs/position change form submitted to HR
v Evaluate and process all Medical Management invoice for accuracy before payments are requested
v Prepares graphical and statistical reports, project plans PowerPoint presentation and departmental table of organization charts as requested by VP, AVP and Directors
v Utilize Jeff –Net Report Viewer to generate reports powered by Crystal v Monitors staff’s time and attendance for any patterns and trends ensure all staff is clock in/out in the Kronos System Daily (Timekeeping).
v Track and maintain data base with institutional members
v Create spreadsheets, charts, graphs, databases, reports of internal/external communications
v Process purchase requisitions, honoraria, track expenditures, Coordinate travel arrangements and process check requests for travel reimbursement
v Assist with all office functions (order supplies using various online software, Meeting preparations, meal ordering for diverse groups )
Metropolitan Jewish Health System (Elderplan Inc.) Brooklyn, New York 3/05 – 11/2008 Administrative Assistant for the Medical Management/Quality Improvement Departments
v Perform a variety of administrative Function, Schedule appointments, Compose memos, and assist with compiling expenses for the development of the annual budget, process check request and petty cash payments.
v Track and verify institutional member in Market Prominence, (which updates information submitted to CMS) Excel and class code change memos
v Responsibilities include the day-to-day office management for the Assistant Vice President (AVP) and Director Med. Mgt.
v Manage and coordinate AVP and Director daily and monthly calendar.
v Schedule various meetings for the Medical Management department
v Organize the details of offsite meeting travel arrangements agendas and itineraries.
v Obtain information from other colleagues or outside representatives; Organizes and maintains files of Assistant Vice President’s correspondence and records, follow up on pending
v Coordinate day-to-day management of office operations, filing, ordering of supplies, process vacation and check request.
v Track to ensure all staff are clock in/out in the Kronos System for 67 staff (Timekeeping)
v Prepares travel expense reports, ensuring accuracy of information submitted
v Coordinate the dissemination of documents and other information to various personnel within and outside the Organization
v Take Minutes and attendance at various meeting
v Perform Customer Service Orientated Duties. Triage calls through ACD line to Care Managers and Supervisors. Document requests and telephonic encounters with providers and members in Amisys to ensure integrity of data and member records.
v Front desk coverage (Receptionist coverage)
v Ensure that authorizations are appropriate and documentations are made to facilitate claims processing. Document requests and telephonic encounters with providers and members in Active Advice Management to ensure integrity of data and member records.
Metropolitan Jewish Health System (Elderplan Inc.)
8/03-2/05 Medical Management / Care Manager Assistant
v Track and verify institutional member in Market Prominence, (which updates information submitted to CMS) Excel and class code change memos
v Performed data entry in Amisys, which include authorizing Specialist visits (Paper Referral)
v Prepare and mail all determination letters to physician and members.
v Identify CM/non CM Members from the monthly MAB Report
v Special projects assigned by supervisors
v Perform daily data entry in Excel on the Re-Caf Log
v Assist ESRD Renal Nurse
v Generate & distribute daily NRD Report for Care Managers and Intake.
v Generate Authorization Expiration Report (Crystal) & Phone Log v Create charts using Microsoft Visio
5/03 – 9/03 Menorah Nursing Home & Hospital Brooklyn, New York v Nursing Escort: Escorting residents to and from doctor appointment
v Assisting in feeding while residents are in dinning area.
v Provide basic patient care including grooming, feeding and daily activities
08/02-11/02 University Heart Association Brooklyn, New York Internship
Clinical Skills Administrative Skills
v Phlebotomy: Finger stick, Veni-puncture | v Patient Charting |
v Vital Sign: Pulse, Respiration, Blood Pressure Temperature | v Appointment Scheduling |
v Hematology: Complete Blood Count | v Insurance Verification |
v Urinalysis & Blood Chemistry | v Patient History |
v Electrocardiogram (EKG) | v Filing, Faxing, Copying |
v Pharmacology: Injection & Medication Administration | v Laboratory Follow Up |
v Medical Emergency & First Aid | v Microsoft Word & Excel
|
06/02 - 08/03 W.H. Smith Hotel Retail Travels New York, New York v Sales Associate
v Guest Representative
Education:
03/2010 to Pre. LaGuardia Community College v Math & Science Major
02/02-11/02 Allen School INC. Brooklyn, New York v Medical Assistant Program- Certificate Obtain
Skills: Microsoft Word, Excel, Power Point, Publisher, Visio, Amisys, Market Prominence, Jeff Nett, Kronos, Active Health Management, McKesson Care Enhance Clinical Management Software, Pharm Screen, Right fax, Manage Care Optimizer, Novell (GroupWise)
References: Available Upon Request
