Edward Jones
San Diego,United States
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
5
5
years of professional experience
Work History
Program Support Assistant
Veteran Affairs San Diego Health Care System
San Diego, United States
11.2023 - Current
- Responsible for specialized duties to accomplish the mission and function of the credentials program at the VAMC
- Regulated requirements, policies and procedures or issues and concerns pertaining to the credentialing program
- Assisted C&P Manager or Analyst in drafting local credentialing procedures for Licensed Independent Providers and Non-LIPs
- Received and reviewed correspondence and communications for the credentials function and determined which items require immediate attention and which are confidential in nature
- Received and reviewed VetPro reports detecting problem areas requiring further investigation
- Managed provider applications for Non-LIPs credentialing within the VAMC
- Ensured primary source verification to include, but not limited to, state licenses, certifications, and required certifications
- Assured application packages and other documents meet technical requirements per specialty of provider and assures application folder and database account (VetPro or other internal databases and spreadsheets) meet technical requirements
- Communicated with Non-LIPs to assure timely completion of applications and VetPro requirements
- Determined processes for coordination of incoming data and documents from a variety of sources, documents include, but are not limited to, VA applications for employment, primary source verifications of education and training, peer recommendations, licensure, certifications
- Reviewed documents and applications for omissions and inconsistencies and assures data entry is complete
- Analyzed and managed issues related to documents that do not meet expected requirements, regulations or guidelines such as adverse actions against licensures, certifications, and NPDB) CQ reports
- Conducted final appointment's into the VetPro database, after thoroughly researching, analyzing and validating all data, information, documents and signature authorities
- Delegated authority to initiate requests for information to the NPDB, and to respond to correspondence for requests for provider credentialing information from external entities in accordance with the System of Records Notice 77VA10E2E
- Developed and provided routine and special reports as requested by the C&P Manager/Analyst
- Composed correspondence requiring Clinical Service Chiefs and Medical Center Director signatures for credentialing actions
- Maintained local VAMC requirement files and records pertaining to the credentialing process
- Maintained confidentiality of information in accordance with the Privacy Act in releasing information
- Managed, administered and assured accuracy, security and maintenance of operations of database systems
- Provided quality control checks on data
- Meet the needs of customers, while supporting VA missions
- Consistently communicated and treated internal and external customers in a courteous, tactful, and respectful manner
- Provided the customer with consistent information according to established policies and procedures
- Handled conflict and problems in dealing with the customer constructively and appropriately
- Purchase card holder and is responsible for maintaining records, reconciling monthly charge statements and verifying legitimacy of requests for NPDB Single and CQ enrollments/ renewals, licensure verification, National Student Clearing House, Work Number and certifications.
Advanced Medical Support Assistant
Veteran Affairs San Diego Health Care System
San Diego, United States
06.2020 - 11.2023
- Updated outdated patient information to maintain current records
- Scheduled appointment for patients via phone and in person
- Led patients to exam rooms, answered general questions and prepared patients for physician by explaining process
- Educated patients about medications, procedures and physician's instructions
- Contacted pharmacies to submit and refill patients prescriptions
- Answered phones, scheduled appointments, greeted patients
- Verified appointment times with patients, preparing charts, pre admission and consent forms
- Communicated with patients by phone and via written correspondence
- Transmitted physician's orders to patients, counseling on execution and addressing follow up questions
- Mental Health Environmental Care representative
- Ensuring the highest level of safety on the inpatient unit
- Primary point of contact to put in work order for La Jolla Mental Health IUl
- Answered appointment calls to streamline office operations
- Coordinated services with medical and office staff to improve patient satisfaction, engagement and compassionate care
- Improved patient care and daily task efficiency resulting in smoother operations
- Promoted continuity of care by accurately and completely communicating patient status to fellow caregivers
- Place and maintain work orders, ensuring that orders that are placed are completed through appropriate channels
- Manage clinical schedules for Transcranial Magnetic Stimulation treatments
- Managed clinical schedules for Ketamine and Esketamine treatments in Neuromodulation clinic
- Forward Secure messages to appropriate authorities
- Responded to Voicemails left for mental health
- Admitted and Discharged veterans from SARRTP rehabilitation program
- Communicated procedures for community care providers in network
- Order supplies for Mental Health Department: to include paper and ink cartages
- Scan Admission/Discharge Packets for the Substance Abuse Residential Rehabilitation Treatment Program (SARRTP)
- Accurately scan ROI forms in the Mental Health Department
- Scan consent forms for Ketamine Health Department
- Assist veteran's in need to navigate VA healthcare, ensuring veterans are getting enrolled, getting to appointments, receiving transportation and follow up to make sure veterans were taken care of.
Accounting Intern
M&N Foods
San Marcos, United States
05.2019 - 08.2019
- Experience in QuickBooks and Paycom reconciling between systems
- Handled employee insurance information through Kaiser and Metlife.
IT Intern
Restaurant Del Sur
San Marcos, United States
05.2019 - 08.2019
- Replaced computer hard drives and cash registers
- Went to different company stores and made data configurations on the stores computer system.
Education
Bachelor's degree - Business Management
Kentucky State University
12.2019
Associate's degree - Economics
Santa Barbara City College
05.2017
Languages
Spanish
Spoken: Novice
Written: None
Reading: Novice
Timeline
Program Support Assistant
Veteran Affairs San Diego Health Care System
11.2023 - Current
Advanced Medical Support Assistant
Veteran Affairs San Diego Health Care System
06.2020 - 11.2023
Accounting Intern
M&N Foods
05.2019 - 08.2019
IT Intern
Restaurant Del Sur
05.2019 - 08.2019
Bachelor's degree - Business Management
Kentucky State University
Associate's degree - Economics
Santa Barbara City College
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