Dynamic professional with extensive experience and in-depth knowledge, committed to contributing effectively to a forward-thinking organization. Proven ability to adapt and thrive in fast-paced environments while delivering exceptional results. Dedicated to fostering collaborative relationships and driving success through innovative solutions. Eager to bring a proactive approach and dedication to excellence to a team that values growth and achievement.
Overview
12
12
years of professional experience
Work History
Operations Clerk and Dispatch
Republic Services
11.2024 - 06.2025
Drafted professional memos, letters, and marketing copy to support business objectives and growth.
Provided clerical support to company employees by copying, faxing, and filing documents.
Responded to inquiries from callers seeking information.
Kept reception area clean and neat to give visitors positive first impression.
Responsible for dispatch and rerouting of trucks.
Accounts receivable and payable for the entire division.
Conduct research regarding employees, hours, customers, etc.
Order necessary supplies for to locations within the division.
Support customer request by phone, in person, and electronically.
Provide confidentiality with all aspects of work.
Registrar
Salem Health
05.2023 - 08.2024
Responsible for courteously admitting and/or registering all patients presented for treatment.
Performs various tasks using Electronic Medical Record system, Epic.
Verifies insurance eligibility utilizing a variety of on-line resources as well as phone verification.
Follows up on Work queues daily to correct any errors with Registrations.
Responsible for providing coverage as needed in Surgery A.
Provides exceptional customer service to internal and external customers.
Process payments via cash, check, and credit card/debit card transactions.
Strong organizational skills and the abilities to prioritize work and manage time.
Ability to maintain confidentiality and appropriate other information related to patients, medical staff and employees.
Excellent public relation skills.
Ability to handle multiple priorities and concerns easily while working in a busy, multidisciplinary setting.
Self-direction and the ability to exercise judgment in prioritizing, accuracy and promptness in completion of projects.
Communication, cooperation and assistance are given promptly in a clear and courteous manner to co-workers, hospital staff, patients, physicians, etc.
Supports and initiates changes, innovations and improvements in the workplace.
Uses all appropriate systems to determine eligibility when current ID card is not available.
Uses all appropriate systems on all private pay guarantors.
Documents in authorization field PCP’s authorization or denial for treatment at Salem Hospital.
Ensures the patient or patient’s representative signs disclaimer as appropriate.
Medical Support Specialist
PacificSource Medical Plans
02.2023 - 05.2023
Develop and implement goals and/or plans tailored to assist members in navigating the complexities of the healthcare system.
Educate members on understanding and working within the parameters of their benefit structure.
Serve as a liaison between members and providers/agencies.
Identify members for coordination and case management services through a variety of methods, including claims data and reports.
Identify community resources and make referrals to members as appropriate.
Screen requests to identify appropriate referrals to case management from multiple internal and external sources.
Work collaboratively with the case management team to help facilitate case management process. Participate in case management/care coordination meetings.
Ensure compliance with applicable state and federal regulations and guidelines in day-to-day activities, including maintaining HIPAA standards and confidentiality of protected health information.
Ensure accurate and timely documentation.
Assist members with referrals, scheduling appointments and ensuring transportation to medical appointments is available.
Assist members with non-clinical needs for transitions and different phases of care.
Manage mailing lists and outgoing mailings.
Assist with the development of departmental procedures, reports, and projects.
Assist case management to meet quality measures as outlined by government regulations.
Enter and collate data: prepare reports as assigned.
Participate in team, department, company, and community-related committees as requested.
Make presentations to small groups. Actively participate in quality improvement initiatives.
Meet department and company performance and attendance expectations.
Quality Analyst
Catholic Community Services
10.2021 - 02.2023
Knowledge and skill at high level with a variety of software applications, including MS Word, Excel, PowerPoint, Visio, Outlook, and Internet Explorer.
Knowledge of office practices and procedures.
Excellent organizational skills.
Excellent written and verbal communication skills.
Knowledge and skill of analyzing data.
Respect the dignity of each person.
Communicate with all types of individuals verbally and in writing.
Work independently and be self-directed.
Respond to customer needs.
Handle multiple projects and timelines.
Work in a fast-paced, changing environment.
Work as part of a team.
Analyze complex information and data.
Work with very confidential information (HIPAA compliant).
Remain confidential regarding sensitive information, documents, and issues.
Administrative Specialist I (Health Insurance Analyst)
State of Oregon-OPAR/HIG
11.2014 - 10.2021
Independently screening, researching, and analyzing third party liability (TPL) referrals.
MMIS (Medical Management Information System) – Medicaid Billing.
Checking for past and/or current Medicaid eligibility.
Checking submitted information for new information or if it is existing.
Analyzing reports and referrals from the Department of Defense (DEERS) and Division of Child Support.
Division of Medical Assistance Program (DMAP)
Cover Oregon Insurance Exchange
Disenrolling and exempting clients from managed care plans.
Reviewing cases for possible Overpayment Writing Unit and Fraud referrals.
Prepare and submit documentation daily on all work completed in the approved format.
Contacting insurance carriers to verify member information.
Organizing and prioritizing high volumes of work.
Answering multi-line phones and answering complex questions about various insurance/referral subjects.
Researching domestic violence and good cause issues to determine if it is okay to build TPL.
Data Entry Operator (Electronic Document Management Specialist)
State of Oregon-DHS/IRMS
05.2013 - 11.2014
Data entry and image documents for various DHS/OHA document types which include:
MMIS (Medical Management Information System) – Medicaid Billing.
Temporary Assistance for Needy Families (TANF).
Oregon Health Plan (OHP).
Child Provider Program.
Division of Medical Assistance Program (DMAP).
Cover Oregon Insurance Exchange.
Documents for Human Resources.
Financial Services Transactions.
Prepare and submit documentation daily on all work completed in the approved format.
Scan documents imaged for programs prior to sending image file to next process step for indexing.
Complete quality control functions on documents imaged.
Assign index values to imaged documents for electronic folders via index software system.
Prepare all incoming documents received for processing into the EDMS system according to establish guidelines and criteria.
Education
Bachelors - health administration
University of Phoenix
Salem
08.2014
Associates - Health Administration
University of Phoenix
Salem
04.2012
Skills
Microsoft Word
Microsoft Excel
PowerPoint
MMIS
Microsoft Access
Oracle
Connect
Concorde
Outlook
OneSource
OneHealthPort
Cisco/Jabber
EPIC
Laborworkx
Internet research
Timeline
Operations Clerk and Dispatch
Republic Services
11.2024 - 06.2025
Registrar
Salem Health
05.2023 - 08.2024
Medical Support Specialist
PacificSource Medical Plans
02.2023 - 05.2023
Quality Analyst
Catholic Community Services
10.2021 - 02.2023
Administrative Specialist I (Health Insurance Analyst)
State of Oregon-OPAR/HIG
11.2014 - 10.2021
Data Entry Operator (Electronic Document Management Specialist)