Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
Associate Team Leader
Aya Healthcare
San Diego, CA
08.2022 - Current
Promoted compliance with company protocols and guidelines across the team.
Monitored performance of individual team members and provided feedback.
Developed and implemented strategies to improve team productivity.
Assisted in resolving customer issues, complaints, or queries promptly.
Collaborated with other departments within the organization to ensure smooth functioning of operations.
Reviewed work completed by the team for accuracy and quality assurance purposes.
Organized and facilitated meetings to discuss project progress and overcome challenges
Maintained accurate records of employee attendance, leave requests.
Compliance Specialist
Aya Healthcare
San Diego, CA
01.2021 - 08.2022
Coordinated with various departments within the organization to ensure adherence to established standards.
Reviewed and updated existing compliance policies and procedures.
Maintained accurate records of all activities related to compliance monitoring.
Conducted periodic internal audits to ensure compliance with applicable regulations.
Performed risk assessments to identify areas of non-compliance and potential risks.
Collaborated with external parties such as auditors, lawyers, regulators.
Identified gaps in existing controls and recommended corrective actions as needed.
Reported any identified discrepancies or irregularities to senior management.
Checked records for required signatures by closely reviewing documents.
Corporate Travel Coordinator
Emergency Staffing Solutions
Dallas, TX
12.2019 - 12.2020
Processed payments for all related travel expenses.
Created expense reports for each traveler's trip.
Conducted post-trip reviews of all corporate travels to identify areas of improvement or cost savings opportunities.
Assisted corporate travelers in making flight and hotel reservations.
Responded promptly to inquiries from internal staff regarding airline ticketing issues or other changes in their itinerary.
Provided customer service assistance to corporate travelers during their trips.
Monitored global events that could impact travel plans and proactively communicated potential risks or delays to affected travelers.
Coordinated with vendors to negotiate rates for airfare, hotels, and car rentals.
Credentialing Specialist
Emergency Staffing Soultions
Dallas, TX
10.2016 - 12.2019
Performed initial review for new providers to determine eligibility for enrollment into the network.
Served as a resource person for staff members seeking assistance in understanding complex regulatory requirements related to provider enrollment processes.
Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
Participated in periodic audits of credentialing files to maintain compliance with applicable regulations and policies.
Validated primary source documents such as licenses, diplomas, certifications and other related credentials.
Processed re-credentialing applications for existing providers according to contractual requirements.
Provided support in responding to inquiries from external parties regarding credentialing information.
Collaborated with internal teams regarding provider contracts and agreements.
Scheduling Coordinator
Emergency Staffing Soultions
Dallas, TX
03.2015 - 10.2016
Communicated effectively with team members to ensure they are aware of their shifts and any changes that may occur.
Developed strategies for improving efficiency within the scheduling process.
Maintained up-to-date records of staff availability, absences, holidays, vacations.
Provided guidance to team members regarding best practices related to scheduling tasks.
Provided support in resolving scheduling conflicts between employees.
Ensured accuracy of payroll information by verifying employee hours worked against timesheets submitted at the end of each pay period.
Medical Billing Specialist
HealthQuest
Mckinney, Texas
08.2014 - 03.2015
Resolved discrepancies between insurance companies and patients regarding payment of bills.
Prepared daily reports summarizing payments received from insurers or other sources.
Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
Adhered to HIPAA regulations when handling confidential patient information.
Researched complex billing issues involving multiple providers or services rendered over a period of time.
Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
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