Highly-motivated employee whom is able to combine 13 years of clinical and administrative experience with desire to take on new challenges facing today's healthcare organizations. Strong work ethic and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Population Health Associate
Privia Health
Houston, Texas
04.2023 - Current
Participate in meetings with care centers and providers to discuss strategies for improving overall population health performance.
Prepare meeting presentations, agendas and dashboards outlining over all performance month over month
Conduct chart reviews for quality assurance purposes, ensuring compliance with HEDIS standards.
Identify areas where additional training is needed among providers or staff members related to quality improvement efforts.
Research current trends in healthcare quality measures and report findings back to leadership team and the care centers.
Document all necessary information into appropriate systems in order to track progress towards meeting quality goals.
Conduct training sessions for care centers on proper use of population health systems.
Conduct training sessions on quality measures and procedures for new team members, providers and clinical staff
Collaborate with other team members departments to help identify trends and patterns that may impact quality metrics and overall performance
Provide support in the planning and implementation of special projects
Population Health Coordinator
Privia Health
Houston, Texas
01.2023 - 04.2023
Conduct patient outreach in accordance with HIPAA and patient privacy guidelines to support quality-related programs and ensure target goals are achieved
Assist in scheduling PCP and specialist patient appointments
Engage in patient EMR chart reviews to help close care gaps for a variety of payers and programs
Collaborate effectively with integrated care team to support care coordination for patients
Answer and resolve business office inbound calls related to population health, care coordination, or other clinical activities
Regular review on local performance reports and regional action plans
Senior Coordinator, Patient Support Services
Baylor College of Medicine - Gastroenterology
Houston, TX
05.2016 - 12.2022
Obtain all inpatient and outpatient procedure reports through electronic health record system for timely and accurate charge submission through electronic charge capture.
Manage all procedure billing activities for 17 providers, as well as collecting pre- payments and balances for upcoming procedures.
Manage section work queue for claims and charge errors, correct issue and resubmit in a timely manner.
Manage section referral work queue for all upcoming office visits, add diagnoses and CPT codes as needed, correct issue and resubmit in a timely manner for approval.
Manage section electronic fax system and all outside medical information, ensure communications are routed to the appropriate personnel.
Manage and review over 100 daily incoming referrals to determine urgency and coordinate patient scheduling with appropriate physician for timely and thorough patient care.
Prepare, coordinate, and complete credentialing for providers for multiple healthcare facilities.
Manage calendars for 17 providers via Epic, Outlook and QGenda.
Create expense reports via Concur
Order clinical and office supplies via SRM
Submit monthly on call timesheets for general endoscopy providers and biliary providers.
Manage and update the on call calendar and schedule monthly for department providers and fellows.
Schedule procedures as needed and educate the patients to appropriately prep prior to procedure.
Support administrative and healthcare staff to meet day-to-day operations.
Participate in special projects as directed.
Laboratory Technician
Texas Industrial Medical Services
La Porte, TX
08.2013 - 04.2016
Performed pre-employment screenings, including but not limited, phlebotomy, injection administration, visual acuity and color testing, urine specimen collection, hair follicle collections, EKG's, treadmill preparation, audiometric screening, PFT's, breath alcohol testing and respirator fit testing.
Collected, documented and reviewed patient medical histories and relayed important factors to supervising clinicians.
Served as the first clinical contact for incoming VIP patients when assigned to triage area.
Assisted physicians with physical examinations on employees for biological monitoring/medical surveillance.
Assisted in emergency occupational illnesses and injuries. Provided efficient and immediate care under the direction of a physician.
Assisted with injury follow up wound care such as dressing changes, ace bandage and boot application, suture removal, application of heat/cold as ordered.
Traveled with mobile unit to off-site locations for occupational health services as needed.
On night and weekend on call rotation one week per month for emergency and injury services.
Stocked clinical workstations and procedure rooms with necessary supplies.
Ordered supplies and equipment.
Cross coverage with front office staff as needed.
Front and Back Office Medical Assistant
Fairway Medical Clinic And Urgent Care
Houston, TX
05.2012 - 08.2013
Checked patients in, collected and verified insurance information, compiled new patient forms, scheduled appointments and updated patient files.
Efficiently performed insurance verification, pre-certification and pre-authorization functions.
Prepared medical charts, scanned documents and organized patient information.
Contacted pharmacies to submit and refill patients' prescriptions.
Conducted patient interviews to gather health history, vital signs and information about current medical issues.
Prepared treatment rooms for patients, including cleaning surfaces and restocking supplies.
Assisted physicians by preparing patients for procedures, including but not limited to EKGs, phlebotomy, glucose testing and pulmonary function tests.
Assisted with diagnostic testing by collecting and packaging biological specimens for internal and laboratory analyses.
Acted as liaison between physician and patient for Spanish speaking patients by answering questions and delivering test results.
Transmitted physician's orders to patients, counseling on execution and addressing follow-up questions.
Sterilized medical instruments after every use.
Stocked medical office supplies, anticipated inventory needs and monitored office equipment.
Lead Medical Assistant
Divine Healthcare For Women- OBGYN
Houston, TX
01.2011 - 05.2012
Trained and coached team of Medical Assistants on best practices, HIPAA policies and standards of care for high paced and detailed oriented environment seeing over 30 patients a day per physician.
Prepared daily charts by creating and updating electronic health records system data prior to patient visits for 3 physicians.
Proficiently recorded vital signs such as blood pressure, height, weight and temperature, discussed patient medical history and entered information in electronic health system for physician or other clinical staff to review.
Provided patient instructions and preparation for examinations, procedures and treatments.
Assisted physician with in-office procedures such as IUD insertions and removals, pap smears, colposcopies, cryo freezing, vulvar biopsies, endometrial biopsies etc. Also, performed urinalyses, venipuncture and injections. Recorded and reported test results.
Centrifuged blood collection samples and Autoclave surgical equipment. Ensured cleanliness, sanitation and maintenance of all exam rooms and equipment.
Tracked and managed inventory for exam rooms and maintained vaccine and expiration logs.
Ensured facility was stocked with necessary supplies, equipment and instruments at all times.
Scheduled patients for specialized testing, Cesarean deliveries, inductions, surgery etc.
Assisted with E-filed prescriptions, pre- certifications, and processing of FMLA paperwork as needed.
Education
Certified Medical Assistance Program -
Texas School of Business
11.2010
High School Diploma -
Deer Park High School
06.2009
Associate of Science - Health Informatics (in Process)
San Jacinto College District
Pasadena, TX
Skills
Bilingual fluency in Spanish
Team management
Teamwork and Collaboration
Administrative support
Customer service
Problem resolution
Clinical Documentation
Patient Care Coordination
Organizational Skills
Adaptability
Self Motivation
Certification
Certified Medical Assistant (CMA)
First Aid/CPR
Accomplishments
Baylor College of Medicine
Decreased department bad debt by 11% in 2019 , $100,000 in bad debt charges collected through daily pre-payment follow up messages and phone calls.
Awarded “ Employee of the year” for 2019 for outstanding performance and team contributions.
Timeline
Population Health Associate
Privia Health
04.2023 - Current
Population Health Coordinator
Privia Health
01.2023 - 04.2023
Senior Coordinator, Patient Support Services
Baylor College of Medicine - Gastroenterology
05.2016 - 12.2022
Laboratory Technician
Texas Industrial Medical Services
08.2013 - 04.2016
Front and Back Office Medical Assistant
Fairway Medical Clinic And Urgent Care
05.2012 - 08.2013
Lead Medical Assistant
Divine Healthcare For Women- OBGYN
01.2011 - 05.2012
Certified Medical Assistance Program -
Texas School of Business
High School Diploma -
Deer Park High School
Associate of Science - Health Informatics (in Process)
San Jacinto College District
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