CHANDNI PATEL
Jurupa Valley,CA
Summary
Innovative, customer-oriented healthcare administrator with background in managed, medical, and pharmaceutical care. Background in quality assurance, claims analysis and management principles and practices. Seeking a leadership role within an integrated delivery system. Skilled multitasker with superior work ethic and good teamwork, problem-solving and organizational skills. Willing to take on any task to help team. Reliable and dedicated team player with hardworking and resourceful approach.
Overview
16
16
years of professional experience
Work History
Operations and Training Management
Advantage HealthCare Services
01.2024 - Current
- Supported staff members in their daily tasks, reducing workload burden and allowing for increased focus on higher-priority assignments.
- Gained valuable experience working within a specific industry, applying learned concepts directly into relevant work situations.
- Sorted and organized files, spreadsheets, and reports.
- Gained hands-on experience in various software programs, increasing proficiency and expanding technical skill set.
- Creating SOP's for staff training
- Collaborated effectively with team members across departments, fostering a cohesive work environment conducive to accomplishing shared objectives.
- Participated in workshops and presentations related to projects to gain knowledge.
- Completed research, compiled data, updated spreadsheets, and produced timely reports.
- Prepared written summaries of meeting discussions to ensure clear communication throughout the team while promoting accountability for action items.
- Evaluated staff performance and provided coaching to address inefficiencies.
Patient Care Coordinator
Advantage Healthcare Services
07.2019 - 12.2023
- Operational management with over 10 medical practices and AHCS pharmacies to coordinate optimum patient care
- Conducting prior authorizations and appeals for patient medications
- Working with providers for clinical/drug information to educate patients on wellness and compliance with medication management
- COVID-19 education for high risks patients
- Providing education resources for patients on the importance of compliance and stability of medications
- Specialty drug authorizations (TARs)
- Generating data reports (EMRs)
- HIPAA compliancy
- Maintain knowledge of SOP, center policy, and regulatory guidelines
- Assist and co-host audits
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Trained new staff members on office procedures and protocols, ensuring consistency in patient care delivery.
Office Manager
Injoy Pharmacy
08.2015 - 05.2019
- Adherence and Compliance to follow protocols in accordance with the state and federal laws
- Managing Pharmacy staff- scheduling shifts, performance, training, hiring, and assigning daily work tasks
- Prescription auditing with Medicare and Commercial plans
- Building and maintaining relationships with local providers and medical facilities to ensure patient compliance
- Managing inventory
- Implementing plans to maximum revenue and efficiency while facilitating organization growth
- Conducting daily/monthly reports to evaluate performance and enhance patient/provider satisfaction
- Educating patients in regard to current medications/diseases/risks based upon health conditions
- Daily record keeping and deposits
- Invoicing for mail order patients
- Creating bi-yearly financial data reports
- Administrative processes, including, accounts payable, payroll, and purchasing.
Senior Certified Pharmacy Technician
Walgreens Pharmacy
10.2008 - 08.2015
- Skillfully developed departmental goals, objectives, standards of performance, policies and procedures
- Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care
- Filling prescriptions and maintaining inventory records for stock management
- Filing Third Party Claims for rejected claims
- Chargeback specialist for Medicare claims
- Submitting TAR's, PER's, CMN's, and ICD-9 codes based upon diagnosis for medication approvals
- Compounding suppositories, liquids, capsules, creams and ointments
- Consulting patients on annual Medicare enrollment
- Interpreted and communicated new or revised policies to staff
- Establish and implementation of an effective budgeting and accounting system that improved efficiency and reduced costs
- Routinely collaborated with department managers to correct problems and improve services
- Aiding in yearly audits for Medicare claims
- Effectively prioritized tasks and organized workflow to increase efficiency.
Education
Master of Science - Health Care Administration
Strayer University
Washington, DC07.2013
Bachelor of Science - Biology
University of North Carolina At Greensboro
Greensboro06.2008
Skills
- Budgeting proficiency
- Strategic planning capability
- Planning and development
- Microsoft Office
- Teamwork and Collaboration
- Administrative tasks
- Operations Support
- Understanding of Medi-cal/Medicare statutes and regulations
- Workers' compensation knowledge
- HIPAA compliance
- International Classification of Diseases (ICD10)
Timeline
Operations and Training Management
Advantage HealthCare Services
01.2024 - Current
Patient Care Coordinator
Advantage Healthcare Services
07.2019 - 12.2023
Office Manager
Injoy Pharmacy
08.2015 - 05.2019
Senior Certified Pharmacy Technician
Walgreens Pharmacy
10.2008 - 08.2015
Master of Science - Health Care Administration
Strayer University
Bachelor of Science - Biology
University of North Carolina At Greensboro
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