Cristina Jacquez
Riverside,CA
Summary
Dedicated and decisive leader with strategic and forward-thinking mindset. Focused on business and operational improvements. Able to deliver cost savings and revenue growth via continuous improvements and strategic planning.
Overview
10
10
years of professional experience
Work History
Contract Manager
Inland Empire Health Plan
2022.11 - Current
- Successfully manage high volumes of contracts simultaneously while meeting tight deadlines and ensuring accuracy.
- Able to achieve contract negotiations by thoroughly reviewing and analyzing proposals, agreements, and terms.
- Reduce costs for the organization by effectively negotiating favorable contract terms.
- Improve efficiency of contract management processes.
- Provide expert guidance on contractual matters by facilitating smooth project execution.
- Implement best practices in contract management processes to ensure consistency across all departments.
- Ensure compliance with all legal requirements by diligently monitoring contracts and maintaining up-to-date knowledge on regulations.
- Collaborate with cross-functional teams to develop comprehensive contract strategies aligned with company objectives.
- Streamline contract administration by implementing effective tracking tools and reporting systems.
Healthcare Administrator
Riverside Eye Specialists
2020.03 - 2022.10
- Directed day-to-day administrative and operational functions. Provided guidance and leadership to 25 employees.
- Developed intra-office communication protocols, streamlined administrative procedures, and inventory control.
- Completed financial reporting and analysis for billing revenue cycle.
- Monitored and guided revenue cycle operations.
- Planned and implemented multiple projects, setting clear expectations and proactively communicating project status with staff.
- Assisted with implementation of new EHR and practice management system.
- Identified data conversion and reporting needs.
- Scheduled staff training, tracked progress throughout each phase of conversion ensuring all deadlines were met.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Delivered performance reviews, recommending additional training or advancements.
- Accountable for accurate completion of new hire paperwork, personnel files and setting up in payroll systems.
- Developed and distributed employee work schedules based on operational needs and employee requests.
- Enrolled physicians to Medicaid, Medicare and private insurance plans.
- Managed contracts of all commercial, private, and managed care insurances.
- Successfully negotiated insurance contract renewals to create increased revenue.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Managed patient billing, claims, and insurance reimbursement.
Office Manager
Melanchton Mangoba MD
2017.09 - 2020.03
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Negotiated, completed and submitted all medical insurance contracts.
- Completed physician credentialing and re-credentialing applications, monitored these applications and followed up as needed.
- Development and maintenance of employee handbook and training material.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout the process.
- Oversaw accounting, budgeting and financial reporting.
- Verified timekeeping records and handled any discrepancies with employees.
- Managed payroll data entry and processing.
- Assessed processes and procedures, complying with OSHA and HIPAA regulations.
- Processed medical records requests from outside providers according to facility, state and federal law.
Mental Health Counselor
Vista Pacifica
2016.05 - 2017.09
- Used advanced counseling skills and evidence-based practices to establish goals and treatment plans for residents with Schizophrenia, Bipolar and Post Traumatic Stress Disorders.
- Conducted daily therapy sessions with groups consisting of 15 residents, as well as provide one on one therapy.
- Observed and monitored residents behavior and responses to treatment.
- Created monthly summary review of each resident's level of participation and revised treatment plans in consultation with head Psychologist based on resident progress.
ABA Therapist
Autism Response Team
2014.01 - 2016.09
- Acquired baseline data and implemented approved programs using behavioral technology appropriately, neutrally and consistently.
- Assisted with parent and caregiver training in line with client's individualized treatment and behavior reduction protocols.
- Developed and maintained clear, individualized documentation on each client.
- Interacted with clients to assist in gaining insight, defining goals and planning action to achieve effective personal development and adjustment.
Education
Master of Science - Health Administration
University of La Verne
La Verne, CA2019
Bachelor of Arts - Psychology
California Baptist University
Riverside, CA2015
Skills
- Strong Attention to Detail
- Financial and Operational Analysis
- Advanced knowledge of MS Excel and MS Word
- Strategy and Business Development
- Medical Billing and Coding
- HIPAA and OSHA regulations
- Policy and Procedure Development
- Electronic Health Records Systems
- Schedule Management
- Excellent Customer Service
- Hiring and Recruitment
- Payroll Administration
- Staff Management
Affiliations
- Member, American College of Healthcare Executives, 2018 to Current
Timeline
Contract Manager
Inland Empire Health Plan
2022.11 - Current
Healthcare Administrator
Riverside Eye Specialists
2020.03 - 2022.10
Office Manager
Melanchton Mangoba MD
2017.09 - 2020.03
Mental Health Counselor
Vista Pacifica
2016.05 - 2017.09
ABA Therapist
Autism Response Team
2014.01 - 2016.09
Master of Science - Health Administration
University of La Verne
Bachelor of Arts - Psychology
California Baptist University
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