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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
state of colorado department of healthcare policy and financing, denver, co 2006 c 2009
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.
christopher b. ryan, md physical medical and rehabilitation practice, denver, co 2005
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.
clinica campesina family health services, thornton, co 2002 c 2004
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.
diversified radiology at applewood, golden, co 2002
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
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