Summary
Overview
Work History
Education
Skills
Certification
Volunteering
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Hi, I’m

Dria Riley

Healthcare Administrator
Ocoee,FL
Dria Riley

Summary

Motivated individual with experience in customer service and sales. Skilled in building customer relationships and understanding customer needs. Strong communication and interpersonal skills for providing superior customer service.

Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

10
years of professional experience
7
Certification

Work History

Organogenesis

Physician Benefit Liaison
02.2022 - 01.2023

Job overview

  • Brought stability to analytics group and delivered sustainable data for use with primary care physicians on cost of care strategies.
  • Developed monthly newsletter sent to practitioner offices with informative business practice articles and suggestions for promoting brand awareness.
  • Provided details on building referrals and managed relationships with physicians.
  • Identified decision makers within organizations, made appointments and engaged with these individuals to cultivate referral opportunities.
  • Documented all correspondence with practitioners' office staff and kept accurate records using CRM.
  • Developed highly effective communication, interpersonal and persuasion skills, which were used for interacting with people of all different backgrounds and cultures.
  • Built and maintained positive relationships with public by utilizing strategic plans.

Loyal Source Government Services, LLC

Government Recruiter
03.2021 - 02.2022

Job overview

  • Conducted phone interviews to assess applicants relevant knowledge, skills, experience and aptitudes.
  • Built strong relationships with internal and external candidates to ensure an excellent hiring experience.
  • Advertised job opportunities on social media platforms and job boards.
  • Conducted reference checks, background screening and other pre-employment checks to verify information on applicant's resume.
  • Coordinated schedules to arrange management interviews with applicants.
  • Evaluated strengths and weaknesses of candidates through effective screening processes.
  • Assisted with onboarding and orientation of new hires to expedite acclimatization process.
  • Studied job descriptions and qualifications to determine applicant requirements.
  • Developed recruiting strategies to identify qualified candidates and build network.
  • Collaborated with hiring managers to understand job requirements and expectations.
  • Developed and implemented plans to improve recruitment process.
  • Operated and maintained applicant tracking and candidate management systems.
  • Placed advertisements, evaluated applicant credentials, conducted initial interviews and pre-screening assessments.

United BioSource Corporation

Senior Reimbursement Specialist
12.2019 - 09.2020

Job overview

  • Followed up on denied and unpaid claims to resolve problems and obtain payments.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Monitored and documented accounts receivable trends and account-specific profitability.
  • Compiled department-specific reports to help senior managers identify trends and improve progress.
  • Created documents in accordance with payer guidelines and submitted to appropriate parties.
  • Helped minimize escalations by reaching out to clients in advance of expected problems.
  • Performed multiple states and federal regulations compliance audits related to documentation and reporting.
  • Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.
  • Built proactive, client-specific edits into system to prevent future denials.
  • Served people of different backgrounds with polished people skills and advanced abilities.
  • Managed book of business assigned in accounts receivable, applying insurance expertise and exemplary customer service.

CSI Specialty Group

Talent Acquisition Specialist
05.2018 - 09.2019

Job overview

  • Evaluated resumes, interviewed, and presented qualified candidates to hiring managers and solicited feedback to refine recruiting strategy.
  • Created and distributed job postings on job boards, corporate career sites and social media networks to increase reach.
  • Provided regular updates to hiring managers and HR staff on recruitment activities and progress.
  • Conducted telephone and in-person interviews to assess candidate experience and qualifications.
  • Developed and maintained applicant tracking system, tracking all job openings, applicants and interviewing activity.
  • Utilized social media platforms to source potential candidates and build pipeline of qualified talent.
  • Collaborated with hiring managers to determine job requirements and understand departmental needs.
  • Sourced and screened candidates for entry level medical roles as well as C-suite executives and worked with hiring managers to coordinate interviews, offers, and onboarding.
  • Sourced and screened candidates for C-Suite executives roles and worked with hiring managers to coordinate interviews, offers, and onboarding.
  • Developed and maintained strong working relationships with executives, HR team, and hiring managers to foster partnerships that produced consistent results.
  • Acted as brand ambassador to educate candidates on culture, career growth, benefits, and advantages of working for company.
  • Implemented innovative recruitment strategies to increase number of high-quality job applicants.
  • Compiled reports on recruiting activity to illustrate time-to-fill, cost-per-hire, and source of hire.
  • Negotiated contracts and managed budget for recruiting expenses.
  • Pre-screened resumes prior to sending to corporate hiring managers for consideration.
  • Assisted with writing job postings and job descriptions for boards.
  • Collaborated with managers to identify and address employee relations issues.
  • Generated and analyzed reports to monitor employee engagement and attrition trends.
  • Improved office efficiency by effectively managing internal communications and correspondence.
  • Improved organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
  • Advocated for staff members, helping to identify and resolve conflicts.

Rotech Healthcare

Intake Coordinator III
05.2016 - 04.2018

Job overview

  • Completed intake assessment forms and filed clients' charts.
  • Answered phone calls and provided new clients with required paperwork to initiate service.
  • Collected, verified, recorded and processed client demographics, insurance payments, and referral information.
  • Communicated with referral sources, physicians, and associated staff to check documentation for proper signatures.
  • Entered referrals into appropriate system based on type of referral obtained.
  • Explained eligibility requirements, application details, payment methods, and applicants' legal rights during intake assessment.
  • Liaised between insurance carriers and healthcare providers to maintain continuity of care.
  • Worked with clinical and operations teams to facilitate client placement and obtain appropriate services for clients.
  • Trained and supervised new intake staff to deliver high-quality client care.
  • Attended case reviews and provided feedback on client progress.
  • Maintained up to date knowledge of Medicare and Medicaid rules, regulations, and requirements.
  • Worked as a Medicare Competitive Bid associate.
  • Preformed as a CMMS Subject Matter expert for lower level Coordinators.

Education

Ashford University
San Diego, CA

Bachelor of Science from Healthcare Administration
05.2015

University Overview

Skills

  • Patient Volume Promotion
  • Referral Source Identification
  • Public Relations and Sales
  • Creative Thinking
  • Data Analysis
  • Sales and Marketing
  • Math Skills and Analytics
  • Provider Interaction and Engagement
  • Calendar Software
  • Staff Education
  • Office Support
  • Effective Written and Verbal Communication
  • Special Events
  • Quality Standards
  • Audit Processes
  • Internal Communications
  • Professional Business Writing
  • Physician Recruiting
  • Community Outreach Techniques
  • Office Operations
  • Patient Data Management Systems
  • Community Events
  • Patient Intakes
  • Presentation Materials
  • Quality Patient Care
  • Group Management
  • Computerized Maintenance Management Systems
  • Quality Improvement Activities
  • Contact Database Management
  • Facebook and Twitter
  • Patient Safety
  • Social Media Monitoring

Certification

  • HIPAA Certified , Pryor Learning- [09/2019]
  • Health Informatics for Innovation and Value Certification, Coursera - [06/2019]. HXL5US7TT4T
  • Project Management Certified, Management & Strategy Institute- [05/2020]. 50072788
  • Lean Six Sigma Certified, Management & Strategy Institute [05/2020]. 505425590
  • Conflict Resolution, Pryor Learning - [10/2018]

Volunteering

Volunteering

Miles Ahead

Project Manager 2014- Current

  • Coordinating weekly tutoring sessions.
  • Managing mentorship meetings and outings schedule.
  • Organizing back to school backpack drive.
  • Pricing and purchasing school supplies .
  • Setting schedules for volunteers to organize and stuff backpacks.
  • Coordinating with local police department and City Hall to schedule annual community walk.
Availability
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Quote

Judge a man by his questions rather than his answers.
Voltaire

Timeline

Physician Benefit Liaison
Organogenesis
02.2022 - 01.2023
Government Recruiter
Loyal Source Government Services, LLC
03.2021 - 02.2022
Senior Reimbursement Specialist
United BioSource Corporation
12.2019 - 09.2020
Talent Acquisition Specialist
CSI Specialty Group
05.2018 - 09.2019
Intake Coordinator III
Rotech Healthcare
05.2016 - 04.2018
Ashford University
Bachelor of Science from Healthcare Administration

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Dria RileyHealthcare Administrator