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Yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000

 (xxx-xxx-xxxx ( xxx-xxx-xxxx 


Bilingual (English/Spanish) Administrative Specialist eager to contribute solid background in health care toward supporting a progressive organization in optimizing bottom-line performance.



Qualifications Profile


  • Significant experience in driving cooperative efforts among major insurance carriers.
  • Advanced knowledge of ADA, HIPAA, and OSHA requirements.

         Chosen and awarded as Employee of the Year out 13,000 personnel for Patient Satisfaction and Outstanding Customer Service. 

  • Successful experience in directing full spectrum of clinic operations including staff leadership, billing, quality control, patient services and satisfaction, and facility maintenance.

         Well-versed in entire range of medical billing and claims processing procedures including CPT and ICD-9 coding.

         Impressive reputation for professionalism, integrity, commitment to confidentiality, and a team player work approach. 

        Industrious self-starter and multi-tasker with excellent knowledge of medical terminology.

        Considerable ability to process a high volume of work without sacrificing quality, and continuously seek out new ways to streamline administrative processes.   



Professional Experience


Revenue Cycle Management Systems, Hollywood, FL, 2010 to Present

Appeals Representative

  • Research, analyze and expeditiously process appeals of denied and underpaid hospital claims in precise alignment with productivity and collection goals.  
  • Apply solid knowledge of managed care contracts and concepts toward successful resolving denial/appeals and accurately facilitating billing activities.
  • Review and interpret EOBs, Remittance Advice, UB92, UB04, and HICFA 1500 data elements.


Nevada Health Centers, Inc., Las Vegas, NV, 2006 to 2009

Regional Operations Director

  • Spearheaded daily multi-site operations inclusive of staff management, goal setting, employee development, and administration of numerous programs.
  • Played an integral role in establishing and launching new clinic, and empowered, motivated and led Clinic Coordinators to exhibit productivity and performance excellence.






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Professional Experience continued


Nevada Health Centers, Inc., Las Vegas, NV, 2005 to 2006

Clinic Coordinator

  • Directed, mentored and supervised clinical team in delivering patient care excellence by overseeing facility maintenance, administrative functions, quality management, and financial elements such as billing and procurement.  
  • Effectively partnered with health care provider staff at clinics to ensure seamless operations and maintain unparalleled satisfaction levels.


Sharp-Rees Stealy Medical Group, San Diego, CA, 1995 to 2005

Pediatric Medical Assistant   

  • Actively assisted physicians in performing broad range of medical procedures and contributed exemplary patient relations skills toward administering immunizations and injections, EKGs, catherizations, etc.
  • Assessed/recorded patients vital signs, performed venipuncture, and meticulously maintained medical charts and records.
  • Obtained authorization from insurance companies and oversaw extensive front office tasks such as receiving patients, obtaining personal insurance information, managing co-pays, and scheduling appointments.
  • Trained, mentored and managed new employees and students.



Education / Professional Development


Healthcare Administration degree (in progress)

University of Phoenix, Fort Lauderdale, FL


Certified/Registered Medical Assistant

Maric College of Medical Careers, San Diego, CA

CPR Certification

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