Medical Administrative Specialist Resume Samples

Description :

1. Responsible to represent the Director of the Hospital and the Chief of Health Administration Service (HAS) on all administrative matters occurring when assigned to other than a normal tour of duty, known as the Weekends, Holidays, Evenings, Nights (WHEN) hours.
2. Delegated full authority and responsibility to exercise the Hospital Director's prerogative in medical administrative matters occurring during the tour of duty.
3. Represented and acted on behalf of the Hospital Director in non-policy making administrative matters.
4. Represented management in matters pertaining to the lawful retention of veterans in the Medical Center.
5. Maintained continuity of functions and provide full medical administrative support during the WHEN hours to medical and administrative Hospital staff.
6. Responsible for achieving management objectives and supporting the decisions of management in carrying out duties.
7. Provided technical guidance necessary to meet procedural, legal, and administrative requirements relating to the care and treatment of patients to achieve optimum use of available resources.

Experience

2-5 Years

Level

Executive

Education

GED

Description :

1. Delegated full authority and responsibility to exercise the medical center director's prerogative in medical/psychiatric administrative concerns.
2. Responsible for the oversight and coordination of the activities in the Medical facility that consolidates all related admission activities, bed control, directly related clerical support activities, including all pre-admission and admission functions, transfers, urgent care clerical support, inpatient support activities, and any other related activities that may occur during off-tour hours.
3. Keeps off-tour staff fully informed of regulatory and policy changes.
4. Implemented integrated software packages pertaining to all admissions and entitlements programs.
5. Interpreted VA rules and regulations relating to determining legal entitlement of benefits relating to hospital admission, nursing home, dental, domiciliary, fee basis, outpatient care, dental treatment, prosthetic care, patient transfer, outpatient care, enrollment, and beneficiary travel.
6. Acted as certifying office for documents pertaining to the administration of laws concerning VA.
7. Responsible for the payment processing of authorized off-station lodging to vendors.

Experience

5-7 Years

Level

Executive

Education

GED

Description :

1. Opened up an office for Nurse Practioner.
2. Inspected the premises to make sure it is safe for patients.
3. Set up a work station and open up application software to be used for patient data input.
4. Greeted patients and check patients in on a daily basis.
5. Made sure that all Care Source patients match the CareSource listing.
6. Used electronic medical records, e-mail, and billing software.
7. Made sure that all insurance information, co-pay, and self-pay charges are fulfilled before seeing a patient.

Experience

2-5 Years

Level

Executive

Education

Diploma

Description :

1. Trained administrative staff on efficiently scheduling, arriving, and checking outpatients.
2. Established an office rotation of staff for administrative duties.
3. Provided training for administrative staff on medical terminology, working closely with physicians on determining urgent situations.
4. Trained staff on identifying different insurance plans, copays, and co-insurances.
5. Trained staff on the referral process for specialty care.
6. Implemented various training guides along with the implementation of EPIC.
7. Gathered and sorted specialist reports via mail or fax for physician review and scanned into patient charts, as well as sent reports and/or patient charts to specialist offices.

Experience

2-5 Years

Level

Junior

Education

Associate Of Science In Medical

Description :

1. Provided coverage to the Medical Center by rotating tours weekdays and around the clock on weekends and holidays.
2. Considered the highest administrative authority on duty during these tours of duty and is designated to represent the Medical Center Director and Chief Medical Administration Service in all administrative matters in their absence.
3. Conducted employee health activities as needed and keep a log of incoming patients and calls from employees off duty.
4. Provided administrative direction to physicians and other staff concerning non-medical treatment issues including the legal and administrative policies and procedures to implement medical decisions.
5. Formulated and supplied patient charts, pre-admissions, and consent forms as necessary.
6. Maintained medical record requests.
7. Maintained office HEDIS scores, keeping a monthly spreadsheet, and working closely with the Outreach Department and Anne Arundel Health Department.

Experience

5-7 Years

Level

Executive

Education

High School Diploma

Description :

1. Identified and resolved patient billing and payment issues.
2. Evaluated patients' financial status and established appropriate payment plans.
3. Applied proper knowledge of CPT and ICD-9 coding to patient accounts.
4. Collected and posted-money to accounts.
5. Scheduled patients for follow-ups and procedures.
6. Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home health care forms).
7. Prepared patient charts accurately and neatly for the clinic.

Experience

5-7 Years

Level

Executive

Education

High School Diploma

Description :

1. Prepared ad hoc, statistical reports, and presentations for department heads and facility administrators.
2. Oversaw operations of primary care clinics, emergency room, and specialty clinics during the evening, weekends, and Holiday shifts.
3. Provided operational and policy guidance to Chief Medical Residents and Nursing supervisors.
4. Tracked, analyzed, and interpreted healthcare trends to include patient demographics, clinic, and patient wait times and costs.
5. Monitored and documented vendors and partnerships' needs, concerns, and maintain retention.
6. Identified escalated trending issues with business partners to ensure a more seamless, effective process for all departments.
7. Monitored and updated facility status boards, databases, and websites to maintain the joint contract, regulatory, and operational compliance.

Experience

2-5 Years

Level

Executive

Education

M.S. In Public Administration

Description :

1. Managed a myriad of administrative requirements for Naval Medical Center San Diego.
2. Supervised six technicians providing administrative and clinical support for the staff of more than 130 to include, including dental providers, residents, hygienists, and dental lab technicians.
3. Coordinated and monitored staff Basic Life Support and general staff training.
4. Demonstrated consistency and thoroughness in completing of entering productivity data in the Dental Information Retrieval System, managing patient records, submitting timecards, and scheduling.
5. Coordinated human resources and payroll administrative activities.
6. Played a significant role in meeting Joint Commission Accreditation of Healthcare Organizations standards through coordinating staff training and monitoring HIPPA compliance.
7. Achieved a 100% completion rate for all training requirements.

Experience

2-5 Years

Level

Executive

Education

BS In Health Care Administration

Description :

1. Responsible for answering telephones, screening calls, answering questions, greeting patients, checking patients in, and scheduling appointments.
2. Maintained all office supplies.
3. Responsible for obtaining preauthorization for treatment as required.
4. Received payments by mail and over the counter, prepare daily bank deposits, credit patient account and file payments documentation and explanation of benefits in patients chart.
5. Opened mail and distributes to appropriate individuals.
6. Assisted Office Manager with secondary billing.
7. Prepared monthly billing statements for patients, track all accounts receivables, make collection calls, and negotiates payment arrangements on the patient accounts.

Experience

2-5 Years

Level

Executive

Education

GED

Description :

1. Acted for the Medical Center Director and Chief of MAS on off tours.
2. Interpreted and applied VA rules and regulations to determine legal entitlement to benefits for inpatient, and outpatient care.
3. Acted Assistant Chief Medical Administration Service (MAS) Managed day-to-day operations with issues involving workload, person-hours, and employee/union issues.
4. Maintained budget controls, completed appraisals, and submitted budget requests.
5. Acted Chief, Office Operations Maintained accounts that varied from ambulance services to copier maintenance/lease and telephone invoices.
6. Initiated and completed all contracts.
7. Solely responsible for reorganization of section.

Experience

2-5 Years

Level

Junior

Education

G.E.D