medical clerk
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Location: Compton, CA, USA
School: purdue
Major: medical coding and billing

medical clerk

SUMMARY:

• Over 5 years’ experience working in an office setting performing administrative tasks such as filing
• Great verbal and written communication skills; excellent customer service skills
• Able to maintain regular attendance
• Experience working with Finesse phone system, and QNXT and other EMR systems
• Computer Proficient: Microsoft Office (Word, Excel, Outlook), Internet Research

EXPERIENCE:

10/18 to BLUE SHIELD OF CALIFORNIA, El Segundo, CA
05/19 HEDIS Project/Provider Services Representative
• Organize provider demographics in preparation for the 2019 HEDIS season.
• Responsible for provider outreach and retrieval of medical records and ensuring records contain key elements required for clinical and auditor review.
• Utilize various systems to conduct research of claims data to identify correct service locations and validation of services performed within measurement year.
• Worked alongside clinical review team to retrieve missing medical record components for non-compliant members. Contributed to the success of 5 Star health plan rating.

01/17 to MOLINA HEALTH, Long Beach, CA
05/18 HEDIS Project/Customer Service/ Claims Representative
• Faxed medical record requests to providers
• Scanned and uploaded medical records into EMR system (QNXT)
• Retrieved medical records from mail room
• Called provider offices to request medical records (utilized Finesse)
• Process and maintain the data and patient records in call center setting
• Organized, tested, and ensured search ability and access to medical documents
• Coordinated various medical record functions: acquisition and distribution, chart analysis, discharge

10/16 to KECK HOSPITAL OF USC, Los Angeles, CA
11/16 Orderly
• Sanitized patient rooms prior and post visit
• Assist other medical department such as XRay and help sanitize their machines
• Performed chart retrieval as needed

08/16 to LOS ALISOS ESTATES, Westminster, CA
09/16 Front Desk/ Receptionist
• Picked up, sorted and distributed mail and misc.
• Filed and retrieved corporate documents, records, and reports
• Greeted visitors/residents and provided assistance
• Answered all calls and transfer accordingly – multi-line phone system
• Performed general office duties such as ordering and maintaining office supplies, maintaining records management systems, and performing basic bookkeeping work

01/16 to HEALTH NET, INC., Huntington Beach, CA
05/16 HEDIS Medical Records Coordinator (Contract)
• Faxed medical record requests to providers
• Scanned and uploaded medical records into EMR system
• Retrieved medical records from mail room
• Called provider offices to request medical records
• Processed and maintained the data and patient records in call center setting
• Obtained diagnoses and personal information from medical offices
• Organized, tested, and ensured search ability and access to medical documents
• Coordinated various medical record functions: acquisition and distribution, chart analysis, discharge

10/15 to SEE’S CANDIES, Carson, CA
12/15 Customer Service Representative (Seasonal)
• Answered phones, customized orders, took orders over the phone, performed data entry, gathered customer info
• Answered over 50 calls per day, addressed customer order inquiries and customer product issues
• Accurately notated customer accounts, and ensured personal information was verified to avoid fraud

02/12 to WRAPAROUND COMMUNITY OUTREACH, Compton, CA
Present Receptionist (PRN) Per Diem
• Welcome visitors by greeting them, in person or on the telephone; answering or referring inquiries
• Assist in the development and implementation of an annual recruitment plan for all programs
• Assist with the gathering and preparation of information for the timely submission of billing.

customer service