Data Entry Office Manager

Carmen Erica Rosario

Garfield NJ ***** cell: ***. 444. 9190

ad7b6j@r.postjobfree.com

HomeInstead senior care Teaneck NJ 2/2019

Assistance with Appointments daily activities and physical therapy

CareOne paramus NJ 2/2019

Recreational Assistant – assisted in Recreational activities, current events, daily

Appointments

Hackensack Meridian Health Medical Center Hackensack NJ 11/18-12/18

Intern, Community Health Worker

Screen Medicare and Medicaid clients for socially related needs, eg. Food, housing, interpersonal violence, transportation, and housing

Perform personal interview for selected clients who screen positive for social needs

Assist with gathering and mailing out appropriate referrals to clients

Place phone calls to clients for follow up on referrals given

Data entry to specific program with patient history, follow ups and resolutions

Record client information to specific excel spreadsheets for patient completion monitoring Assist with patient translation when needed

United Healthcare Iselin NJ 2009-2012

Provider Contractor

Verified provider credentials

Executed provider contracts for all commercial, Medicare and Medicaid lines of business

Maintained active provider contracts

Authored contract revisions and corrections

Created new contracts for eligible providers

Executed tin additions and tin terminations

Ensured contract masters and network templates were correct for proper contract load

Special deal and hard code executions

Market interventions

Worked alongside network management team members to ensure proper fee schedules and provider demographics were updated and/or revised as necessary

United Healthcare Iselin NJ 2008-2009

Network Account Manager

Network Management high level county presentations

Legal forms processing and distribution of provider service requests

Provider Insurance Amendments

Handled provider escalation requests

Facilities/provider Insurance negotiations

Assisted fellow team members with insurance resolutions Passaic Pediatrics P.A. & Passaic Pediatrics II Passaic NJ 2006-2008 Medical Office Manager

Oversaw office operation

Supervised staff of 24 members / Scheduled work hours for employees

Developed and implemented new policies and regulations to ensure outstanding patient care

Ensured proper processing of insurance and billing / Assisted bookkeeper/ bank deposits

Oversaw scheduling of patients and well visits

Coordinated physician on call service

Planned and coordinated physician and staff meetings

Hired, trained and evaluated employees

Reviewed production and business reports weekly with physicians

Ordered all office supplies and equipment

Physician credentialing and new enrollments

Provider panel updates from all health insurance

Assisted in new business engagements / Event planning and coordination

Columbia Presbyterian Hospital, Center for Women's Health 2000-2006 NY NY

Medical Office Manager / Medical Assistant

Daily office management

Developed office policies and regulations

Oversaw Practice Assistants / Assigned physicians to on call schedule

Statistics and referral analysis / Claims resolutions

Billing / Copays / Bank deposits to appropriate accounts

Insurance verification / Insurance pre-certifications

Ordered all supplies and equipment

Medical appeal letters / Patient translation

Coordinated Physician and staff meetings

Performed Medical Assistant duties when necessary

Passaic Community College Paterson, NJ

Certified Community Health Worker

Bergen County EMS Training Center Paramus, NJ

Emergency Medical Technician (EMT)

Blake Business School (Medical Division) New York, NY

Medical Assistant

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