Summary
Overview
Work History
Education
Skills
Volunteer Experience
Hobbies and Interests
References
Languages
Timeline
Generic

Ana Cisneros

Stafford,Texas

Summary

Seeking a senior management position in healthcare. Experienced and knowledgeable professional aiming for continuous growth, both personally and professionally. Dedicated to building a long-term career in the HIM field, with a strong focus on key strengths including teamwork, communication, and unwavering passion for healthcare.

Overview

16
16
years of professional experience

Work History

Sr. Manager Personalized Local Support

2nd.MD
01.2017 - Current
  • Sr. Manager Personalized Local Support June 2022 - Present
  • Manager Personalized Local Support Oct. 2020 - June 2022
  • Collaborated closely with the Customer Success team to address onboarding requirements and services for new clients.
  • Worked collaboratively with cross-functional teams, including Customer Success, Operations, and Clinical Services, to ensure a seamless member experience.
  • Collaborated closely with technology experts to enhance product functionality and performance.
  • Developed and implemented strategies to optimize the efficiency and effectiveness of PLS processes.
  • Monitored key performance indicators (KPIs) and operational metrics to assess performance and identify areas for improvement.
  • Drove continuous improvement initiatives to enhance the quality and efficiency of local support services.Guided and trained supervisors to ensure team members met or
  • Analyzed performance metrics to identify areas for improvement and implement necessary changes.
  • Provided regular reports on team performance, including KPIs.
  • Conducted bi-weekly 1:1s with staff members to address concerns and provide support.
  • Attended weekly, bi-weekly, and/or monthly meetings to collaborate with other teams or provide reports, fostering cross-functional communication and alignment.
  • Managed and reviewed all updates and documents before disseminating them to the team.
  • Allocated and oversaw tasks, established productivity benchmarks, and addressed operational challenges as they arose.
  • Owned UAT and trained staff on updates/enhancements in GABI.
  • Acted as the first level of escalation for any request concerns or member complaints.
  • Provided monthly reports to the team on areas of focus.
  • Collaborated with the quality team to establish and implement quality metrics.
  • Recruited, selected, oriented, trained, and developed employees to maintain staff excellence.
  • Provided guidance, offered support, and administered corrective action as necessary to ensure job performance met expectations.
  • Implemented and enforced systems, policies, and procedures.
  • Oversaw quarterly STIPs and bonus frameworks.
  • Led and assisted supervisors, offering guidance, training, and mentorship as needed.
  • Maintained daily dashboard and queue management to ensure efficiency.
  • Balanced researchers' assignments and monitored individual TAT, reassigning requests as needed.
  • Provided coverage for shifts from 7-4 and 8-5 based on business needs, with availability extending beyond those hours as required
  • Supervisor of Local Support | Feb. 2020 - Oct. 2020
  • Established and expanded the department, overseeing the hiring process as the department grew.
  • Developed training materials and conducted training sessions for new employees.
  • Conducted weekly one-on-one meetings with team members to provide guidance and support.
  • Created processes and procedures from scratch, focusing on efficiency and workflow improvements.
  • Implemented new workflow processes and coached the team to ensure adherence.
  • Formulated policies and procedures to guide the team's operations effectively.
  • Collaborated with the tech team to transition from spreadsheets to an Admin system tailored for our department.
  • Strategized and implemented efficiencies to build a successful new team from the ground up.
  • Local Support June 2019 - Feb. 2020
  • GABI platform, MDInsider, Vitals, HealthGrades, ZoCDoc, Doximity
  • Request for Members regarding local provider recommendations
  • Research of local providers through various platforms
  • Research/confirm insurance network coverage, geographical preference, gender preference, language preference, and availability
  • VIP, Urgent, and VETTING MD's
  • Assisting with scheduling and records as needed/requested
  • Additional duties as assigned.
  • Launched new products and services with thorough market research, leading to increased revenue growth.
  • Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
  • Streamlined workflows by identifying bottlenecks in existing systems and proactively addressing these challenges through appropriate solutions implementation.

Health Information Specialist

2nd.MD
01.2017 - 06.2019
  • Record Retrieval
  • Record Indexing and Editing
  • Facilitating Communication with Facilities for Prompt Record Processing
  • Coordinating with the Clinical Team for Member Consultation Preparation
  • Timely Upload of Imaging and Other Records
  • Ensuring Turnaround Time of 3 Days or Less
  • Assisting with the Local recommendations department.
  • Increased departmental accuracy rates through regular quality assurance checks on coded diagnoses and procedures.
  • Supported clinical research projects with accurate data collection, analysis, and reporting, contributing to advancements in healthcare practices.
  • Established efficient workflows for medical record requests, reducing processing time without compromising on quality or accuracy.
  • Sorted, scanned, and indexed documents, developed workflows, and processed workflow reports to keep clinical records maintained by guidelines.
  • Assisted in the transition to a new electronic health record system, resulting in improved data management and accessibility for healthcare providers.
  • Developed strong relationships with healthcare providers, fostering effective communication channels to address any concerns related to patient data management or documentation practices.
  • Organized and detail-oriented with a strong work ethic.

Data Integrity Specialist

Houston Methodist Hospital
01.2013 - 01.2017
  • Auditing and correction of charts in Epic and MPF
  • Ran reports for auditing purposes
  • Merging of duplicate Medical Record Numbers
  • Host WebEx education to guide users on chart corrections
  • Held Quarterly meetings with Certified Epic Staff to discuss updates and progress in Data Integrity Dept
  • Provide continuous Epic updates to team
  • Staff training on audit process and other needs
  • Assist with Radiation Oncology, Surgical Oncology, and Medical Oncology reviews
  • Chart prepping and indexing of records
  • Support nurses and physicians on auditing process findings and next steps.
  • Identified key performance metrics for ongoing monitoring of data integrity efforts and continuous improvement opportunities.
  • Completed quality reviews for designs, codes, test plans and documentation methods.
  • Conducted regular audits of datasets, identifying discrepancies and ensuring prompt resolution.
  • Improved operational efficiency by collaborating closely with IT teams to enhance existing infrastructure supporting the organization''s databases.
  • Created custom reports for management, facilitating informed decision-making based on accurate information.
  • Streamlined data entry procedures for improved consistency and reduced human error.
  • Developed comprehensive training materials, leading to increased staff proficiency in data management best practices.
  • Tested software applications and systems to identify enhancement opportunities.
  • Established proactive monitoring systems to detect potential data integrity issues before they escalated.
  • Developed and modified programs to meet customer requirements.
  • Supported regulatory compliance efforts with meticulous documentation and adherence to industry standards.
  • Developed and executed data cleanup measures.
  • Evaluated large datasets for quality and accuracy.
  • Identified issues, analyzed information and provided solutions to problems.
  • Demonstrated strong organizational and time management skills while managing multiple projects.
  • Applied effective time management techniques to meet tight deadlines.
  • Created custom reports for management, facilitating informed decision-making based on accurate information.

Administrative Assistant

Sugarland Methodist Hospital
01.2013 - 01.2016
  • Assisted the Department Director and Management Team with special projects and meetings
  • Held quarterly new employee meetings and monthly management meetings
  • Worked on weekly and monthly Press Ganey reports for department
  • Part of monthly Policies and Procedures Committee
  • Organized new employee luncheons on a quarterly basis
  • Provide front desk assistance as needed and training
  • Data entry of patient information, verifying records, and assisted with answering calls
  • Proficient in RIS system, HPF, PHS, Athena, HIS, patient tracking, and activefax.
  • Transcribed and organized information to assist in preparing speeches and presentations.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
  • Maintained up-to-date knowledge of industry best practices and office software updates to maximize efficiency in administrative tasks.
  • Executed record filing system to improve document organization and management.
  • Sorted and distributed office mail and recorded incoming shipments for corporate records.
  • Assisted development and implementation of new administrative procedures.
  • Ensured accurate record-keeping with diligent data entry and database management for vital company information.
  • Coordinated and scheduled meetings and conference calls to optimize scheduling of senior staff.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Streamlined invoice processing procedures to ensure timely payment of vendors while minimizing errors in financial records.
  • Managed expense reports for executive staff members, ensuring accurate documentation of spending for budgeting purposes.
  • Collaborated on special projects as assigned by leadership, contributing research findings or coordinating event logistics as needed for success.

Patient Access Specialist

Texas Children's Hospital
01.2008 - 01.2013
  • Master Scheduler at TCPA clinic and Super User
  • Manage 5 different physician schedules/templates in Epic system
  • Monthly meetings with physicians to update templates/schedule
  • Cover check-in and check-out as needed, and record processing
  • Katy Campus Ambulatory Service Rep
  • II / Super User
  • Checked patients in, schedule patients, and entered records in Epic
  • Daily verification of insurance, obtaining co-pays and out-of-pocket costs
  • ICD Coding for proper billing purposes
  • Updated staff on changes within the department and system updates.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
  • Collaborated with clinical staff to ensure seamless coordination of care for patients.
  • Providing excellent customer service by promptly answering patient inquiries.
  • Recommended service improvements to minimize recurring patient issues and complaints.
  • Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
  • Educated patients on importance of preventive health care and insurance coverage.
  • Contacted patients on annual renewal dates to offer assistance.
  • Greeted and assisted patients with check-in procedures.
  • Engaged with patients to provide critical information.
  • Rooted out potential discrepancies in insurance claims submissions proactively preventing denials or delays in payments.
  • Stayed calm under pressure to and successfully dealt with difficult situations.
  • Maintained patient confidentiality by adhering to HIPAA guidelines and hospital policies.
  • Responded to inquiries by directing calls to appropriate personnel.
  • Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
  • Partnered with billing teams identifying areas of improvement within the department reducing total outstanding balances.
  • Addressed bad debts in line with set protocols.
  • Contacted insurance companies for patient medical billing operations.
  • Supported the implementation of new processes or technologies for improved workflow efficiency in the department.
  • Organized patient records and database to facilitate information storage and retrieval.
  • Applied administrative knowledge and courtesy to explain procedures and services to patients.
  • Prepared patient identification band and completed admissions papers.
  • Verified patient insurance eligibility and entered patient information into system.
  • Worked with patients to ascertain issues and make referrals to appropriate specialists.

Education

Bachelor of Science - HIM Department

Southern New Hampshire University
Hooksett, NH
01.2026

Associate of Applied Science in HIM - Health Information Management and Cancer Tumor Registry

SAN JACINTO COLLEGE
HOUSTON, TX
01.2015

Skills

  • Microsoft Word
  • Microsoft Excel
  • PowerPoint
  • AMBRA
  • ADMIN/GABI
  • Epic System
  • HIS
  • PHF
  • HPF
  • Athena
  • MPF McKesson
  • Vista Plus System
  • Cerner Program
  • RIS System
  • Search America
  • ICD-10 Coding
  • Bilingual in Spanish and English

Volunteer Experience

  • 2011 - Present, Crossbridge Church, Sugarland, TX, Assisted with kids ministries, activities, crafts, and special events, Part of Host Service Team - greet visitors, members and help with other duties, Provide support for yearly Poverty Mission Week preparations, Support and volunteer Living Water mission trip
  • 2011 - 2016, Cummings Elementary School/Mata Intermediate, Houston, TX, Assisted in Special Events, Volunteered in Special Education Class

Hobbies and Interests

  • Volunteer work
  • Traveling
  • Reading

References

Available upon request

Languages

Spanish
Full Professional

Timeline

Sr. Manager Personalized Local Support

2nd.MD
01.2017 - Current

Health Information Specialist

2nd.MD
01.2017 - 06.2019

Data Integrity Specialist

Houston Methodist Hospital
01.2013 - 01.2017

Administrative Assistant

Sugarland Methodist Hospital
01.2013 - 01.2016

Patient Access Specialist

Texas Children's Hospital
01.2008 - 01.2013

Bachelor of Science - HIM Department

Southern New Hampshire University

Associate of Applied Science in HIM - Health Information Management and Cancer Tumor Registry

SAN JACINTO COLLEGE

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Ana Cisneros