Denyse Rivera
Edinburg,TX
Summary
8 Years Experience in Healthcare Administration Overseas
Bilingual (English and Spanish)
Overview
8
8
years of professional experience
Work History
TRICARE Administrator
Leidos
02.2015 - 05.2017
- Expertly maintained over 10,000 beneficiaries medical, dental, and referral benefits
- Briefed beneficiaries of medical coverages
- Developed tools to assist Commanders in providing benefit education
- Maintained personnel records and updated internal databases to support document management.
- Entered and maintained departmental records in government database.
Family Member Relocation Clearance Coordinator
USAF
08.2010 - 06.2014
- Responsible for reviewing over 17,000 medical records for military family members to ensure medical needs can be treated at the overseas location
- Processed and maintained medical records for compliance with regulatory requirements
- Worked closely with credential medical providers and base commanders
- Established, administered, and managed multiple military databases
- Managed approximately 30 incoming calls, emails, and faxes per day from patients
- Responded to inquiries and resolved complaints, establishing trust and increase satisfaction
- Used spreadsheets and various government databases to monitor and track information
Referral Management Supervisor
SAIC
05.2009 - 08.2010
- Coordinate authorization of internal and externals referrals
- Scheduled internal and external appointments
- Briefed patients on medical benefits and coverages
- Worked closely with medical providers and other entities
- Managed multiple incoming calls, walk-in patients, emails and faxes
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Trained personnel
Education
Bachelor of Arts - Healthcare Management
American InterContinental University
Schaumburg, IL04.2008
Skills
- Customer Service
- Program Oversight
- Project Coordination
- Public Speaking
- Medical Terminology
- Written Communication
- Leadership
- Time Management
- Organization
- Attention to detail
- Adaptability
- Teamwork
- Multitasking Abilities
- MS Office
Timeline
TRICARE Administrator
Leidos
02.2015 - 05.2017
Family Member Relocation Clearance Coordinator
USAF
08.2010 - 06.2014
Referral Management Supervisor
SAIC
05.2009 - 08.2010
Bachelor of Arts - Healthcare Management
American InterContinental University