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Marquessa Fayson Current Resume v1
- 1. Marquessa A. Fayson 1 | P a g e Confidential 3200 La Rotonda Dr.Unit#501Rancho Palos Verdes,Ca 90275 Mobile (424) 350.1167 I am an assertive, detail-orientedleaderwithexperienceinteam building, highly motivated, self-directedindividual with capability to organize and execute projects independently, proven ability to motivate through clear communications andapersonal commitment toexcellence,excellentorganizational andanalytical skills; handling heavy, diverse workloads; performingmultipletasks withexcellent timemanagement. Ihave aworking knowledge of the Oracle PeopleSoft Financials solution version 9.2 and am awaiting training on the Oracle Cloud solution. Selected Accomplishments Solely managed a Urology & Research office Project Manager on medical groups, hospitals, authorization, referrals, Tars, & Sars Insurance Verification, HMO, PPO, EPO, Medicare, Medicare Advantage, Medi-cal, Workers Comp, 3rd Party Implemented processes and company procedures to ensure claim accuracy, tracking, efficiency and productivity Coding, Billing, Medical Terminology &Transcription Proficient in Microsoft office, advanced skills in Excel, Excellent Analytical and Problem Solving Skills Trained in HIPPA Compliance, Laserfiche, People Soft, Epic, IDX, Next Gen, Practice Partner, Dynamic, Puma (Entsoa) Medical Manager, EZ-cap, and UB 400, 3M Medical Billing Systems Girls Scouts of America Unit Service Manager Culver City Sigma Gamma Rho Sorority Inc. Grammetous (Financial Secretary) Professional Experience 02/12-Present Cedar Sinai Medical Center/ Sr. Finance Consultant Perform Various Compliance Report Audits, Update Project Management spread sheets, data entry with electronic scanning, inner office project management, Development and Implementation of current processes, procedures provided by the state of California Capture all data related information related to Capital projects. Document control, with electronic scanning, Laser fiche project restructure, Streamline check processing through Invoice Finish processes, and data entry. 02/12- 4/12 Robert Half Staffing/ Cedars Sinai Medical Center/ Finance Consultant Capture all data related information related to Capital projects. Document control, with electronic scanning, Laser fiche project restructure, Streamline check processing through Invoice Finish processes, and data entry. 08/11-01/12 UCLA Medical Center/ Administrative Analysis Lead Various Compliance audits on Medicare/Medi-cal Claims and Benefits, departmental workflow and call logs, physician and patient liaison between insurance companies, contracted medical groups and hospitals, and Case Management for Peds. Review and 05/11-08/11 Hospital Employee Labor Pool/ UCLA Medical Center/ Administrative Analysis 3 Various Compliance audits on Medicare/Medi-cal Claims and Benefits, departmental workflow and call logs, physician and patient liaison between insurance companies, contracted medical groups and hospitals, and Case Management for Peds.
- 2. Marquessa A. Fayson 2 | P a g e Confidential 3200 La Rotonda Dr.Unit#501Rancho Palos Verdes,Ca 90275 Mobile (424) 350.1167 02/09- 05/11 Axminister Medical Group / Utilization Management Lead Generated referrals and authorizations for eight specialties, Compliance of case Management Infectious Disease, Cancer, Peds, Adult on inpatient surgeries and skilled nursing facility patients and discharged patients, psychiatry, along with various report creation to maintain departmental work flow, settlement of Denials & Appeals, Physician & Patient Liaison between insurance companies and hospitals, and community Services. physician credentialing. 11/06- 02/09 Apria Healthcare/ Customer Service Specialist 3 Lead Case Management on selected inner office contracts, Senior Point of Contact for 5 Medical groups, Peds, and 6 Hospital, Case managed and generated all authorizations & referrals, (TARs & SARs) Physician & Patient liaison between all Community Ser HMO, PPO, EPO Senior plans, workmens comp and other 3rd party payers. 03/06- 11/06 Norman Zinner Urologic Corporation / Office Manager 1 Manage the office staff, Kronos audit and conduct employee compliance of office procedures, review & resolve patient accounts for correct billing and procedures, obtain specialty authorization for research projects and services. Development and Implementation of Current processes and procedures provided the State of California, Provider Disputes and Resolutions. 08/05-03/06 Prospect Medical Group / Customer Service Lead 2/ Santa Ana, CA Case Management, created spread sheets of claims logging of employee workflow, settled and disputed accounts, physician & patient liaison between insurance companies and medical groups, Provider disputes and Resolutions, maintain financial responsibility for unpaid claims, generated authorizations and referrals for services related to the specialty, managed inner office projects and distributed work evenly. 08/04-08/05 Healthcare Partners Medical Group / Medical Assist 2 / Los Angeles, CA Completed Front and back Office services, scheduling urgent and emergent procedures, billing on elected services, coding on charge sheets, vital signs, injections, physician & Patient Liaison between insurance companies and contracted hospitals. Present Ashford University / Student 08/13 Current Bachelors of the Arts Psychology Program 01/16-12/16 El Camino College/Elective Credits 08/03-03/04 Maric College /Medical Assistant/Coding & Billing 01/01-08/02 El Camino College / Student 08/94-06/98 Redondo Beach High School / Student