Alzaia Callow

Alzaia Callow Experienced Health Care Manager Lucerne, CA- Highly motivated and team oriented health care professional with over 10 years of health care administration experience, along with 5 years of experience as a manager. Proven ability to exude a professional and positive demeanor throughout any customer service scenario, and maintain complex workflows while fostering high productivity with quality results. Experience with Taleo, CERNER, IDX, EPIC, STAR Navigator, Allscripts, AVIS. Advanced knowledge of ICD-10 and CPT coding, and procession of medical claims. Work Experience Office Administration Manager Private Counseling Practice - Ukiah, CA January 2013 to October 2018 Family and marriage counseling practice. Experience with Human Resource management by hiring and managing 6 employees, assisting with answering phones, processing referrals, assisting with scheduling clients for appointments, assistance with processing medical claims by preparing them for clearinghouse, ordering office supplies, maintained organization of client records, creating and processing billing reports, compiling client files, processing rejection reports for outstanding charges from medical insurances, office correspondence, processing of records requests, verifying insurance eligibility, billing insurances, obtaining prior authorizations for services from insurances, interviewing, posting positions online, onboarding, and hiring staff, conducting and creating performance reviews with provider, time card management, processing payroll, taking co-payments, and balancing practice account. Patient Service Representative Sutter Medical Foundation - Sacramento, CA December 2008 to November 2012 Adult and Pediatric Physical, Occupational, and Speech Therapy. Answer 200+ phone calls per shift, scheduling patients for appointments, collecting co-payments, requesting prior authorization for treatment from HMO, PPO, Tricare West, and Medi-Cal insurances on behalf of medical group, processing specialty referrals, billing insurances, assistance preparing/processing medical claims to be scrubbed by clearinghouse, experience with ICD-9/ICD-10 and CPT coding, experience with Medicare guidelines, verifying insurance eligibility, assistance with rejection reports and billing discrepancies, interpret for Spanish speaking patients. Unit Secretary St. Joseph Medical Center - Tacoma, WA August 2004 to September 2006 Labor and Delivery, Mother/Baby Unit, GYN Surgery Unit, Neonatal Intensive Care Nursery. Answer 150+ calls per shift, transporting patients, compiling patient charts, ordering diagnostic tests meals, taking vital signs, giving newborn's first baths, processing referrals, verifying insurance eligibility and benefits, requesting prior authorization from TriCare, HMO, and PPO insurances for procedures and treatments, admitting and discharging patients via computer system. Interpreting for Spanish speaking patients. Education Bachelor's in Health Care Business Administration Southern New Hampshire University - Manchester, NH September 2016 to August 2018 High school Diploma in General Vashon Island High School - Vashon, WA September 2000 to June 2001 Skills Front Office (10+ years), Office Admin (10+ years), Office 365 (8 years), Bookkeeping, Front Desk Certifications/Licenses Driver's License Groups Volunteer Firefighter September 2015 to September 2017 Former firefighter in California and Washington state. Additional Information Bilingual - Spanish (reading, writing, speaking).