Experienced finance and administration professional with a focus on team collaboration and achieving results. Skilled in financial planning, budgeting, and resource management, with a track record of adapting to changing organizational needs. Recognized for reliability, strategic thinking, and effective communication. Contract Specialist with 3 years of experience in contract administration and management. Proficient in monitoring contractor performance, ensuring compliance with contract requirements and funding. Detail-oriented in planning and managing procurement programs and contracting activities. Committed to resolving contractor performance issues by devising solutions and ensuring policy and regulatory compliance. Expertise in terms and conditions, contract practices, and regulations.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Contract Specialist
Tohono O'odham Nation
Sells, AZ
05.2024 - Current
Ensured timely fulfillment of contractual requirements by closely monitoring progress and addressing potential issues proactively.
Reviewed current contracts to identify upcoming contract expirations and coordinated with stakeholders to analyze contract renewals and re-negotiation.
Reviewed contract plans and project specifics for thorough understanding.
Stored and filed contract documents in orderly, organized systems.
Monitored incoming contracts and service agreements for correct pricing and information.
Patients Service Representative
Native American Connections
Phoenix, AZ
04.2024 - 05.2024
Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
Verified insurance eligibility and coverage for patients.
Enhanced office efficiency by managing multi-line phone systems and promptly directing calls to appropriate personnel.
Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
Entered patient demographic and insurance data into electronic medical record system.
Practice Manager
Native American Health Center
Phoenix, AZ
04.2023 - 03.2024
Identified opportunities for additional services or expansion within the practice based on market research analysis.
Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
Supervised team of 15 office personnel.
Consulted with healthcare professionals on business decisions.
Provided supervision and management to team of support personnel.
Addressed and remedied all patient or team member issues.
Developed and implemented strategies to improve patient access, satisfaction and care quality.
Improved patient flow through office by redesigning check-in and check-out processes.
Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
Increased patient satisfaction by streamlining appointment scheduling and implementing efficient check-in processes.
Resident Support Specialist
Native American Connections
Phoenix, AZ
02.2023 - 03.2023
Promoted a positive living environment by fostering strong relationships between residents, staff, and family members.
Maintained confidentiality of resident information and records, adhering to all applicable laws, regulations, and organizational policies.
Coordinated recreational activities to promote socialization among residents while addressing their diverse interests and abilities.
General Service Director/Contracting Officer
Winslow Indian Health Care Center
Winslow, AZ
04.2021 - 02.2023
Managed budgets and resources, ensuring optimal allocation for maximum impact on service delivery outcomes.
Implemented training programs for staff development, enhancing skills and knowledge for improved overall performance.
Ensured compliance with industry regulations and standards, maintaining a safe working environment for staff and customers alike.
Collaborated with cross-functional teams to identify opportunities for process improvement, reducing downtime and increasing productivity.
Improved customer satisfaction by implementing efficient service processes and streamlining communication channels.
Actively participated in recruitment drives to select skilled candidates who contributed positively to the organization''s growth.
Evaluated vendor relationships, negotiating contracts for better pricing terms while maintaining quality standards.
Created and managed budgets, efficiently allocating resources for social and community service projects.
Managed complex contracts to achieve optimal results, balancing organizational needs with regulatory compliance.
Facilitated effective communication between stakeholders throughout the contracting process, ensuring smooth execution of projects from inception to completion.
Negotiated favorable contract terms for the organization, ensuring cost savings and mutual benefits.
Used standard forms and templates based on individual circumstances, amending as necessary to keep contractual language relevant to evolve with revised standards.
Conducted thorough market research to identify potential suppliers and evaluate their capabilities.
Maintained database systems to track and analyze operational data.
Evaluated staff performance and provided coaching to address inefficiencies.
Collaborated with cross-functional teams to develop comprehensive acquisition strategies and award contracts in a timely manner.
Increased supplier diversity by actively seeking out small businesses and minority-owned suppliers for contracting opportunities.
Proactively addressed potential disputes or conflicts within contracts, working closely with legal counsel when necessary to resolve matters in a timely fashion.
Reduced contract processing time with thorough analysis and timely decision making.
Maintained accurate records of all contractual agreements to ensure proper documentation for future reference or audits.
Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
Conducted regular reviews of operations and identified areas for improvement.
Educated staff on organizational mission and goals to help employees achieve success.
Gathered, organized and input information into digital database.
Revenue Cycle Manager
Winslow Indian Health Care Center
Winslow, AZ
04.2020 - 04.2021
Completed financial reporting and analysis for billing revenue cycle.
Reduced days in accounts receivable by implementing more efficient follow-up procedures with payers.
Supported clinical team members with revenue cycle procedures and addressed issues.
Enhanced revenue by optimizing claims submission process, ensuring timely and accurate billing.
Achieved significant improvements in cash flow by refining patient payment collection process.
Enhanced interdepartmental collaboration, leading to more cohesive approach to revenue cycle management and improved financial outcomes.
Monitored and guided revenue cycle operations.
Improved revenue cycle efficiency by streamlining processes and implementing best practices.
Coordinated with finance team to produce accurate monthly reports on collection metrics and trends.
Spearheaded integration of new electronic health records system, ensuring seamless data flow and improved billing accuracy.
Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
Collaborated with IT to develop new revenue cycle management software, leading to improved tracking and reporting of key financial metrics.
Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
Utilized financial software to prepare consolidated financial statements.
Created financial dashboards to provide insights into key performance indicators.
Supported financial director with special projects and additional job duties.
Census Field Supervisor
Navajo Nation Census Bureau
Window Rock, AZ
01.2020 - 04.2020
Promoted an inclusive working environment by fostering open dialogue among team members about diversity-related concerns or challenges they encountered during fieldwork assignments.
Streamlined team operations by developing and implementing efficient work schedules for census takers.
Enhanced data accuracy by conducting thorough field address canvassing and updating the census database accordingly.
Patient Registration Director
Tuba City Regional Health Care
Tuba City, AZ
09.2013 - 09.2019
Developed performance metrics for the Patient Registration team, driving continuous improvement initiatives.
Maintained departmental compliance with relevant state and federal regulations, ensuring ongoing adherence to required standards.
Collaborated with other department supervisors to improve overall hospital operations and patient satisfaction.
Mentored junior staff members, fostering professional growth and development within the department.
Coordinated staff training sessions on regulatory changes or updated software systems as needed to remain current in industry best practices.
Reduced errors in patient data entry by implementing thorough training programs for all team members.
Facilitated cross-departmental communication to ensure seamless coordination during high-volume periods or emergencies.
Managed sensitive patient information with utmost discretion and compliance with HIPAA regulations.
Established strong working relationships with healthcare providers and insurance companies, promoting seamless coordination of patient registration processes.
Resolved complex patient registration issues promptly and professionally, maintaining positive relationships with patients and their families.
Conducted regular performance evaluations for direct reports, providing constructive feedback aimed at promoting personal development.
Enhanced patient experience by streamlining the registration process and reducing wait times.
Identified opportunities for cost-saving measures within the department without compromising on quality or efficiency of services provided.
Evaluated existing workflows and implemented improvements to increase overall productivity within the department.
Assisted in recruiting top-tier talent for open positions within the Patient Registration team, contributing to increased overall performance levels.
Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Delegated tasks to administrative support staff to organize and improve office efficiency.
Implemented project management techniques to overcome obstacles and increase team productivity.
Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Developed internal requirements and standards to minimize regulatory risks and liability across programs.
Completed bi-weekly payroll for 67 employees.
Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
Denials Management Supervisor
Tuba City Regional Health Care
Tuba City, AZ
03.2012 - 09.2013
Coordinated efforts between various departments to facilitate seamless workflow and optimize overall project outcomes.
Evaluated employee performance regularly using objective metrics, providing constructive feedback for continuous improvement opportunities.
Enhanced team productivity by implementing effective project management strategies and streamlining communication processes.
Exceeded performance targets consistently by setting clear expectations, holding staff accountable for results, and providing ongoing support for personal growth.
Established team priorities, maintained schedules and monitored performance.
Assisted in organizing and overseeing assignments to drive operational excellence.
Patient Benefits Coordinator
Tuba City Regional Health Care
Tuba City, AZ
09.2011 - 03.2012
Reduced instances of denied claims through meticulous attention to detail when completing paperwork on behalf of clients.
Maintained strict confidentiality of patient information in compliance with HIPAA regulations while managing sensitive data.
Assisted patients in understanding their insurance coverage, explaining plan details and coordinating necessary authorizations.
Demonstrated flexibility by adapting to changing priorities and effectively managing multiple tasks simultaneously.
Developed strong relationships with both patients and providers by consistently demonstrating professionalism and empathy.
Provided exceptional customer service to patients, addressing their concerns and answering questions regarding insurance benefits.
Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
Denials Specialist
Tuba City Regional Health Care
Tuba City, AZ
04.2011 - 09.2011
Contributed to company-wide initiatives aimed at improving overall revenue cycle performance through targeted interventions addressing claim denials specifically.
Enhanced revenue recovery with strategic follow-ups on unresolved denials.
Negotiated effectively with insurance carriers, securing rightful payments for complex denial cases.
Optimized workflow processes to improve team's ability to manage high volumes of claims.
Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status.
Identified root cause of denials to provide plans for denial resolution.
Conducted in-depth analysis of inquiries and complaints to compose appeal letters for clients.
Participated in cross-functional projects focused on improving end-to-end revenue cycle performance, leveraging expertise in denial management as a key contributor.
Collaborated with billing department staff to ensure accurate coding and charge entry, minimizing future claim denials.
Education
Bachelor of Arts - Healthcare Management
Phoenix, AZ
12.2010
Associate of Arts - Business Administration
Phoenix College
Phoenix, AZ
08.2004
Skills
Management and supervisory
Program/project management
Multi-tasker
Grants & contract experience
Negotiating skills
Procurement
Financial reporting
Accountable
Ethical
Analytical
Resolute
Resourceful
Computer experience
Outlook
Software programs
Contract negotiation
Regulatory compliance
Contract management
Risk assessment
Document management
Customer service
Data analysis
Process improvement
Project management
Team collaboration
Effective communication
Attention to detail
Problem solving
Documentation review
Financial management
Contract compliance
Research and analysis
Contract administration
Contract oversight
Contract closeouts
Requests for information
Accomplishments
Successfully implementing processes, systems used in healthcare facilities today, Van pool, Material destruction, implementing patient access system in healthcare, implementing the healthcare IDC-10 mandated system in 2014.
Knowledge Skills Abilities
Management and supervisory
Program/Project management
Multi-tasker
Grants & contract experience
Negotiating skills
Procurement and financial reporting
Accountable
Dependable
Ethical
Analytical
Resolute
Resourceful
Computer experience in Outlook and other software programs
Languages
English
Professional Working
Interests
Group activities
Sports games
Reading Books
Certification
Previously held Certified Revenue Cycle Representative (CRCR) with HFMA Association.
Supervisory Management, 2022 with Falmouth Institute