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