ALIM VASQUEZ
Sr. Data and Quality Assurance Specialist
Norwalk,CA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of DMH policies and procedures and training in Data and Quality Assurance in . Motivated to learn, grow and excel in Homeless Services.
Overview
12
12
years of professional experience
Work History
UVAX Coordicantor Covid-19 Responce Team
DHS- HFH
City of Los Angeles, CA
05.2021 - 04.2022
- Contributed to initiatives to advance standards of care and improve patient outcomes.
- Maintained open and neutral position to expedite communication with homeless individuals
- Consulted nurses on team to improve service provided for each patient.
- Collaborated with law enforcement and homeless outreach teams, to improve services to homeless individuals.
- Exercised quick judgment in chaotic environments to keep clients and team safe.
- Offered specific advice to help clients work through educational or occupational issues.
- Wrote reports on clients and maintained required paperwork.
- Assisted clients with gaining insights, establishing clear goals and planning strategies to reach personal targets.
- Helped clients obtain outside specialist services by coordinating referrals and advising on options.
- Evaluated patients' goals, as well as mental and practical conditions, to develop individualized courses of treatment.
- Collected information about individuals or clients using interviews, observational techniques and other assessment methods.
- Referred clients to other specialists, institutions or support services as necessary.
- Identified indications of mental deficiency, abnormal behavior or maladjustment through direct observation.
- Under direction of Program Manager, lead vaccine events in shelters, drop-in centers, homeless encampments, food lines and other areas where homeless individuals reside.
- Assisted with quality assurance and data, as needed.
- Assisted with making sure all supplies and paperwork are ready for vaccine events.
- Engaged individuals experiencing homelessness about pros and cons, myths and facts surrounding COVID-19 vaccinations.
- Assists clients in talking through misinformation, fear and mistrust of by acting as bridge to clinical teams
- Assisted clinical staffing in gathering information and helping register clients for COVID -19
vaccine - Collected information and data on why specific groups may not be interested in getting vaccine. Problem-solves on how program and clinical teams can adapt to better reach these groups
- Outreached and engaged community groups and providers who serve, work with and advocate for target populations to train, educate and encourage groups to help facilitate vaccinations
- Provided feedback to clinical and program team regarding improvement of accessibility or acceptability of vaccine
- Performed other duties as assigned
Data and Quality Assurance Specialist
Union Station Homeless Services
Irwindale, CA
04.2018 - 05.2021
- Helps organize, and coordinate staff workload, assigns, reviews, and corrects work prepared by staff contractor personnel accordingly
- Provides on-going technical assistance on complex issues to staff, partners, and contract agencies
- Assist in analysis of problems and identification of solutions
- Coordinates ongoing enhancements for clients to ensure services have been provided and documented in timely manner
- Develop and prepare array of correspondence reports, materials, and spreadsheets for staff and other personnel as needed
- Provides data entry/input compilation, data retrieval, and analysis on various DHS database programs, spreadsheets, systems such as Clarity, HFH.
- Educated employees on specific QA standards and confirmed maintenance of standards.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Completed deviation forms and recorded findings of inspection process, collaborating with quality team members and department managers to implement procedural remedies.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Inspected, verified and documented quantifiable characteristics of finished goods by comparing against customer specifications and company quality standards.
- Developed monthly, end-of-quarter and other statistical reports for leadership team and quality improvement programs.
- Completed deviation forms and recorded findings of inspection process, collaborating with quality team members and department managers to implement procedural remedies
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies
- Educated employees on specific QA standards and confirmed maintenance of standards
- Collected and analyzed activity data and initiated, developed and recommended improvements to systems, processes and procedures to increase productivity and reduce cost.
Lead Billing Specialist
Rosemary Children's Services
Pasadena, CA
12.2016 - 09.2018
- Responsible for Opening & Closing episodes into the IS system and into EHR
- Updated & maintained Client IS list & In-house SFPR list Verified accuracy of billing in order to minimize disallowed & void claims
- Submitted Dept
- Of Mental Health PAA for Rendering Providers in order to enter claims in the Integrated System along with entering them into PRM Filed documents & maintained client files
- Created & reviewed reconciliation reports for Finance Director Created monthly financial report for Executive & Finance Directors
- Provided Support to all new Billing Specialists with hands-on Training.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
Quality Assurance Specialist /Senior Claim Benefit Specialist
Step Up On Second Street
Santa Monica, CA
07.2015 - 08.2016
- Working with case managers to coordinate services
- Promotes comprehensive knowledge of scope, purpose/role, and eligibility requirements of available services provided by each case manager in collaborative or coordinated arrangement
- Audits client files and entries in program database on monthly basis
- Provide oversight and develop basic standards for case management that are flexible and adaptable
- Assists clients by managing use of services, and expediting service delivery through linkage activities
- Facilitates and coordinates supportive activities with Homeless Alliance partners, including employment assistance programs, job readiness training, financial education, and parenting skills
- Establishes and maintains collaborative working relationships with community resources
- Reviews programs and eligibility requirements, outreach to current and potential partner agencies, monitoring social action, data collection, and program evaluation
- Conduct regular meetings or case conferences with case managers and coordinate efforts to build comprehensive understanding of each individual homeless client and homeless population's needs
- Conduct cross training and cross-orientation of staff and staff from partner agencies serving homeless participating in supportive housing programs to promote shared knowledge and understanding of available community resources
- At request of QA Director generated reports for meetings of board of directors.
- Educated employees on specific QA standards and confirmed maintenance of standards.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
Program Manager /Quality Assurance Supervisor
Eggleston Youth Centers Inc
Irwindale, CA
08.2008 - 09.2013
- Collaborate closely with treatment team to coordinate client care services
- Interacted with clinical staff and external resources such as schools and community personnel and served as liaison of all mental health services
- Conducted Monthly Peer Reviews
- Assisted in multiple state and county audits
- Served as Assistant to Clinical Director and helped lead team of 11 therapists and other duties as assigned
- Assist Psychiatrist to coordinate caseload on weekly basis
- Supervised 3 staff on data and billing department.
- Assessed investigation reports of subordinate quality assurance personnel and addressed any procedural deviations.
- Oversaw onboarding and training of new employees to promote qualified and well-coordinated quality assurance team.
- Collaborated with development team and reviewed technical specifications to create testing programs.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
- Educated employees on specific QA standards and confirmed maintenance of standards.
Education
Master of Science - Management in Public Administration
COLORADO TECHNICAL UNIVERSITY
Colorado Springs, CO08.2021
Bachelor of Arts - Psychology
Ashford University
San Diego, CA10.2011
Skills
- Problem Solving
- Standardized Testing Methodology
- Adaptability and Flexibility
- Data Capture and Analysis
- Staff Training
- Critical Thinking
- Multitasking Abilities
- First Aid/CPR
- Decision Making
- Cultural Awareness
- Organization and Time Management
- Active Listening
- Data Entry
- Flexible and Adaptable
- Planning and Coordination
- Analytical and Critical Thinking
Languages
Spanish
Full Professional
Timeline
UVAX Coordicantor Covid-19 Responce Team
DHS- HFH
05.2021 - 04.2022
Data and Quality Assurance Specialist
Union Station Homeless Services
04.2018 - 05.2021
Lead Billing Specialist
Rosemary Children's Services
12.2016 - 09.2018
Quality Assurance Specialist /Senior Claim Benefit Specialist
Step Up On Second Street
07.2015 - 08.2016
Program Manager /Quality Assurance Supervisor
Eggleston Youth Centers Inc
08.2008 - 09.2013
Master of Science - Management in Public Administration
COLORADO TECHNICAL UNIVERSITY
Bachelor of Arts - Psychology
Ashford University
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