Healthcare professional and with 15 + years of healthcare management experience, including knowledge of HEDIS compliance, project management, public health promotion programs, leadership, performance measurement and analytic skills. Outstanding skills in understanding of HIPAA and privacy requirements, medical terminology, billing (CPT), diagnoses (ICD-10) coding. Experience working in a clinical office setting, and in a fully remote setting. Computer proficiencies: Experience with electronic medical records (EMR), Georgia Registry Immunizations System (GRITS), MS Team, Word, Excel Microsoft applications, and SPSS. Ready to develop new skills and grow knowledge by gaining practical experience. Quick learner familiar with common software applications and research methodologies.
Overview
21
21
years of professional experience
4
4
years of post-secondary education
Work History
Doctoral Public Health Practicum Student
A Vision 4 Hope
06.2023 - 07.2023
Worked closely with the Deputy Director and Prevention Program Director of an HIV non-profit to promote awareness of HIV/STD prevention and PrEP
Participated in community and health events.
Supported health director and team on projects including impact evaluations; public policy analysis, with a focus on health policy; and special reports.
Prepared literature reviews and meta-analysis.
Educated the community on HIV and STD awareness.
Assisted in preparation of HIV and STD testing.
Performed pre-screening applications with clients.
· Archived high volume, routine documents as well as legacy acquisition documents.
Performed Regulatory Affairs activities to ensure compliance with FDA, Health Canada and MHRA and other regulatory agencies.
Identified fundamental issues and proactively engage senior associates for a resolution.
Performed filing and data retrieval functions as directed or with departmental SOPs.
Supported current routine electronic initiatives in moving the company forward with electronic archives.
Demonstrated respect, friendliness and willingness to help wherever needed.
Managed time efficiently in order to complete all tasks within deadlines.
Worked well in a team setting, providing support and guidance.
Skilled at working independently and collaboratively in a team environment.
HEDIS Quality Assurance Abstractor
Kids First Pediatric Group, LLC
10.2002 - 09.2020
Headed Georgia’s Medicaid vaccine order and inventory.
Provided vaccine data entry training to staff to improve knowledge and skills.
Analyzed quality and performance data to support operational decision-making.
Enhanced quality of healthcare for pediatric patients by 23%.
Supervised and trained new hires.
Monitored product standards and quality-control programs.
Educated patients on community resources, treatment options and health care services to better manage health.
Generated reports from database systems to track Medicaid patient records.
Handled customer complaints and resolved issues improved patient satisfaction by 18%.
Audited monthly vaccines data reports.
Performed and documented blood pressures, total cholesterol, HDL, LDL, triglycerides, glucose, and other bio-metric screening results.
Provided regular updates to team leadership on quality metrics by communicating consistency problems or production deficiencies.
Recorded patient medical records and demographics in EMR system.
Monitored patients’ demographics and medical records in the Electronic Medical Record system.
Over saw the day-to-day operations of biohazard.
Collaborated with community-based organizations to reduce health inequalities.
Managed the day-to-day operations of biohazard.
Communicated effectively with patients of various cultures and backgrounds.
Operated office medical supplies, vaccines and logistics that led to an operating cost savings of 12%.
Created treatment plans for patients diagnosed with Asthma, attention deficit disorder, other diseases.
Managed and trained new hires.
Completed physicians yearly rectifications for Georgia’s Medicaid services.
Advocated for patients between insurance companies ensuring timely care and resources were provided.
Performed insurance verification, medical refills, prior authorizations, and referrals.
Prepared physician's schedule daily to prioritize patient flow.
Demonstrated working with multiple data sources to monitor and assess data to ensure quality,
Monitored and audited vaccines data reports monthly.
Scheduled appointments and triaged incoming calls for 30-45 patients daily.
Provided exceptional customer service
Conducted review of patient’s medications list, allergies, health risk screen information, and demographics in electronic health record system and electronic medical record system.
Worked with management, as well as with providers, to improve office flow.
Collaborated with external and internal healthcare facilities to expand health services and resources.
Communicated with providers to facilitate continuity of care.
Education
Doctor of Public Health -
Walden University
Minneapolis, MN
05.2021 - Current
Master of Science - Health Administration
Southern New Hampshire University
Manchester, NH
08.2019 - 05.2021
Bachelor of Science - Human Services
Gordon State College
Barnesville, GA
05.2019
Skills
Information Research and Sourcing
Team Development
Time Management
Patient Flow
Document and File Management
Microsoft Office Suite
Tracking Client Progress
Tracking Client Progress
Data Extracting
Medical Records Review
Data Abstraction
Medication Review
Data Entry
Charting and Clinical Documentation
Electronic Health Records
Timely Project Completion
Electronic Medical Record Software
Data Collections
HIPAA Compliance
Tracking Client Progress
Awareness Programs
Outreach Initiatives
Preventive Care
Promote Community Health
Expertise in Health Issue]
Interventions Understanding
Regression Analysis
Statistical Computing Methods
Conducting Research
Data Quality Assurance Processes
Applied Statistics
Critical Thinking
Accomplishments
Completed DrPH internship with a HIV prevention non-profit organization.
Worked closely with providers in providing direct patient care.
Assisted in developing educational and preventive initatives.
Over saw scheduling errors resulting in increasing revenue.