Ida Swanson
IT-IAM, Clinical Account Provisioning Functional Manager
Hayward,CA
Summary
Dedicated Clinical Account Provisioning Manager at UCSF Medical Center, with over 25 years of experience in clinical account provisioning and regulatory and compliance standards. Adept in Product Lifecycle Management and fostering Teamwork and Collaboration. Streamlined provisioning processes, enhancing team efficiency, and spearheaded cross-functional projects to exceed service standards. Demonstrated exceptional problem-solving abilities and organizational skills, achieving significant cost reductions and productivity improvements.
Overview
36
36
years of professional experience
Work History
Clinical Account Provisioning Manager
UCSF Medical Center
02.2011 - Current
- Managed a diverse project portfolio, consistently meeting deadlines and maintaining high-quality standards; oversaw detailed project plans from inception through completion.
- Led team training initiatives to develop employee skills, improve job performance, and foster career growth; coordinated communication efforts to facilitate shared objectives and foster collaboration.
- Streamlined provisioning processes and implemented workflow improvements, boosting team efficiency and productivity.
- Collaborated with cross-functional teams and IT to integrate new systems, processes, and applications, enhancing productivity and efficiency.
- Participated in onboarding new managers, providing training and resources for requesting clinical account access.
- Developed strong vendor relationships, resulting in improved service levels and reduced costs.
- Developed and designed Graduate Medical Education (GME) processes with the SOM and GME office for our Residents & Fellows; designed and instituted Donor Network West (DNW) formally California Transplant Donor Network (CTDN) procedures and workflows with Nursing Informatics.
- Created comprehensive departmental documentation for policies and procedures, streamlining departmental employee onboarding and training; developed workflow for UCSF Community Connect MD Link providers.
- Participated in the implementation of UCSF’s second electronic health record (EHR) and redesigned the ARF to accommodate dual EHRs.
- Yearly participation internal and external audits. To ensure regulatory compliance, timely management, and process of the clinical account provisioning lifecycle
Access Control Supervisor
UCSF Medical Center
03.2005 - 08.2011
- Built, organized, developed, and led a cohesive team of 10 employees, establishing support hours and after-hours on-call protocols.
- Designed and implemented departmental processes, comprehensive clinical workflows, and consolidated multiple applications and account reforms into a single request form.
- Instituted manager approval processes and guidelines for non-employee account life cycles; collaborated on automating the account request form (ARF).
- Contributed to the development and automation of UCSF’s first electronic health record (UCare) and the medical center’s first clinical account provisioning application.
- Oversaw daily operations, ensuring smooth workflows, timely task completion, and efficient problem-solving to maintain team productivity.
- Trained new employees on access control systems and protocols, handling customer complaints, resolving issues, and adjusting processes to improve satisfaction.
- Conducted performance evaluations, identified areas for improvement, and guided professional development while enhancing team communication and collaboration.
- Implemented efficient workflows, clear expectations, and successful work schedules; developed customer service training materials and conducted training sessions to boost team performance.
Access Control Analyst
UCSF Medical Center
09.1999 - 02.2005
- Managed user accounts, ensuring appropriate access levels were granted based on roles and responsibilities within the organization.
- Responsible for executing and managing mainframe jobs, including payroll, separation, billing statements and adding/removing jobs to the scheduler.
- Developed and maintained detailed records of all user access rights, enabling efficient auditing and accountability measures.
- Led cross-functional projects aimed at improving overall organizational security posture through enhanced access management capabilities.
- Participated in incident response efforts related to unauthorized access or data breaches, assisting in containment and remediation activities.
- Prepared reports to document security breaches and extent of damage caused by breaches.
- Developed and maintained detailed records of all user access rights, enabling efficient auditing and accountability measures.
- Ensured compliance with relevant regulatory requirements by conducting periodic reviews of existing controls and implementing necessary improvements.
Medical Pay Reimbursement Claims Analyst
Farmers Insurance Group, Inc.
08.1996 - 10.1999
- Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
- Negotiated successful settlements with clients, ensuring a mutually beneficial outcome for all parties involved.
- Assisted clients throughout the entire lifecycle of their claim, from initial filing to final settlement.
- Maintained strong working relationships with third-party vendors, such as attorneys, independent adjusters and arbitrators, to facilitate prompt resolution of claims.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Gather, prepare and send all appropriate documentation to arbitration.
- Astute in identifying medication trends, high risks and false claims.
- Negotiated medical pay reimbursement settlement agreements to resolve disputes.
Emergency Billing Specialist
California Emergency Physicians, Inc.
12.1988 - 04.1996
- Managed and complied with California Senate Bill 12 and Assembly Bill 75 (SB12/AB75) regulations for reimbursement for uncompensated provided health care.
- Review medical records to determine and ensure patient were properly charged for the emergency services received.
- Accurately validate and identified the appropriate Current Procedural Terminology (CPT) code for each emergency room visit, procedure and interpretation.
- Worked with multiple departments, such as Medical Records, Patient Financial Services to validate proper coding information.
- Prepared and submitted monthly billing reports to management for Physicians financial overview.
- Used data entry skills to accurately input CPT codes into the hospital system and as well as track and reflect physician charges match and balanced.
- Created improved filing system to maintain secure client data.
Education
Associate of Arts - General Education
Chabot College
Hayward, CA 05.2001 -
High School Diploma -
International Studies Academy
San Francisco, CA 05.2001 -
Skills
Teamwork and Collaboration
Customer Service
Product Lifecycle Management
Problem-solving abilities
Self Motivation
Adaptability and Flexibility
Organizational Skills
Attention to Detail
Documentation
Timeline
Clinical Account Provisioning Manager
UCSF Medical Center
02.2011 - Current
Access Control Supervisor
UCSF Medical Center
03.2005 - 08.2011
Associate of Arts - General Education
Chabot College
05.2001 -
High School Diploma -
International Studies Academy
05.2001 -
Access Control Analyst
UCSF Medical Center
09.1999 - 02.2005
Medical Pay Reimbursement Claims Analyst
Farmers Insurance Group, Inc.
08.1996 - 10.1999
Emergency Billing Specialist
California Emergency Physicians, Inc.
12.1988 - 04.1996
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