Diana Pica
San Leandro,CA
Summary
Adept at handling administrative matters, including screening calls, managing appointments, reviewing and preparing reports, and participating in meetings. Communications: Interact professionally with all levels of staff while maintaining appropriate levels of confidentiality; strong verbal, written, and bilingual communication skills with diverse populations, including clients, providers, and the community. Cultural Competence: Extensive understanding of diverse local Latino community and trauma-informed care; extensive skills in providing quality customer service in stressful, fast-paced environments. Soft Skills: Judicious decision-making and problem-solving skills, active listening and collaboration skills, adaptability and flexibility, detail-oriented self-starter, strong deadline-driven and time-management skills, works well in teams and independently, strong work ethic, dependable and committed to the organizational mission.
Overview
26
26
years of professional experience
Work History
Administrative Assistant III
Instituto Familiar de la Raza
San Francisco, CA
01.2020 - Current
- Providing support to the organization’s program management and executive teams in contractual and compliance matters
- Focusing on efforts to sustain IFR’s operations and enhance systems of prevention and proactive action
- Provide quality support to IFR program teams to facilitate the delivery of quality services in the most efficient manner while maximizing IFR’s revenue capacity
- Under the direction of the Operations Director and the CMCU Director provide technical support in the strategic leadership and oversight of the IFR’s contracts and compliance activities in alignment with IFR’s organizational goals and priorities and in compliance with IFR’s contract partners to support and elevate client services agency-wide
- Monitoring and tracking of deliverables
- Data collection and creating of reports for the Fiscal Department.
Program Assistant III Billing Specialist
Instituto Familiar de la Raza
San Francisco, CA
12.2012 - Current
- Support programs by ensuring proper billing processes, including appropriate usage of billing codes to secure maximum agency revenues
- Corrected and reconciled billing inaccuracies due to changes in insurance coverage of clients, incorrect utilization of billing code, and errors identified in the recording of rendered services. This resulted in a much greater return of about 50K at the end of Fiscal Year ‘2020 than anticipated.
- Provide technical support to staff, including amending data entry and clarifying program reports, and developing and maintaining working relationships with program managers and external stakeholders
- Participate in monthly quality assurance (PURQ) committee meetings to review and verify client documentation for compliance with performance objectives and contractual requirements for CBHS and HIV services contracts
- Personally responsible for identifying and enrolling clients in entitlement programs, and explaining and enforcing billing and registration policies
- Aid clients in need of subsidies by consulting billing offices and making necessary referrals for payment
- Ensure timely submission of monthly invoices, including creating and tracking weekly, monthly, quarterly, and/or annual reports as required
- Provide data management and quality assurance to improve data quality, including medical share of cost.
- Monitor, review and reconcile billing documents to ensure accuracy and compliance with deadlines and other requirements
- Key Achievements:
- Provided feedback and support development and implementation of quality assurance procedures for Si a la Vida HIV services program
- Participated in development of database system by entering, researching, and collecting referrals and other information as requested
- Secured funding for services rendered via correction of data and documentation that had been improperly billed for two program components
- Established collaborative relationships with program managers, staff, and outside stakeholders to ensure effective communication.
Medical Receptionist
Instituto Familiar de la Raza
San Francisco, CA
06.2006 - 12.2012
- Assisted clients with the registration process, including completion of demographics, Payer Financial Information (PFI), client survey, and insurance coverage and benefits
- Provided client referrals to appropriate services, including verifying eligibility requirements
- Provided culturally competent, professional client services when greeting, screening client needs, and scheduling client appointments, including reminder calls and prescription reminders
- Maintained and organized weekly calendars to ensure effective use of client and meeting spaces
- Operated multi-line telephone system, including receiving incoming calls in a calm, courteous, and professional manner while addressing urgent care, emergency calls, or drop-ins
- Collected and conveyed new or revised information to staff on subsequent front desk shifts.
Front Desk Manager
SUNY Downstate Department, SUNY Downstate Hospital
Brooklyn, NY
10.2005 - 06.2006
- Assisted with staff training of 20 employees and development of operating
- Procedures to ensure efficient staff processes
- Effectively created and organized physician and staff schedules and work-related activities
- Managed patient medical records, including updating medical benefits eligibility
- Engaged with patients inarespectful, culturally competent manner
- When interacting with patients for medical record information or co-payment fees
- Responsible for purchasing, documentation, and tracking of laboratory and office supplies
Assistant Manager
Doshi Diagnostic Imaging Services
Brooklyn, NY
01.1999 - 10.2005
- Supervised daily clinic operations for a team of 10-15 staff
- Scheduled staff and related work activities
- Assisted in the preparation and implementation of the annual operating budget, and purchased medical and office supplies within budgetary constraints
- Assisted finance team with the creation of budget reports and other
- Budget-related issues
- Monitored physician schedules to ensure proper flow of patient activity while maintaining patient and staff confidentiality
- Safeguarded the implementation of all compliance systems, and maintained updated patient insurance authorizations and benefits information
- Various administrative duties, including preparation of informational packets and correspondence for patients, general filing, and accounts payable and receivable
Education
Bachelor of Arts (B.A.) - BA - Healthcare Administration
Southern New Hampshire University
2023
Skills
- Computer Skills:
- Microsoft Office Suite, MS Excel, Outlook, PowerPoint, PAC System, working knowledge of organizational Salesforce/Exponent Partners database, and extensive knowledge of local and statewide database systems, including Avatar and Aries
- Organized, detail-oriented, and has contract negotiation skills within the framework of the community
- Collaboration
- Ability to learn quickly
- Strong time management skills and attention to deadlines
- Ability to work with a multi-disciplinary team of providers
Timeline
Administrative Assistant III
Instituto Familiar de la Raza
01.2020 - Current
Program Assistant III Billing Specialist
Instituto Familiar de la Raza
12.2012 - Current
Medical Receptionist
Instituto Familiar de la Raza
06.2006 - 12.2012
Front Desk Manager
SUNY Downstate Department, SUNY Downstate Hospital
10.2005 - 06.2006
Assistant Manager
Doshi Diagnostic Imaging Services
01.1999 - 10.2005
Bachelor of Arts (B.A.) - BA - Healthcare Administration
Southern New Hampshire University
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