Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills.
Overview
15
15
years of professional experience
Work History
Health Information Supervisor
Archie Hendricks Sr. Skilled Nursing Facility
Sells, AZ
08.2023 - Current
Maintains admissions, discharge and daily census logs as required.
Manage resident admissions and discharge and referrals to other facilities, home health agencies and hospice based on resident and family needs, preferences and resources.
Conducted audits of medical records to ensure proper documents are entered.
Review patient charts for accuracy of diagnosis codes.
Acted as a liaison between multiple agencies providing assistance to clients.
Assessed client eligibility for government benefits such as Medicaid or Social Security Disability Insurance.
Summarizing patient's progress over time.
Created and maintained patient records, tracking progress towards goals.
Assisted with the coordination of care between providers, families, and other community resources.
Health Information Management Supervisor
Gila River Healthcare
Sacaton, AZ
11.2020 - 08.2023
Maintain all resident medical data in Point Click Care
Scan all clinical documentation in house and from outside medical facilities into resident’s electronic chart
Files, withdraws, issues and maintains patient/resident case files
Interprets and edits resident data
Implements policies and procedures for documenting, storing, and retrieving information, and for processing medical and legal documents, insurance data, and correspondence requests, in conformance with federal, state, and local regulations and requirements
Ensures that no resident data is entered into the wrong resident medical record
Answers inquiries relating to information contained in resident charts and data files
Analyzes patient data for reimbursement, facility planning and quality of patient care, risk management, utilization management, and research
Member of PCC development team, improve work flow for TCH staff
Improve quality assurance be running audits daily and as requested to improve workflow for staff
Supervise HIM team and unit clerks, hiring/terminating, payroll, and evaluations.
Case Manager Trainer
Gila River Healthcare
Sacaton, AZ
04.2019 - 11.2020
Coordinates and conducts new employee orientation and on-boarding
Acts as the point person and coordinator for BHS training, HR, and IT related functions
BHS point person for NextGen training, troubleshooting and encounter/billing errors
Coordinates and conducts new employee departmental orientation and on-boarding, including computer applications, policies, procedures and on-the-job training to ensure adherence to GRHC and departmental Mission
Acts as liaison between BHS and various GRHC departments
Operates as point person for BHS staff NextGen training as well as troubleshooting and resolving staff encounter errors, billing and insurance complications prior to escalating concerns to Information Technology and Clinical Application staff
Designs, develops and implements training curricula across various learning modalities, evaluating and modifying training content to meet the needs of staff
Works as liaison between BHS and Human Resources, Employee Health, Information Technology, Facilities and Fleet Management to ensure documentation and clearances have been processed for New Employees, Contracted Staff, and Student Interns.
Office/Transportation Manager
Gila River Healthcare
Sacaton, AZ
06.2017 - 04.2019
Review, analyze, and manage payroll for staff of 100+
Assists with identifying needs and developing and implementing personnel policies and procedures, explaining personnel policies to employee
Perform 90 day and annual evaluations for staff
Assist with leave programs such as FMLA and short term disability
Maintain budgetary records for fiscal year
Run, review, and analyze weekly/monthly service reports and call center productivity
Investigate and follow up on staff and customer complaints to ensure timely response and appropriate resolution to concerns
In charge of all GRHC fleet (250+ vehicles)
Maintaining invoices for all maintenance done
Vehicle accident reporting
Responsible for trade ins/transfer/disposal of vehicles
Monthly gas receipts (90+ vehicles-logging into spreadsheet and bank statements
Monitor all fleet PM's and VIR sent out on a daily basis
Obtain quotes for fiscal year vehicle purchases for all departments at GRHC
Making sure all 3rd party vendors are in compliance with permit regulations and are up to date for annual renewals
Manage transportation trainer-making sure drivers are up to date with all certifications pertaining to GRHC policies and procedures.
Biller/Coding Assistant
Gila River Healthcare
Sacaton, AZ
03.2012 - 06.2017
Primary responsible was the admission and referral process of incoming BHS patients
Enter the referral in the medical record system and making sure patient has medical insurance coverage
If no insurance I assisted with helping apply for AHCCCS, this is done through the Health E App of Arizona
Monitor referrals for completeness, tracking the referral through the process
Pull progress notes for monthly billing
AHCCCS verification on patients and register intakes daily for new patients
Prepare monthly financial reports to finance and executive team, breaking down the 7 million monthly targets by clinics and providers monthly revenue
Assisted assigning diagnosis and procedure, ICD-9 and CPT
Enter patient information from patient medical records, billing, and coding documents.
Department Support Assistant
Gila River Healthcare
Sacaton, AZ
09.2009 - 03.2012
Project and event management
Appointment and calendar scheduling for therapist and patients
Process correspondence, reports, presentations, and department manuals on policy and procedures
Greet visitors or callers and direct them to the appropriate persons according to their needs.
Education
B.S. Technical Management - Health Care Management
DeVry University
06.2016
Billing And Coding Certification -
Carrington College
04.2012
Human Services Assistance Customer Service -
Rio Salado College
06.2001
Skills
Medical Terminology
Coding: CPT, ICD-10
Case Management
Confidentiality and strong work ethics
Good communication and interpersonal skills
HIPPA
NextGen Systems/Point Click Care
Finger Print Clearance
Rapid Claims Process
Able to Multi-task
Timeline
Health Information Supervisor
Archie Hendricks Sr. Skilled Nursing Facility
08.2023 - Current
Health Information Management Supervisor
Gila River Healthcare
11.2020 - 08.2023
Case Manager Trainer
Gila River Healthcare
04.2019 - 11.2020
Office/Transportation Manager
Gila River Healthcare
06.2017 - 04.2019
Biller/Coding Assistant
Gila River Healthcare
03.2012 - 06.2017
Department Support Assistant
Gila River Healthcare
09.2009 - 03.2012
B.S. Technical Management - Health Care Management