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Kristal Williams
822 MT Holly Huntersville Rd
Charlotte, NC 28214
(516) 945-5236
Kristalwilliams83@yahoo.com
OBJECTIVE
To obtain a challenging position in the healthcare field and utilize my skills and education which would allow me to provide excellent
patient care and to assist in an organized manner while achieving many goals.
PROFESSIONAL EXPERIENCE
Metropolitan Jewish Health System January 2013 – September 2015
Brooklyn, New York
Managed Care Coordinator
• Place and receive phone calls from Hospitals / Nursing Homes to find out admission / discharge status for all Homefirst acute
hospitalizations and Nursing Homes
• Provide authorizations for Homefirst and MAP Long Term Care members using MCO software to Nursing Home Facilities
• Request weekly and monthly clinical updates for Short Term and Long Term Care members
• Receive and coordinate notification of all inpatient (planned and unplanned) acute and sub-acute admissions and discharges through
MCO, Guiding Care, Outlook and Rightfax.
• Resume Personal Care Worker services for all members when being discharged from Nursing Home facilities
• Confirm primary insurance and Medicare days
• Track, maintain, and order DME products in a timely matter for Medicare approved members
• Processes and responds to client inquiries regarding the coordination and delivery of Durable Medical Equipment (DME)
• Assesses, investigates, and resolve member issues
• Monitors billing activities for Durable Medical Equipment (DME) to ensure expenses are coded appropriately and paid in a
timely manner in accordance with corporate policies/procedures
Thomas Jefferson University Hospital August 2011 – August 2012
Philadelphia, Pennsylvania
Medical Data Entry
• Verify records according to the hospital’s retention policy, made the final decision on whether to keep or destroy records
• Identified and sorted medical records according to date and medical record number
• Entered all ER’s, Birth Charts into 3M coding Reference Software for entire hospital
Stenton Avenue Medical and Rehabilitation Center June 2011 – July 2011
Philadelphia, Pennsylvania
Medical Assistant Externship
• Took patients vital signs including weight, pulse and blood pressure
• Performed EKG’s as directed by the physician
• Placed TENS unit on patients for relief of pain, and on to the hydrotherapy bed
• Updated patients’ charts for therapy and medical treatments performed and updated patient on their next scheduled treatment
Uniondale Chiropractic Office PC March 2009 – January 2010
Uniondale, New York
Medical Receptionist
• Prepared charts for new patient’s, scheduled and confirmed appointments working with Eclipse System
• Generated Narratives Reports and collected co-payments
• Processed Medical Billing, verified insurance eligibility, ICD-9, CPT, HCPCS, A/R Collections, and Appeal letters
• Assisted patients in their therapy
• Knowledgeable of: NF3, NF2, Worker Compensation C-3, and C-4, Filing patient charts and developing X-rays
SKILLS
• Microsoft Office /80WPM
• Medical Terminology & Medical
Transcription
• Medical Billing/ICD-9/CPT Coding
• Medical Manager
• HIPAA & OSHA Trained
• Injections & Venipuncture
• EKG Experience
• Vital Signs
• Clinical Assessments & Clinical
Asepsis
• Pharmacology
• IDX/EMR Trained
EDUCATION
Sanford-Brown Institute, Trevose, Pennsylvania
Medical Assistant Diploma
Hunter Business School, Levittown, New York
Medical Office Administration with Business Options Diploma

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Kristal Williams Resume

  • 1. Kristal Williams 822 MT Holly Huntersville Rd Charlotte, NC 28214 (516) 945-5236 Kristalwilliams83@yahoo.com OBJECTIVE To obtain a challenging position in the healthcare field and utilize my skills and education which would allow me to provide excellent patient care and to assist in an organized manner while achieving many goals. PROFESSIONAL EXPERIENCE Metropolitan Jewish Health System January 2013 – September 2015 Brooklyn, New York Managed Care Coordinator • Place and receive phone calls from Hospitals / Nursing Homes to find out admission / discharge status for all Homefirst acute hospitalizations and Nursing Homes • Provide authorizations for Homefirst and MAP Long Term Care members using MCO software to Nursing Home Facilities • Request weekly and monthly clinical updates for Short Term and Long Term Care members • Receive and coordinate notification of all inpatient (planned and unplanned) acute and sub-acute admissions and discharges through MCO, Guiding Care, Outlook and Rightfax. • Resume Personal Care Worker services for all members when being discharged from Nursing Home facilities • Confirm primary insurance and Medicare days • Track, maintain, and order DME products in a timely matter for Medicare approved members • Processes and responds to client inquiries regarding the coordination and delivery of Durable Medical Equipment (DME) • Assesses, investigates, and resolve member issues • Monitors billing activities for Durable Medical Equipment (DME) to ensure expenses are coded appropriately and paid in a timely manner in accordance with corporate policies/procedures Thomas Jefferson University Hospital August 2011 – August 2012 Philadelphia, Pennsylvania Medical Data Entry • Verify records according to the hospital’s retention policy, made the final decision on whether to keep or destroy records • Identified and sorted medical records according to date and medical record number • Entered all ER’s, Birth Charts into 3M coding Reference Software for entire hospital Stenton Avenue Medical and Rehabilitation Center June 2011 – July 2011 Philadelphia, Pennsylvania Medical Assistant Externship • Took patients vital signs including weight, pulse and blood pressure • Performed EKG’s as directed by the physician • Placed TENS unit on patients for relief of pain, and on to the hydrotherapy bed • Updated patients’ charts for therapy and medical treatments performed and updated patient on their next scheduled treatment Uniondale Chiropractic Office PC March 2009 – January 2010 Uniondale, New York Medical Receptionist • Prepared charts for new patient’s, scheduled and confirmed appointments working with Eclipse System • Generated Narratives Reports and collected co-payments • Processed Medical Billing, verified insurance eligibility, ICD-9, CPT, HCPCS, A/R Collections, and Appeal letters • Assisted patients in their therapy • Knowledgeable of: NF3, NF2, Worker Compensation C-3, and C-4, Filing patient charts and developing X-rays SKILLS • Microsoft Office /80WPM • Medical Terminology & Medical Transcription • Medical Billing/ICD-9/CPT Coding • Medical Manager • HIPAA & OSHA Trained • Injections & Venipuncture • EKG Experience • Vital Signs • Clinical Assessments & Clinical Asepsis • Pharmacology • IDX/EMR Trained EDUCATION Sanford-Brown Institute, Trevose, Pennsylvania Medical Assistant Diploma Hunter Business School, Levittown, New York Medical Office Administration with Business Options Diploma