• 30+ years in management with emphasis on Risk Adjustment Education, Hierarchal Condition Codes, Revenue Cycle and Patient Access Managed Care Compliance, Risk adjustment and HCC Coding Education for Clinical Champions
• 30+ years’ experience working in a hospital, urgent care, outpatient, medical group, and public health settings. Health Equity Population Health SDOH subject matter expert bi-lingual consultant
• Over 10 Years in project management; Teamwork, Critical Thinking, Rapid Problem Solving, planning, procurement and execution of a projects assigned, maintained responsibility for management of quality assurance data and reports including audits, rounding tool, benchmarking and reporting, projects range from quality, quantitative analysis and actively participate in quality improvement , chart reviews, and process improvement programs both system wide and department specific, track and manage ongoing performance metrics, reports, create and maintain effective interpersonal relationships with all stakeholders, communicate effectively with all levels of staff throughout organization by consistently utilizing and facilitating effective strategies to encourage collaborative problem solving and decision making. • Specialties included but were not limited to Primary healthcare, Radiology, Cardiology, Emergency, and Cath Lab, surgery, inpatient, short stay patients, cardiac rehab, physical therapy, Sub Acute, Mental Behavioral health, hospice, and internal medicine.
• Direct oversight of all Patient Access staff which includes functions in patient registration, Pre-Admitting, Insurance verification and benefits, Bed Control, and multiple census reporting.
• Extensive experience in centralized scheduling, LOA’s, Workers’ compensation, TARS, mental behavioral health level of care tiers, financial counseling, revenue integrity, cash collections, cashiering, patient authorization and payment compliance.
• Strong understanding of HMO’s, PPO’s, Medicare, POS and Medi-Cal plans. Experience introducing and implementing EPIC and Passport One source EMR systems and surveyed ancillary departments to ensure compliance with JACHO, DNV, CAHPS/ HEDIS, NCQA requirements.
• Software: ORCHID, Power Chart, ELM Analytics, NextGen, Passport One Source, Allscripts SFM, MS4, SCM
• 3 M HDM , HPF, Meditech, AS400, PAI, AHIQA, Clearance, and EPIC/OCHIN
• Managed the day-to-day operations and provided technical & administrative leadership of the front-end revenue cycle.
• Reviewed work schedules and assigned duties to ensure optimal patient flow & production goals.
• Supports the policies, procedures, & standards of care, risk adjustment.
• Ensures compliance with protocols & procedures.
• Plan and prioritizes work assignments Supervises various personnel functions including recruitment, schedules, payroll evaluations coaching & discipline.
Health Equity Management
Pioneers in Quality Health Care Equity Certification Standards
June 26, 2023, July 31, 2023, The Joint Commission Certification# ACCME /ANCC/ACHE/ 3.0 CME Category
Health Equity Management
Advancing Health Equity Skills for Healthcare Providers
January 25-27, 2022, Harvard Medical School Certification# 900 AMA PRA Category
Hospice Levels of Care
Palliative Care
February 15, 2019, Hygeia Hospice
Certification# CEP17020
NASW Suicide Prevention
As One Nevada State of Nevada
Board of Examiners for Social Workers
October 21- 22, 2019 NASW Certification# CEP 12-0817
Palliative Care Hospice
End of Life Education
Grief Recovery Method (GRM)
September 30, 2009, Grief Recovery Institute Certification# 2N1058180107
Fuller Theological Seminary
Master of Arts Theology/ Thanatology September 20, 2002
Press Ministries Incorporated
Ordination PCF
March 31, 1996, Certification#1957872
Zeta Phi Beta Sorority Inc
Gamma Lambda Chapter USC 1987
Grief Recovery Institute
Sept 2009
2N1058180107
Bend,OR