Nghi Tran
San Jose,CA
Summary
Highly efficient Health Care Compliance Coordinator and Patient Service Specialist with expertise in healthcare services. Hardworking and team-oriented professional assesses and develops systems for regulatory compliance. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
5
5
years of professional experience
Work History
Patient Service Specialist
Northern California Retina Vitreous Associates
10.2023 - Current
- Receive and handle incoming phone calls for 6 locations.
- Answer questions, address issues, and ensure all appropriate actions are taken for each phone call.
- Educate callers regarding practice systems (i.e. phone, referral, etc.) and any other processes as necessary.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Manage patient registration process, confirming data accuracy and completeness.
- Enter patient demographic and insurance data into electronic medical record system accordingly
with HIPAA regulations. - Verify insurance eligibility and coverage for patients.
- Verify in coming referrals from other Doctors and sending referring as in-house Doctors requested.
- Help cover front office as Front Office Specialist when needed.
- Greet and check-in patients in health care system accordingly.
- Collect copay/balance if needed when covering front office duties.
- Help back office technician to set up the clinic with equipments or prepare eye treatment drugs/supplies that needed.
Compliance Coordinator
Power Personnel, Inc.
05.2019 - 04.2023
- Develop and maintain compliance database,
- Track and update all compliance activities, reports, and documents.
- Complete compliance documentation for temporary staff as required by clients and Joint Commission.
- Copy and upload medical and credentialing documentations to Bullhorn and TSS.
- Contact candidates for compliance documentation.
- Maintain in-house daily and monthly reports.
- Maintain up-to-date knowledge of current and emerging compliance regulations.
- Assist with internal and external audits to confirm compliance with applicable laws and regulations.
- Prepare clinical profiles and submittal packages.
- Interview and assess candidates in-person and telephonically.
- Respond to employee inquiries regarding compliance regulations and procedures.
- Identify, investigate and document compliance violations and recommended corrective measures.
- Process Background Screening, Education verification, clinical certificate verification NPI, CAQH, and LiveScan.
- Contact and arrange candidates to urgent care clinics for Drug Screen, vaccines and blood tests needed.
File Clerk
Plastikon Industries
11.2018 - 03.2019
- Maintain organized filing system to facilitate easy retrieval of documents.
- Compile, sort and file high volume of documents.
- Add and update records with current materials.
- Assist with data entry and administrative support tasks to help meet team goals.
- Create and print labels for well-organized filing.
- Identify and correct inconsistencies in filing systems for increased accuracy.
- Clean up files regularly by removing outdated information for archival or disposal.
- Operate office equipment to scan and copy documents.
- Categorize, and sort incoming documents.
- Keep on track invoices, double-checked invoices, reviewing payments and invoices.
- Ensure proper office material and usage.
Education
High School Diploma -
Englewood High School
Jacksonville, FL05.2012
Skills
- Excellent desktop computer competency (Excel, Word, Outlook, Power Point, Teams, ect)
- Bullhorn, TSS (staffing, credentials), AthenaOne, Nextech MDI, Phreesia (healthcare/clinic systems)
- Read and review medical records to meet Joint Commission standard
- Ability to work under high pressure, good teamwork, and time management
- Ability to be flexible and supportive of other team members if needed
- Good at phone and communication skills
- Bilingual: English and Vietnamese
- Detailed-oriented, organized, responsible and adaptability
- Willing to learn - quick leaner, self-motivated, multi-tasking
- Patient Registration & Demographics Information
- HIPAA Compliance
- Clinic setting with equipments
Timeline
Patient Service Specialist
Northern California Retina Vitreous Associates
10.2023 - Current
Compliance Coordinator
Power Personnel, Inc.
05.2019 - 04.2023
File Clerk
Plastikon Industries
11.2018 - 03.2019
High School Diploma -
Englewood High School
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