Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

CINDY BRADLEY

Rio Rancho

Summary

I can demonstrate strong analytical, communication, and teamwork skills, with the proven ability to quickly adapt to new environments. I am eager to contribute to the team success and further develop my professional skills. I have an extremely positive attitude and believe in the commitment to continuous learning and growth. I am a very experienced leader with a strong background in guiding teams, managing complex projects, and achieving strategic objectives. I excel at developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. I am known for my collaborative approach and commitment to excellence.

Overview

20
20
years of professional experience

Work History

FRONT OFFICE ADMIN ASSIST GS:05/DISTRICT COORD.

DODEA Schools
07.2021 - 05.2024
  • I accurately executed and maintained a variety of system files for 816 students and staff members.
  • I implemented safeguards for all confidential information that came in for all staff and students.
  • Rectified all suspense files and ensured deadlines are met in a timely manner.
  • Reviewed all incoming correspondence.
  • Directed and distributed all correspondence to appropriate recipients, ensuring efficient communication.
  • Created and managed a volunteer program which cleared individuals to volunteer for the Kaiserslautern School District.
  • Soley executed all copying, laminating and printing needs for staff and students, ensuring timely and efficient document production.
  • Establishes 816 students tardy and absences and generates the Principal Reports daily in Aspen.
  • Facilitated all meeting logs and assigned priority to ensure all are sent to the appropriate people for review and execution.
  • Ensured accurate tracking and record keeping of attendance for all 750 students daily from Aspen.
  • Inputs and extracts information from a District level data management system, maintaining accuracy and efficiency in information processing.
  • Organizes and processes all incoming freshman records for data management.
  • Directs all incoming global phone calls, ensuring prompt and professional communication across every department within the high school.
  • Coordinate and arrange meetings and appointments for senior administrators to guarantee efficient scheduling and time management.
  • Necessitated all visitors to sign-in and provide appropriate identification to be logged, so a pass or badge could be created.
  • Checked students in and out and kept track of all early dismissals.
  • Served as the assistant to the school nurse and alerted all emergencies to base command.
  • Compose daily public announcements when needed (general, security, weather, sports and dismissals).
  • Responsible to answer all incoming phone calls in a pleasant, informed manner for the purpose of providing and creating a positive image and first impression of the school.
  • Facilitated school tours for all incoming students and assisted parents in signing into the school portal for the first time.
  • Guided parents and guardians through the registration process and answered all questions about the local area.
  • Provided new students with their school schedule and all documents needed to make their first day successful.
  • Issued and inventoried all student held lockers throughout the year.
  • Maintained all service of student held lockers for the duration of the school year.
  • Well informed in all school activities, programs, and events related to the school calendar.
  • Provided professional expertise to school events as well as all school administration held events.
  • Advocated the CSI goals of Kaiserslautern High School.
  • Supervised students as directed by administration to ensure a safe learning environment.

MEDICAL ASSISTANT/ ANEMIA MANAGEMENT COORDINATOR

KIDNEY AND BLOOD PRESSURE CLINIC
03.2018 - 05.2019
  • Developed the Anemia Management Care Team which utilized the full range of the patient care portal.
  • Supported and trained medical assistants on all new systems installed.
  • Initiated patient portal training to access medical records online.
  • Facilitated and maintained all medical supply inventory lists and medication samples.
  • Developed a schedule for all pharmaceutical representatives in accordance with the physician’s schedule.
  • Transcribed past and current patient medical history and implemented all changes into electronic medical record for physician to view.
  • Scheduled various medical procedures in a variety of different computer systems.
  • Generated requisitions for all tissue and fluid samples to be sent out to various laboratories.
  • Monitored and managed all phone lines for three different clinics throughout San Antonio.
  • Recorded and relayed messages and/or redirected calls. Facilitated collecting copays for all patients scheduled.
  • Generated faxes and requests for medical records needed for appointments.
  • Ensured eligibility of care and contacted various insurance companies for verification of benefits.
  • Conducted scanning of multiple patient records into their patient portal.
  • Prepared patient charts for physician to review.
  • Generated all patient collection notices to be mailed out.
  • Delivered great customer service while providing patient assistance with scheduling appointments.
  • Coordinated with the physician and compiled his schedule for the day.
  • Collaborated with other departments to aid patients with payment and Insurance assistance.
  • Facilitated compassionate patient support and generated resources to aid patient care.
  • Conducted preliminary physical tests, blood draws, blood pressure checks as needed by the physician.
  • Prepared all exam rooms for clinical procedures and aided physician with major and minor procedures.
  • Oversaw all handling of tissue and fluid samples to be sent out by carrier.

PAYMENT POSTER/COLLECTOR/TRAINER

Kidney and Blood Pressure Clinic
04.2017 - 03.2018
  • Collected and processed all patient payments thru our Electronic Hospital System (EHS), which encompassed over 300 patients for three different clinics.
  • Allocated all payments from various insurance companies to patient accounts.
  • Reconciled cash/contractual balances, assuring the reliability and accuracy of the daily bank balancing procedures and variances daily.
  • Reconciled daily batch posting to actual entry to identify and reconcile any discrepancies, ensuring that payment posting functions are accurate and performed on a timely basis.
  • Extremely knowledgeable in Excel, Microsoft word and power point presentations.
  • Executed insurance claim preparation for submission. Communicated with all Insurance Companies daily to include all Managed Care facilities.
  • Performed diagnosis code verification daily for various renal procedures.
  • Responsible for all Tricare and VA benefit claims filed for renal care.
  • Assisted all MA’s in rooming the patients, taking vitals, and communicating with the physician any and all-important findings.
  • Responsible for phone calls for Kidney Blood Pressure and 3 Kidney Treatment Centers.
  • Identified, researched, and ensured timely processing of payments and error corrections.
  • Collected payments on outstanding balances from insurance companies and patients.
  • Obtained authorizations from the VA as well as all other Insurance companies.
  • Coordinated and composed all appeals for insurance denials.
  • Maintained thorough knowledge of third-party payment applications, requirements, and regulatory guidelines at the federal, state, and local levels.
  • Prepared a variety of emails, letters, messages, and reports daily.
  • Scanned and faxed multiply documents daily.
  • Scheduled x-rays, renal sonograms, sleep studies as well as multiple other procedures.
  • Implemented data collection processes from various PCP offices.
  • Organized daily records obtained from various PCP offices.
  • Informed veterans of their renal VA authorizations and provided guidance on how to keep them.
  • Greeted all patients in the office and over the phones while providing them with any information they may need concerning their appointments.
  • Collected and distributed copays into patient accounts.
  • Managed checking in all patients for their appointments as well as checking them out after their appointment.
  • Distributed all mail and correspondence throughout all three geographically separated offices.
  • Maintained all electronic and hardcopy patient records.
  • Updated and managed all insurance verification for new and established patients for all three clinics.
  • Ordered various patient lab tests by physician request from both Quest and Labcore.
  • Procured specimens and assisted in sending specimens out to Quest and Labcore facilities.

MOTHER/AIR FORCE VOLUNTEER/V. PRES. OF THE PTA

AIR FORCE KEY SPOUSE
05.2009 - 04.2017
  • Maintained multiple schedules daily.
  • Constructed web pages for school activities and functions.
  • Created email lists for promotional content needed for various functions.
  • Exceptional Microsoft office excel and PowerPoint skills.
  • Generated many PDF forms for distribution throughout the school.
  • Identified resources needed to accomplish goals by gathering and researching information.
  • Operated and trained parents on Classter computer program.
  • Performed outreach to different websites, major department stores and on base leadership to obtain items needed for school functions.
  • Implemented data collection and report tracking of all funds the Parent Teacher Association obtained throughout the year.
  • Mastered faxing, copying and emailing documents daily.
  • Performed a variety of school administrative functions such as a student registration, student attendance.
  • Prepared many written correspondences between parents and teachers daily.
  • Exceptional multitasker in daily activities.
  • Communicated daily with the principal help specify goals of the Parent Teacher Association.
  • Proficient in people management skills.
  • Greeted parents and assisting elementary age children volunteering at many school functions.
  • Created and advertised many outreach programs for school age children.
  • Coordinated with school administration and teachers a master schedule on school function for the year.
  • Impeccable attention to detail and superb organizational skills.
  • Facilitated many group discussions involving child welfare.
  • Outstanding listener to thoughts and concerns involving the Parent Teacher Association.
  • Coordinated tasks to help manage different school subcommittees.
  • Supervised progress and set realistic deadlines to projects.
  • Mentored fellow parents for school subcommittees and the Parent Teacher Association.
  • Strong child advocate as well as the ability to persuade others to reconcile differences.

ADMINISTRATIVE ASSISTANT TO CNO AND COO

BAPTIST MEDIAL CENTER EAST
02.2008 - 05.2009
  • Proficient in Microsoft office, Excel, and PowerPoint.
  • Operated and trained all new nurses and administrative assistants on hospital software.
  • Generated various types of documentation and reports using Microsoft office.
  • Detailed knowledge of office management systems and procedures.
  • Reconciled and submitted all expense reports for the CNO and COO.
  • Prepared all regularly scheduled conference reports for various hospital meetings.
  • Researched and created daily presentations for physicians and nursing staff.
  • Go to person for operation of office equipment by completing preventive maintenance requirements.
  • Resolved repairs of office equipment.
  • Evaluated all new equipment and trained all office staff on any new office equipment techniques.
  • Achieved professional and technical knowledge by attending monthly educational workshops and established administrative assistant networks between hospitals.
  • Volunteered by participating in reviewing professional publications and training others on the information learned.
  • Developed and improved the administrative systems to make them more efficient.
  • Responsible for all telephone and face to face inquiries.
  • Systemized and scheduled the CNO and COO calendars.
  • Coordinated and catered meetings on site and off site.
  • Recorded detailed minutes at meetings and archived them accordingly.
  • Strong organizational and administrative writing skills. Distributed email, written correspondence, letters, faxes, and forms.
  • Managed all scanning and photocopying of documents needed by physicians and staff.
  • Created a detailed filing system for classified hospital documents.
  • Managed supplies and documented all equipment and office inventory.
  • Generated all supply orders and verified all receipts of supplies.
  • Updated and maintained meeting folders and unit director information.
  • Maintained records for staff to include phone contacts, hospital vendor contacts, company credit cards and all office keys.
  • Generated an updated physician contact list as well as on call rosters.
  • Oversaw all travel arrangements and prepared all invoices needed for both the CNO and COO.
  • Excellent time management skills with the ability to multi-task and prioritize work.
  • Superb attention to detail and problem-solving skills.
  • Greeted and assisted visitors, patients, and staff.
  • Answered and directed phone calls throughout different hospitals, floors and units.
  • Provided general support to patients and family members. Responsible for disseminating hospital information by answering questions and requests.
  • Supported administrative staff by providing information on educational opportunities within the hospital system.
  • Controlled booking conference calls, conference rooms, taxis, couriers and hotels for administrators and patients.
  • Safe handled all confidential information about the hospital.
  • Liaised with other administrative assistants to handle requests and queries from all hospital unit directors.

UNIT SECRETARY/HOSPITAL TRAINER

Baptist Health System-Northeast Baptist Hospital
01.2007 - 02.2008
  • Operated on Telemetry, Patient Critical Unit (PCU), and floated to all other areas of the hospital.
  • Educated and informed nurses to alarms on telemetry monitors.
  • Scheduled tests and procedures per physician orders in reference to their patients that were admitted to the hospital.
  • Encoded into hospital software any physician’s orders given by the physician.
  • Retrieved and requested any medical information needed for patient care.
  • Excellent in basic office skills such as word and spreadsheets.
  • Superb understanding of medical and hospital terminology and competency with hospital computer software.
  • Implemented use of the electronic medical record system and software with databases and word processing documents.
  • Improved and trained unit secretaries on medical record management, customer service, productivity software and medical transcription
  • Worked through every organizational flow and system in the hospital.
  • Achieved clerical tasks for specific departments or floors throughout the hospital system.
  • Managed reception area greeting patients and visitors. Initiated verification for multiple patient insurances.
  • Composed memos and sent out multiple faxes and emails daily.
  • Assisted medical staff with transcription and record requests for patients.
  • Controlled all unit incoming calls about patient appointments.
  • Responded to all unit clerical messages and calls.
  • Scheduled all patient tests for lab, radiology, surgery per doctors’ orders.
  • Filed, organized, and labeled all types of tests given to the patient.
  • Updated and verified patient information given by nurses and physicians into the hospital system from admission to discharge.
  • Assisted unit directors prepare for daily meetings. Distributed daily mail and kept records of all daily patient visitors.
  • Ordered and recorded all unit hospital supplies needed daily.
  • Controlled processing of all patient documents for billing.
  • Upon discharge set up the patients follow up appointment with primary doctor.
  • Worked one on one with patient social workers and patient advocates to arrange for in/out rehab, wound care, or any other service at the time of their discharge.
  • Provided hospital information regarding unit services and procedures while making the patients and visitors feel welcome.
  • Focused on helping the hospital unit or department with any administrative tasks needed.
  • Reported to nursing managers and staff nurses along with unit director any patient issues that arise.
  • Impeccable administrative and communication skills. Accomplished customer service goals daily.
  • Responsible for paging staff members and family members as needed.
  • Accountable for meeting patients and their families upon arrival to the unit.
  • Assisted patients and families in filling out hospital forms. Maintained open communication between patient and medical staff.
  • Coordinated with hospital housekeeping staff to ensure a clean and well-maintained hospital environment.
  • Assisted nurses in transferring a patient up from the emergency room or any other floor.




SURGICAL APPEALS ANALYST

SOUTH TEXAS SPINAL CLINIC
05.2006 - 01.2007
  • Achieved title Clinical Denial Appeal Specialist.
  • Executed advanced level work related to Clinical Denial Management.
  • Responsible for managing clinical denials by conducting a comprehensive review of clinical documentation and formulating a timely and defensible written response based on clinical documentation, evidence based medical necessity criteria, physician documentation and medical policies of the insurance company or workers comp carrier.
  • Communicated identified denial trends and patterns on in-depth excel spreadsheets for physicians to view.
  • Generated appeals based on dispute reason and researched contract terms specific to payer.
  • Escalated many exhausted appeal efforts for resolution review.
  • Entered all denied claims into hospital database.
  • Worked in-depth with CPT and ICD9 coding correction on claims.
  • Attained authorizations for various surgical procedures based of physician findings.
  • Evaluated and improved the clinical denial and appeal process through creating a fast-track system.
  • Participated in professional organizations, online seminars and educational programs all designated towards clinical validation reimbursement methodologies and utilization management specialty areas.
  • Excellent in critical thinking and analytical skills. Proficient with Office applications, excel spreadsheets and working knowledge of EPIC and other hospital based clinical computer systems.
  • Initiated surgical appeal letters per physician operative reports and patient medical history.
  • Adjusted patient accounts per appeal findings and reported weekly AR reports to physicians.
  • Re-verified patient benefits based on payor denials related to the initial referral through multiple different systems.
  • Escalated all denials to management for review.
  • Obtained sufficient information for additional follow and or root cause resolution for medical procedures.
  • Developed recommendations for additions, revisions, and deletions to work queues and claim edits to improve claim efficiency and reduce denials.
  • Validated any denial reasons and ensured coding into the hospital system to accurately reflect the reason for denial.
  • Coordinated with patients and physicians for clinical consultations or account referrals when necessary.
  • Implemented specific payer guidelines for appeals submission.
  • Educated physicians on denial reasons given by the explanation of benefits (EOB) to help understand how documentation should be dictated to prevent denials.
  • Superb communication skills and outstanding organizational skills.
  • Responsible for working one on one with patients throughout the appeals process.
  • Educated patients to their benefits and resources about their insurance carrier.
  • Coordinated and collaborated with hospital departments (Physicians, Physician Advisors, Clinical Service Lines, Case Management, Health Information Management, Clinical Documentation Improvement, Inpatient and Outpatient Revenue Services, etc.) as clinical reviews are processing.
  • Collaborated daily with Physician Advisors to appropriately identify clinical denials that require escalation to the Physician Peer Review status.
  • Attended clinical meetings under the direction of the Clinical Denials and Appeals Director.
  • Assisted patients in options after the Peer Review Status was complete.
  • Accommodated patients with all information about their claim that was in dispute.
  • Liaison for the patient to management with any concerns the patient may be having.

PRE-CERTIFICATION WORKERS COMPENSATION VERIFER

EL PASO ORTHOPEDIC SURGERY GROUP
07.2004 - 04.2006
  • Submitted precertification requests for various surgeries which encompassed multiple different Orthopedic, Neurological, and pain management doctors throughout the El Paso Counties.
  • Corresponded one on one with the U.S. Department of Labor, Texas Workers Comp Commission, New Mexico Workers Comp Commission, and various other insurance companies daily.
  • Well trained and versed in Texas Workers Compensation Commission laws and guidelines. Proficient in Office and can navigate thru Texas and New Mexico Workers Compensation Commission systems.
  • Excellent in Medical Dispute Resolution cases and Benefit Review Conferences.
  • Very Knowledgeable of the workers claim process. Outstanding with most electronic medical records software.
  • Collected all patient information important to the claim being processed.
  • Updated all patient and insurance policy information into EMR.
  • Revised any issues with the completion of the Notification of Benefits form.
  • Appealed and rebilled all denials for various surgeries and procedures with a 95% turnover rate.
  • Overturned multiple initial and secondary denials based on medical record research and physician testimonials.
  • Exceptional with CPT and ICD9 coding of procedures and recoding based on medical findings.
  • Re-billed procedures not initially paid by patient’s insurance carrier correct payor for multiple doctors.
  • In charge of all pre-certification of treatment and patient documents to be processed appropriately to the payor.
  • Verified eligibility and benefits thru various insurance systems or by phone.
  • Scanned documents into the patient’s electronic medical record.
  • Received all finished pre-authorization documents prior to treatment and went over information with physicians.
  • Answered incoming calls, scheduled patient for their various procedures and canceled procedures when prior authorization had been denied.
  • Kept daily logs about patients concerns for their procedures and reviewed with physician at end of day.
  • Extremely knowledgeable on protocols to determine the correct approach to scheduling a patient for a timely procedure.
  • Maintained detailed filing system for all pre certifications, authorizations, and denials.
  • Experienced in the utilization review process and monitored all patients claims throughout the process.
  • Patients were informed of all nationally recognized treatment guidelines about the delivered treatment plan and the scope of services under pre-certification.
  • Communicated daily with patient and physician regarding the precertification process.
  • Answered all questions regarding patient surgery appointments or their pre-op appointments.
  • Interacted professionally with insurance companies daily.
  • Provided patients with documentation of all estimated covered procedure benefits per the patient’s insurance coverage.
  • Directed patients throughout the clinic and notified clinical staff as needed.
  • Responded professionally to all patient concerns and questions.
    .


Education

Bachelor of Science - in progress

University of New Mexico
Albuquerque, NM

Certified Nursing Assistant - NURSING

ARKANSAS NURSING ASSISTANT TRAINING ACADEMY
Little Rock, AR
05-2015

Associates of Science - Nursing

San Antonio College
San Antonio, TX
05.2009

Skills

  • Expert in system file management
  • Implemented confidential information safeguards
  • Expert in deadline management
  • Expert in correspondence management
  • Created Europe-wide volunteer program
  • Document production
  • Excellent in attendance tracking
  • Expert in various forms of data management
  • Expert in Information processing
  • Excel in attention to details involving meeting coordination
  • Superb in visitor management
  • Outstanding in Emergency alerting
  • Excellent in Customer service
  • Great in School tour facilitation
  • Exceptional in Registration process guidance
  • Excell in Locker inventory management
  • Excell in Event expertise and coordinating
  • Excellent in Student supervision
  • Patient care portal utilization
  • Unparalleled in Medical assistant training
  • Exceptional in patient portal training
  • Expert in medical supply inventory management
  • Outstanding in pharmaceutical scheduling

Accomplishments

  • Championed the Department of Defense Education Activity Volunteer Program Europe wide.
  • Achieved a 95% rating in approved claims through the appeal process.
  • Received the employee of the month award twice.

Timeline

FRONT OFFICE ADMIN ASSIST GS:05/DISTRICT COORD.

DODEA Schools
07.2021 - 05.2024

MEDICAL ASSISTANT/ ANEMIA MANAGEMENT COORDINATOR

KIDNEY AND BLOOD PRESSURE CLINIC
03.2018 - 05.2019

PAYMENT POSTER/COLLECTOR/TRAINER

Kidney and Blood Pressure Clinic
04.2017 - 03.2018

MOTHER/AIR FORCE VOLUNTEER/V. PRES. OF THE PTA

AIR FORCE KEY SPOUSE
05.2009 - 04.2017

ADMINISTRATIVE ASSISTANT TO CNO AND COO

BAPTIST MEDIAL CENTER EAST
02.2008 - 05.2009

UNIT SECRETARY/HOSPITAL TRAINER

Baptist Health System-Northeast Baptist Hospital
01.2007 - 02.2008

SURGICAL APPEALS ANALYST

SOUTH TEXAS SPINAL CLINIC
05.2006 - 01.2007

PRE-CERTIFICATION WORKERS COMPENSATION VERIFER

EL PASO ORTHOPEDIC SURGERY GROUP
07.2004 - 04.2006

Bachelor of Science - in progress

University of New Mexico

Certified Nursing Assistant - NURSING

ARKANSAS NURSING ASSISTANT TRAINING ACADEMY

Associates of Science - Nursing

San Antonio College

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CINDY BRADLEY