RESUME TRACKING FORM

Applicant Information
Received Date & Time : 6/3/2008 @ 4 pm Delivered by Resume Attached ✘
Received by: Dawn Davison ✘ email fax mail hand delivered YES NO
Applicant Name: Denise McCoy
Degree Level N/A
Department Experience: ✘ Administration Clinical Quality Improvement
Program Experience: CCFA Core IFI Substance Abuse Wrap

Contact Log
Date/Time Contact type Reason Outcome Initial
6/3 @ 6 p phone Phone screening message dd
6/3 @ 8:30 p phone Phone screening Completed screening scheduled interview dd

Telephone Screening–Initial Screening

1. What type of experience have you had working with medical/mental health front office?
Worked with families first college park, completed Medicaid billing for 2 years

2. Are you available to work flexible hours including evenings and weekends?
-----------------------

3. Are you comfortable multi-tasking?

yes

4. Describe your skills & experience?

5. Describe your computer skills and the types of programs you have experience in.
✘ Word Desktop Publishing ✘ Medical Office Management ___________________
✘ Excel ✘ Database Electronic Medical Chart ___________________
✘ Internet Browser ✘ Outlook(Email) ________________________ ___________________
6. Not to limit you or commit you to a certain dollar figure, what is the minimum rate per hour you would consider right
now to accept a position.
$ 12/hr
7. Are you willing to complete drug test, criminal & educational background checks, reference checks, & others as
appropriate for this position?
✘ YES NO
Interview

Is the applicant eligible for an interview? ✘ YES NO Interview date and time? Thursday June 5,08 @ 1 pm
If no, why? After interview complete candidate recommendation form and forward to the next interviewer.

Reconsider this applicant at a later date? YES NO

File in the HR/Contract Management file in the resume file in the admin or clinical folder.

JCCS HR/CM Forms Candidate Screening Form

 Denise McCoy-Thursday @ 1pm 12/hr.
5843 Cedar Croft Lane
Lithonia, Georgia 30058
(770) 323-1664
(678) 427-5353
tdmccoy26@yahoo.com

Objective: Highly-motivated team player with emphasis on interpersonal relations seeking to

secure an administrative support position.

Qualifications
Certified Notary Public
Knowledge of budgetary monitoring and capital expenditures
Proficient with Microsoft Office Applications
Familiar with Medicaid Billing

Work Experience
Administrative Support
 Typed correspondences and documents for supervisor, staff or clients
 Filed correspondences and notarized documents to provide the organization with an
accurate, orderly and up to date filing system which meets regulatory requirements
 Answered telephones and gave information to callers or route calls to appropriate
person
 Compiled or processed various reports, records, spreadsheets, tracking systems and notifications to
fulfill regulatory and internal reporting requirements
 Ordered office supplies and kept office equipment in good working condition
 Made copies, sent faxes, distributed mail, type grant proposals and scheduled foster parents or potential
foster parent’s appointments
 Verified Medicaid Billing Insurance
 Handled bookkeeping and accounts payables
 Prepared daily journals of group activities and individual counseling sessions
 Performed data entry using FAA, Med EZ, Access and Qualifacts
 Processed weekly bank deposits and monitored petty cash account
 Coordinated orientation for new employees and PowerPoint presentations
 Used Pipeline Graph for monthly loans processing
 Created Deal Files for all processed loans
 Fed Ex and UPS shipping/receiving of confidential files and documents

Education
Cosmetology License Gordon Phillips Beauty School Lawrenceville, NJ
Academic Diploma Henderson High School Tucker, GA

Work History
01/07-09/07 Secretary The Bair Foundation Tucker, GA
05/00-12/06 Administrative Secretary Families First College Park, GA
12/98-04/00 Receptionist J. P. Morgan Mortgage Co. Atlanta, GA
Applicant Information
Candida
te
Position
Applied for
Depart
ment
Intervie
wer
Hiring Recommendation
H Not
ire Hire
Candidate Evaluation
Poor Fair Satisfactory Good Excellent

Knowledge of Specific Job

Skills
Related Job Experience
Related Education or
Training
Initiative
Communication/Listening
Skills
Attitude
Interest in
Company/Position

STRENGTHS

WEAKNESSES

ADDITIONAL
COMMENTS