Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Ana Tuifua

Palo Alto,CA

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

14
14
years of professional experience
1
1
Certification

Work History

Ethics and Compliance Consultant

Sutter Healthcare
Sacramento, CA
09/19/22 - Current
  • Aided in the design and development of local work plan that align and reinforce the Sutter Health Ethics and Compliance Program.
  • Responsible to provide subject matter expert responses to employees regarding general compliance inquiries.
  • Serves as a contact for internal stakeholder, providing open, positive, and productive lines of communication while maintaining appropriate information confidentiality.
  • Works closely with Revenue Cycle Liaisons, Risk Officers, and Quality departments and compliance teams to evaluate processes, audit results, and CAP effectiveness and to ensure timely resolution of any issues.
  • Collaborates with Compliance Officer to effectively investigate, document, and mitigate ethics and compliance concerns.
  • Prepares meaningful investigative reports and presentations.
  • Tracks, monitors, and reports investigation progress and closure in the program-wide tracking database (C360).
  • Responds proactively to actual or potential violations identified from routine auditing and monitoring, government inquiries, investigations, or reported through the Confidential Message Line.
  • Models and promotes the core requirements of Sutter Health’s Ethics and Compliance Program to foster a strong culture of compliance throughout the organization.
  • Presents training and education related to the Sutter Health Ethics and Compliance Program to staff and senior leadership and is a member of the Compliance Committee.
  • Build collaborative working relationships with peers, other departments, stakeholders, and management, to achieve compliancy.
  • Strong working knowledge to abstract information from medical records, reports, chart entries, related patient documentation, and interviews while conducting audits and investigations.

Privacy Analyst

Sutter Healthcare
Sacramento, CA
07.2018 - 09.2022
  • Assisted with the implementation of a privacy compliance program at the entity level consistent with the seven elements of an effective compliance program.
  • Ensured processes are in place to implement all patient rights related to their health information (Ex : receipt of a privacy notice, access, amendment, receipt of an accounting of disclosures, and requests
    for restriction).
  • Provided consultation to management staff and Employee on privacy related issues and questions.
  • Participated in PAMF Compliance Committee meetings by providing scribe support.
  • Presented training in privacy policies and procedures for all newly hired employees.
  • Developed materials and ensured ongoing privacy training and awareness for all employees.
  • Investigated and ensured timely follow-up of all privacy incidents and complaints.
  • Provided admin support for entity Information security officer.

Patient Services Representative

Silicon Valley Cardiology ( PAMF)
East Palo Alto, CA
03.2017 - 07.2018
  • Assisted with patient registration, insurance verification, and appointment scheduling.
  • Answered incoming calls from patients in a professional manner and responded to inquiries or directed them to appropriate personnel.
  • Coordinated with medical staff to ensure proper patient care was provided in a timely manner.
  • Checked-in patients for scheduled appointments by verifying demographic information, updating as needed, collecting co-payments, verifying insurance coverage..
  • Performed administrative duties such as filing documents into electronic health record system.

Front Desk Medical Receptionist

Internal Medical Group of Palo Alto
Palo Alto , CA
01.2010 - 03.2017
  • Greeted patients, verified insurance information and collected copays.
  • Scheduled appointments, managed patient records and updated medical histories.
  • Prepared and maintained accurate medical charts for each patient visit.
  • Provided administrative support such as filing documents, photocopying materials and organizing office supplies.

Education

Bachelor of Science - Health Services Administration

San Jose State University
San Jose, CA
05-2016

Skills

  • In-depth knowledge of healthcare clinical operations
  • Exceptional attention to detail
  • Excellent time management and organization skills
  • Proficient computer skills
  • Exceptional analytic skills
  • Excellent written/verbal communication

Certification

  • CHC-Certified in Healthcare Compliance - Compliance Certification Board (

Languages

Tonga
Professional

Timeline

Privacy Analyst

Sutter Healthcare
07.2018 - 09.2022

Patient Services Representative

Silicon Valley Cardiology ( PAMF)
03.2017 - 07.2018

Front Desk Medical Receptionist

Internal Medical Group of Palo Alto
01.2010 - 03.2017

Ethics and Compliance Consultant

Sutter Healthcare
09/19/22 - Current

Bachelor of Science - Health Services Administration

San Jose State University
Ana Tuifua