Johnelle Chavez
Visalia,CA
Summary
Highly detail-oriented and motivated team leader with a strong work ethic and the ability to excel with minimal supervision. Demonstrates exceptional communication and problem-solving skills, with a proven ability to collaborate effectively with internal teams and external partners while maintaining the highest level of confidentiality. Holds a B.A. in Business Administration with experience in auditing, recordkeeping, banking, and billing. Seeking a challenging opportunity to apply and expand skills in a dynamic professional environment.
Overview
7
7
years of professional experience
Work History
Internal Auditor
Santa Rosa Rancheria Tachi-Yokut Tribal Gaming Commission
Lemoore
03.2025 - Current
- Perform audit programs for regular compliance, operational and financial audits.
- Reviews compliance with National Indian Gaming Commission (NIGC), Minimum Internal Controls, the Tribal state compact, Tachi palace Hotel & Casino System of Internal Control and all other state and federal regulations.
- Interfaces with each entity’s management for each department subject to audit and with the Santa Rosa Rancheria Tachi-Yokut Tribe Gaming Commission.
- Conducts observation of control procedures, interviews personnel and examines electronic and hard copy of records related to audit.
- Identifying all material weaknesses and making recommendations for corrective action.
- Develops detailed audit work papers supporting audit findings and Conduct follow up examinations of entity operations to determine further corrective action or resolutions.
Medical Billing Specialist
Family Healthcare Network
Visalia, CA
08.2022 - 01.2025
- Knowledge of Enhanced Care Management, Specialty, Medicare, Medicare Advantage, Commercial, Managed care, and Medicaid billing.
- Processed and submitted accurate claims for Enhanced Care Management (ECM) services in compliance with state and federal regulations
- Verified patient eligibility and authorization prior to billing. Documented services and ensured timely claim submission.
- Researched and resolved claim denials, payment discrepancies, and rejections
- Maintained accurate records while ensuring compliance with HIPAA and confidentiality standards
- Prepares and submits primary and secondary claims for services rendered according to policies and procedures
- Performs income eligibility analysis for patients and audits sliding fee scale reports.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances. Completed appeals and filed and submitted claims. Submitted refunds.
Temp - Member Service Specialist
Suncrest Bank/Citizen Business Bank
Visalia, CA
12.2021 - 03.2022
- Handled large sums of money with accuracy while maintaining appropriate levels of security.
- Assisted customers with opening new accounts, ordering checks, and setting up online banking services.
- Processed customer deposits and withdrawals accurately, balancing cash drawer daily.
- Maintained confidentiality of bank records, transactions and customer information.
- Processed loan payments by verifying funds availability prior to disbursing funds.
Internal Auditor
Santa Rosa Rancheria Tachi-Yokut Tribal Gaming Commission
Lemoore, CA
01.2019 - 06.2021
- Perform audit programs for regular compliance, operational and financial audits.
- Reviews compliance with National Indian Gaming Commission (NIGC), Minimum Internal Controls, the Tribal state compact, Tachi palace Hotel & Casino System of Internal Control and all other state and federal regulations.
- Conducts observation of control procedures, interviews personnel and examines electronic and hard copy of records related to audit.
- Identifying all material weaknesses and making recommendations for corrective action.
- Develops detailed audit work papers supporting audit findings
Education
Bachelor of Arts - Business Administration
Fresno Pacific University
Fresno, CA06.2018
High School Diploma -
Corcoran High School
Corcoran, CA06.2012
Skills
- Audit planning
- Fraud investigations
- Enhanced Care Management Billing
- Medical Billing
- FQHC experience
- Strong Analytical Skills
- Leadership
- Strong attention to detail
- Customer Account Management
- Cash Handling
- AR/AP
- Word, Excel, Powerpoint, Outlook
- Excellent Communication skills
- Teamwork and Collaboration
- Multitasking
- Customer Service
Timeline
Internal Auditor
Santa Rosa Rancheria Tachi-Yokut Tribal Gaming Commission
03.2025 - Current
Medical Billing Specialist
Family Healthcare Network
08.2022 - 01.2025
Temp - Member Service Specialist
Suncrest Bank/Citizen Business Bank
12.2021 - 03.2022
Internal Auditor
Santa Rosa Rancheria Tachi-Yokut Tribal Gaming Commission
01.2019 - 06.2021
Bachelor of Arts - Business Administration
Fresno Pacific University
High School Diploma -
Corcoran High School