Processing complex Human Resources transactions related to employee medical leaves of absences, disability, & worker's compensation. Acts as a resource to Human Resources Representatives and other service center team members; essential functions are:  retrieving, entering, and processing complex employee related data utilizing Windows-based Human Resources systems such as People Soft and Kronos . Ability to adopt new work procedures as needed and actively participates in trainings and quality assurance. Conducts case management and eligibility as required to meet employees' needs. Assist with the training of new employees with WAM process and procedures. Provides assistance with our departments standardization process by training regular employee's on how to process FMLA/CFRA cases for Kaiser's Northern/Southern California employee, as well as regions outside of California.

Reviewed and obtained insurance information, demographics for authorizations and other information regarding the radiology exams that were requested. Requested clinical history and assigned the appropriate ICD9 codes for authorizations and billing reimbursement. Prepared and applied TARS for Medi-cal patients, assisted in quoting prices, and CPT codes for doctor’s offices and patients. Provided requested documentation to the appropriate billing departments to aid in the reimbursement process. Answered billing questions, documented authorizations, patient information and insurance, called insurance companies to obtain authorizations for radiology procedures.

Creating patient accounts and cases for workers compensation patients; authorization of medical procedures, doctor referrals and medications. Compiling visit notes face sheets, faxing and mailings to the appropriate contact and or doctor’s office. Greeting patients, completing the Check-in/Check-out process, compiling of visit notes after dictation, managing of patients medical records (hard copy and electronic), filing/pulling charts/reports, billing and verification of patients information so that it is accurate in the patients medical records. Balancing the cash drawer at the end of the day and providing accurate reports, appointment scheduling and message taking, managing of patients medical records, filing/pulling charts/reports, billing and verification of patients information so that it is accurate in the patients medical records. Pulled and filed documents researched medical record numbers, and birth date for paper reports not available in the EMR and prepare for scanning.

Greeted patients / completed the Check-in/Check-out process, provided accurate reporting, scheduled appointment and message taking. Managed patients medical records, filed/pulled charts/reports, created cases for Workers Compensation, triaged patients to the nursing staff depending on patient acuity. Maintained statistics for the department and physicians in the department and created new patient accounts. Communicated work status', completed department mailings, reports and authorizations for medical procedures, doctor referrals and medications.Pulled/filed documents researched medical record number/birth date for paper reports not available in the EMR and prepared for scanning. Sorted/filed reports, answered phones for customer service and to provide the paper file for patient care not available in the EMR. Provided paper medical records in proper chart order and provided completed charts as needed by provider and ancillary areas.

Performed customer service duties for potential loan clients politicians and affiliates, scheduled appointments, recorded and transcribed minutes of meetings, answered multi-line phone systems, screened and routed incoming calls, answered routine inquiries. Conduct research and compiled reports for loan and accounting departments. Edit written documents including making grammatical, spelling and format changes, organize and maintain file system, and file correspondence and other records

Practiced the applications and theories needed to become a successful administrative office assistant. The Skilled Nursing Facility provided an opportunity for me to practice and experience the work environment in a working medical facility.