To obtain a position with an expanding company. Strong interest in pursuing professional development opportunities, including specialized training and licensure in the organization’s growth areas.
Overview
8
8
years of professional experience
Work History
EVS Service Ambassador
Loma Linda University Medical Center
09.2019 - 08.2021
Work along-side Managers, and Supervisors to enforce and assign cleaning assignments for O.R. and discharged unit rooms.
Answer all incoming housekeeping requests for LLUMC, East Campus Hospital, Surgical Hospital, & BMC Behavioral Center.
Strategize to problem solve, organize, and communicate with Patient Placement and Charge Nurse in order to house new patients.
Make sure COVID rooms are documented and sanitized appropriately throughout every area in the hospital.
Direct EVS Housekeepers on how to prioritize their lunches, breaks, discharges and daily assignments.
Fax, print, type, create guideline EVS procedure posters, and e-mail anything that is needed for the department.
Keep track of inventory, and ordering cleaning supplies for the hospital.
Key holder to the supply room, as well as all hospital unit keys for housekeeping.
Log all housekeeping call-offs for LLUMC, East Campus Hospital, Surgical Hospital, & BMC Behavioral Center.
Assign and cancel discharge requests in ILLEAP System
Medicare Quality Assurance Specialist
Zimmer Biomet
05.2015 - 05.2019
Responsible for reviewing medical records such as X-Rays, CT scans, MRI, OP reports in order to ensure the order meets the medical necessity requirements of commercial insurance carriers.
Receive and review newly assigned Medicare orders for Medicare eligibility.
Verify benefits & eligibility for patients.
Responsible for preauthorizing orders with appropriate CPT coding.
Create a patient-specific CMN form and provide it to the sales representative within 24 hours of the order being received.
Review new mail and follow-ups on existing orders on a timely basis.
Interacts daily with field sales representatives, answering questions relating to order status.
Calls patients to obtain additional medical and insurance information.
Contacts the prescribing doctor’s office for additional information on orders.
Medicare Billing Specialist
Lifecare Solutions
03.2014 - 04.2016
Effectively performs insurance verification and Case Management negotiations for patient discharges in a timely manner.
Dispatches medical equipment, and organizes appropriate time for patient delivery.
Obtain and thoroughly documents initial patient referral data.
Serves as a resource to referral sources regarding insurance coverage guidelines.
Obtains appropriate information for insurance verification and eligibility according to company policies and procedures.
Understand Medicare coverage principles and requirements.
Obtains and provides ongoing communication with payor and case managers for updates, changes, and authorizations.
Establishes positive relationships with referral sources, other departments and centers, and associated entities.
Receptionist
Fontana Community Senior Center
04.2013 - 08.2013
Cordially greet all members that enter the office
Schedule/Cancel events, activities, and classes
Issue registration information for membership
Take payments
Answer all incoming calls for the center
Code holder to open and close center
Education
Associate Degree in Nursing-In Progress - Nursing Science
San Bernardino Valley College
San Bernardino, CA
05-2027
Associate Degree in Biological & Physical Science - Biological And Physical Sciences
San Bernardino Valley College
San Bernardino, CA
11-2024
High School Diploma - undefined
Carter High School
Rialto, CA
06-2010
Skills
Special Skills
Basic Life Support (BLS) & First Aid Certified
Vital signs monitoring
Blood glucose monitoring
Foley catheter insertion and care
NG tube care/feeding
Electronic fetal monitoring
IV initiation & maintenance
Sterile/Aseptic technique
Breast feeding support
Post partum assessment
Head-to-toe assessment
Bed baths
Soft Skills
Bilingual: Spanish/English
Reliable
Great attention to detail
Multi-tasking
Verbal/Written communication
Microsoft Office
Front Desk Reception
Phone Etiquette
45 wpm
HIPAA Compliant
Medicare/Medi-cal Billing
Data entry proficiency
Cross-cultural sensitivity
Customer service
Excellent communication
Timeline
EVS Service Ambassador
Loma Linda University Medical Center
09.2019 - 08.2021
Medicare Quality Assurance Specialist
Zimmer Biomet
05.2015 - 05.2019
Medicare Billing Specialist
Lifecare Solutions
03.2014 - 04.2016
Receptionist
Fontana Community Senior Center
04.2013 - 08.2013
High School Diploma - undefined
Carter High School
Associate Degree in Nursing-In Progress - Nursing Science
San Bernardino Valley College
Associate Degree in Biological & Physical Science - Biological And Physical Sciences
Health Unit Coordinator/Certified Nursing Assistant of ICU at Southeast Georgia Health SystemHealth Unit Coordinator/Certified Nursing Assistant of ICU at Southeast Georgia Health System