Medical Records Clerk

Jayne Almserna


Irvine, CA 92620


(949) 394-1552


jaynekae@gmail.com  


 


August 15, 2016


 


Dear Human Resource Manager,


 


I am submitting my resume for your review for the open position of Medical Records Clerk.  I am confident that I possess the qualifications, experience and motivation to make a great addition to your staff.  If you have any questions or would like to schedule an interview, I am available at your earliest convenience.  I may be reached at (949) 394-1552.


 


Thank you for your time and consideration.


Sincerely,


 


Jayne Almserna


Jayne Almserna


Irvine, CA 92620


(949) 394-1552


jaynekae@gmail.com 


 


Objective:             Clinical Research Coordinator/ Chart Review Nurse 


Qualification:



  • 10+ years of experience: Proficient in all computer programs and systems relevant to medical claims, exceptional customer service skills even in all environment situations, great communication abilities with medical group insurance companies, in-depth knowledge of medical terminology useful in reading medical reports and determining coverage, intelligent in mathematics and accounting and how they apply to medical claims, efficient in time management 


Experience:


02/14 to 06/14                                      United Health Care                                                        Irvine, CA


                                                Chart Review/ Quality Management



  • HEDIS project: reviewed all reads and prepared charts for project submission 


02/12 to 07/12                                      Scan Health Plan                                                  Long Beach, CA


Chart Review/ Quality Management



  • Reviewed assigned outpatient charts using EMR and scanned medical records.

  • Searched member claims and pursued all necessary means used to complete the quality measurement


2007 to 2012                                           Health Net Insurance                              Huntington Beach, CA


Chart Review/ Quality Management


 



  • Reviewed medical records abstracting specified and required clinical data for HEDIS reporting

  • Developed expert familiarity with the clinical content and layout of medical records

  • Documented abstraction findings and communicated additional information needed and pursuit strategies to other team members per department policies and procedures


2000-2008                                               Building Blocks Home Health                   Newport Beach, CA


                                                Field Nurse



  • Assisted parents with their Neonates transition from hospital to home

  • Welcomed and informed patients of the services provided, explained doctor orders and the recommended course of action

  • Weighed/measured babies, taught mothers breastfeeding tips/skills for taking care of their babies based on the need of the baby’s specific health condition, medication administration

  • Provided follow up calls to PCPs, laboratory follow-ups and worked with ancillary departments to order appropriate DME. Managed multiple caseloads at once

  • Worked with DME and doctors to plan care for patients

  • Spent a season as Case Manager


Education:


Hoag Memorial Presbyterian Hospital                                                       Newport Beach, CA


RN: Neuro/Urology, NICU, Maternity, Postpartum and Pediatrics


Education:


Goldenwest College: LVN, RN, AA and ADN                                        Huntington Beach, CA


 


 


 

  • ID#: 107058
  • Location: Irvine, CA , 92620

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