Experienced professional with a strong background in technology-related roles. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.
Overview
18
18
years of professional experience
Work History
Reimbursement Analyst
Health and Human Service Commission
Austin, TX
06.2018 - Current
Successfully assisted with recovered funding of more than $41 Million for multiple state-wide projects.
Contributed to assessment of payment rates for Governor and Legislative considerations regarding Medicaid and non-Medicaid services within the HHSC.
Utilized statistical software packages like IBM SPSS and Microsoft Excel for analyzing large datasets.
Successfully validated technical-related reimbursement questions raised by providers and the billing and coding team.
Maintained knowledge of current coding guidelines and reimbursement requirements by regularly participating in yearly seminars, meeting state expectations.
Achieved fluency in translating complex business requirements into clear and concise language for effective communication with leaders.
Evaluated performance capabilities by analyzing internal and external strategies, while continuously staying abreast of changes in regulations set by multiple third-party payers.
Precisely calculated refunds, reimbursements, and adjustments to cost reports.
Developed relationships with external vendors such as collection agencies, attorneys.
Performed data entry, data cleaning, and data coding for analysis.
Analyzed large datasets to identify trends, patterns and correlations for business insights.
Environmental Specialist
Department of State Health Services
Austin , TX
06.2013 - 06.2018
Reviewed and evaluated Radiation permit applications for accuracy and compliance with codes, laws, regulations, and standards.
Drafted correspondence and documents such as notices, letters, memos, contracts. pertaining to permits.
Collaborated with Emergency Response Team to resolve environmental incidents.
Successfully worked alongside a wide range of clients and team members to accomplish objectives and implement environmentally-friendly practices.
Investigated complaints concerning potential violations of environmental regulations .
Verified application data and account information against legal documentation to determine accuracy and integrity.
Conducted comprehensive evaluations of permit applications related to radiation equipment licensing and registration.
Analyzed customer complaints and provided solutions to resolve issues promptly.
Closely worked with management team, continuously updating them on review progress.
Assigned tasks to team members and monitored progress.
Submitted project deliverables to registrants, consistently adhering to quality standards.
Administrative Assistant
Department of Family and Protective Services/DSHS
Austin, TX
12.2007 - 06.2013
Facilitated coordination of appointments between clients, customers, and internal staff members.
Acted as point of contact between the Project Manager and other departments, teams within the organization regarding assigned tasks, projects.
Demonstrated excellent communication skills by promptly addressing customer concerns through the handling of incoming phone calls and emails.
Performed research related to projects as requested by the Project Manager.
Ensured the organization and security of both physical and electronic documents through the implementation and maintenance of efficient filing systems.
Recorded information in spreadsheets with the aid of Microsoft Excel or similar applications.
Managed and organized department records effectively.
Managed project calendars, adjusting timelines and ensuring adherence to deadlines.
Ensured accurate tracking by monitoring spreadsheet updates, report generation, and coordination of special assignments.
Assisted Project Manager in preparing project plans, schedules, and budgets.
Consistently provided timely updates on project progress, effectively communicated potential risks and issues, and offered recommended corrective actions.
Clerk III
Texas Department Of Criminal Justice
Austin, TX
07.2006 - 12.2007
Entered data into computer systems accurately and efficiently.
Aided the project team through tasks such as scheduling meetings, managing travel arrangements and ordering supplies.
Participated in weekly status meetings with the Project Manager to discuss ongoing tasks and issues requiring resolution.
Met schedule and deadlines by ensuring that work was completed efficiently.
Provided guidance and advice on best practices related to scheduling initiatives.
Handled incoming calls and directed callers to appropriate department or employee.
Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
Education
Bachelor of Science - Business Admin/Liberal Arts & General Studies
Huston-Tillotson University
Austin, TX
05-2017
Associate of Science - Liberal Arts And General Studies
Huston-Tillotson University
Austin, TX
05-2015
Skills
Time Management
Problem-Solving
Microsoft Office Suite expert
Healthcare Reimbursement
Medicaid Expertise
Policy analysis
Data Entry and Documentation
Teamwork and Collaboration
Organizing and Prioritizing Work
Attention to Detail
Composing Business Correspondence
Business Analysis
Reconciliation
Project Collaboration
Accuracy and Precision
IBM SPSS & databases
Code updating and development for analyses
Process Improvements
Timeline
Reimbursement Analyst
Health and Human Service Commission
06.2018 - Current
Environmental Specialist
Department of State Health Services
06.2013 - 06.2018
Administrative Assistant
Department of Family and Protective Services/DSHS
12.2007 - 06.2013
Clerk III
Texas Department Of Criminal Justice
07.2006 - 12.2007
Bachelor of Science - Business Admin/Liberal Arts & General Studies
Huston-Tillotson University
Associate of Science - Liberal Arts And General Studies
Contract Manager at State of Texas- Department of Health and Human Service Commission (HHSC)Contract Manager at State of Texas- Department of Health and Human Service Commission (HHSC)