Summary
Overview
Work History
Education
Skills
Certificates
Languages
Timeline
Generic

Domenica Fonseca

Evans,CO

Summary

Paralegal with completion of associate, bachelor, masters degree. Emphasis in forensic psychiatry and public policy, and medical ethics. Specializing in behavioral analytics, and contract law,

Overview

Work History

Med Team Associate

NorthRange Behavioral Health
  • Job responsibilities based on being the liaison between psychiatrists/ med team and clients
  • Updates on the medical team include monitoring lab results, Suboxone program regulations, and court mandates
  • Paperwork includes copy and/or electronic documents; perform routine record keeping; compile, research, process relevant case information
  • Assist in contacting customers to obtain information to solve problems and case related errors, exchange or collect information with clients
  • Review schedules to make necessary corrections; complete accurate and timely data entry
  • Collaborate with other team members to ensure a highly satisfying experience for clients
  • Drafting and handling documentation around clients
  • And training of consent and permissions in regards to HIPAA
  • Responsible for acting as the lead Credentialing Specialist and assists in the development, implementation and monitoring of the credentialing process required by State and Federal laws, hospital accreditation and NCQA standards.
  • Reviewing all files for accuracy and completeness, performing credentialing analysis, reviewing physician data management, and preparing policies and procedures to meet licensing standards.
  • Prepared a variety of documents using a number of databases, graphics, spreadsheets, and word processing software applications. Provides general office support services (e.g. filing, telephones, word processing, etc.) as required or directed.

Paralegal

Manuel Insurance Company
  • Conduct Contracts, Finalize court dates, represent insurance policies in court, write dispositions, overview policies and regulations pertaining to internal and commercial insurance
  • Assist attorneys with preparing and filing legal documents related to estate planning, estate administration (probate), tax, and corporate matters
  • Prepare and organize documents for estate planning, including wills, trusts, powers of attorney, and health care directives
  • Support corporate transactions, including entity formation, governance documents, and Colorado Secretary of State filings
  • Draft real estate documents, such as deeds, and review related legal descriptions
  • Maintain and manage client files, ensuring all documents are accurately filed and easily accessible
  • Experience with e-filing in state courts (CCE)
  • Ability to docket/calendar matter deadlines
  • Administrative duties such as scheduling meetings, conference calls, etc
  • Communicate with clients, government agencies, and other stakeholders to gather necessary information and provide updates on the matter's progress
  • Closely assist attorneys with circulation, organization, scheduling and execution on a wide range of transactional, contract, and litigation matters.
  • Assist with SEC filings, NASDAQ reporting, corporate filings, proxy statement drafting, corporate governance matters and Board of Directors support.
  • Review, digest, and extract critical deadlines, case information, and other pertinent information from emails, correspondence, and other documents for entry into a database and run complex queries to generate and format reports as requested by legal team or internal clients.

Case Manager

Johnstown heights Behavioral Health
  • Maintain a caseload of clients in accordance with department policy, to gain optimal functioning and sustain improvements in health management
  • Coordinating after care appointments, ensuring care within compliance
  • Understanding of hospital reports and quality of care
  • General Understanding of Joint Commissions and HBIPS
  • Compliance and understanding of HIPAA and patient rights
  • Documenting and keeping reports for patients as well as legal documents/requirements regarding care
  • Collect, assemble, check and file resident charts and records as required
  • Prepare folders and maintain records of newly admitted residents and discharge residents
  • Organize discharge and Medicare record charts performs monthly thinning and filing of medical charts
  • Processes daily mail to be sent to physicians for signatures
  • Coordinate Medical Records Consultant visits
  • Understands and adheres to the guidelines of Resident Rights
  • Use clinical tools, data, and other information to complete assessments of patient needs create individualized and comprehensive case management and treatment plans
  • Clearly explain the reason for prescribed treatments and treatment plans to patients
  • Communicate with patients, physicians, and specialists to secure successful outcomes
  • Document medical information in the EHR
  • Follow case and quality management processes in compliance with regulatory guidelines and company procedures
  • Provide leadership, mentorship, and guidance to the teams.
  • Provide direct supervision and conduct weekly meetings with the Primary Therapists and Operations Manager.
  • Support the Operations Manager in overseeing Residential Counselor and Chef
  • Review and co-sign clinical documentation in the clients’ medical records;
  • Facilitate weekly Treatment Team meetings
  • Ensure discharge planning and insurance authorization is being coordinated effectively for each client.

Medical Records Director

Johnstown Heights Behavioral
  • Oversaw secure transfer of patient records to other health care providers to support requests and authorizations.
  • Evaluated requests for information and maintained and tracked releases to comply with federal and state laws.
  • Developed and implemented record storage and retrieval system to comply with record retention laws and maintain accessibility.
  • Created and maintained safeguards against unauthorized access and use of computer-based medical records.
  • Ensure that safety protocols and clinical policies and procedures are being consistently adhered to by staff.
  • Create and maintain a positive, collaborative team culture and collaborate with the Operations Manager
  • Participate in the clinical on-call rotation and provide phone-based support to on-site staff
  • Ensure strict adherence to HIPAA regulations and guidelines in all aspects of medical record handling, including data entry, communication, and record management.
  • Provide guidance on ASAM/LOCUS guidelines and DSM-5 criteria to support accurate documentation and patient care.
  • Oversee billing processes related to Substance Use Disorder (SUD) and Mental Health (MH) services, ensuring compliance with payer criteria for all major payers.
  • Conduct audits of payer medical record requests, including SIU post-payments, pre-payment, and QoC/risk adjustment audits.
  • Run daily, weekly, and monthly reports to monitor team performance, compliance, and operational metrics.
  • Mentor and lead the HIM team, fostering a culture of excellence and continuous improvement.
  • Collaborate with other departments to ensure comprehensive record management and compliance.

Education

Paralegal certification - Public Ethics and Relations

California Polytechnic University

Bachelors - Forensic psychology, Legal studies

New York University

Masters - Philosophy

University of Northern Colorado

Skills

  • Legal understanding
  • Professionalism
  • Project/Case Management
  • Compose letters/ proposals
  • Detail Oriented
  • Interpersonal skills
  • Problem Solving Skills
  • Management and team leading
  • Organization
  • Administration
  • Create and build relations
  • HBIPS
  • Multitask
  • Self driven

Certificates

  • Paralegal certificate
  • Litigation
  • Contract Law Regulation Certification
  • Notary License
  • A.B.A therapy
  • Psychotherapy

Languages

Spanish
Native or Bilingual

Timeline

Bachelors - Forensic psychology, Legal studies

New York University

Masters - Philosophy

University of Northern Colorado

Med Team Associate

NorthRange Behavioral Health

Paralegal

Manuel Insurance Company

Case Manager

Johnstown heights Behavioral Health

Medical Records Director

Johnstown Heights Behavioral

Paralegal certification - Public Ethics and Relations

California Polytechnic University
Domenica Fonseca