Dedicated healthcare professional with extensive experience at the Department of Veteran Affairs Hospital, excelling in patient care coordination and staff development. Proven track record in enhancing operational efficiency and compliance, while fostering strong provider relationships. Skilled in HIPAA compliance and committed to delivering exceptional customer service in fast-paced environments.
Overview
20
20
years of professional experience
Work History
Supervisory Medical Support Assistant
Department Of Veteran Affairs Hospital
12.2017 - Current
Contributed to and enhanced audit processes to maximize quality management standards.
Analyzed data from various sources to identify trends, anticipate future needs, and inform strategic planning efforts related to provider relations.
Managed operational aspects of credentialing processes for new employees, ensuring compliance with regulations and industry standards.
Enhanced provider relations by conducting regular visits and maintaining open communication channels with healthcare providers.
Collaborated with cross-functional teams to address contractual issues, ensuring timely resolution and minimizing disruption to services.
Selected, trained and developed medical support staff. Evaluated their performance through counseling, training, delegation, and mutual planning of their activities. Tracked and accessed performance indicators (KPI) to mentor and develop enhanced team performance.
Served as a liaison between healthcare providers and internal departments such as claims processing or customer service, facilitating effective resolution of any issues that arose during day-to-day operations.
Developed comprehensive reports highlighting trends and performance metrics of providers, enabling informed decision-making at all levels of management.
Coordinated and directed written and verbal communications across divisions and departments. Instructed staff in communication between support staff and providers.
Served as a point of escalation for issues that arise with providers, offering solutions, conflict resolution and facilitating timely resolutions.
Prioritized and managed staff workload for timely completion. Interviewed and evaluated new hires for development of team needs.
Lead Certified Pharmacy Technician
Sam's Club Pharmacy
12.2005 - 12.2017
Managed inventory effectively, minimizing waste while ensuring adequate stock levels for uninterrupted service.
Improved patient satisfaction by providing efficient and accurate prescription services.
Expanded patient access to medications through effective insurance claim processing and resolution of billing issues.
Contributed to the success of flu shot clinics by efficiently administering vaccinations according to established protocols.
Developed strong relationships with healthcare providers, facilitating seamless communication for enhanced patient care coordination.
Streamlined communication between staff members by implementing an organized system for sharing pertinent information about prescriptions or patient concerns.
Ensured compliance with federal and state regulations regarding pharmaceutical practices, contributing to a successful inspection record.
Trained and mentored new pharmacy technicians, fostering a supportive learning environment.
Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Communicated with prescribers to verify medication dosages, refill authorizations, and patient information.
Resolved third-party billing, computer system and customer service issues.
Coordinated with physicians and insurance agency representatives for speedy resolution of prescription discrepancies.
Maternal/Child Outreach Team Lead, Nurse at Shawnee County Health DepartmentMaternal/Child Outreach Team Lead, Nurse at Shawnee County Health Department