Sandy Ferguson
Healthcare Administration
Vancouver,WA
Summary
I am a meticulous, independent initiative-taker who believes deeply in the organization's mission and has a proven record in challenging and
Fast-paced situations. I foster high performance, embracing risk, acting with purpose, and a sense of urgency. I am agile and can pivot quickly
to solve problems and optimize opportunities. I am an individual who optimizes chances and a positive mindset to continue a
transformational journey to meet an ever-changing healthcare and work environment. I have experience in healthcare administration
and College level instruction. I have earned a Bachelor of Science degree in Business (Healthcare Administration) and an associate degree in
Marketing and Management. I have teaching Diplomas in ESL and TEFL, Certifications’ in,’ Practice Management, Dental Assisting, and Dental
X-ray, medical transcription, and as a BLS/CPR instructor. Trained and experienced with healthcare software or member data-based
portals: Eaglesoft, Dentrix, Daisy, Practice Works, Epic, Workplace, Cerner, SharePoint, and CIMS. Experienced in inbound/outbound calling,
customer service, conflict resolution, de-escalation techniques, collections account management, electronic medical records, and project and
practice management. Ensure adequate staff meets practice and scheduling needs, interviewing, hiring, onboarding, coaching, and mentoring
team. Well-versed in cost control and creation and management of practice budgets.
Overview
35
35
years of professional experience
Work History
Tutoring Specialist
Home Tutoring/Caregiving
Vancouver, WA
01.2007 - Current
- Provide instruction to improve comprehension for each student in all subject matters
- Ensure the student feels comfortable and safe in their educational quest
- Meet the needs of the students entrusted in my care for educational enhancement
- Analyze each child to ensure the information is presented in the best method to maximize understanding
- Mentor and support the students in their education quest.
Patient Advocate, specialist
Anthem Blue Cross BlueShield, Plaza, HCS Beacon Behavioral
Cypress, CA
05.2021 - 05.2023
- West Region ABA outreach care, Employed as an Autism health advocate, patient navigator, care coordinator, and patient relations representative
- Serve as a go-between for
- Patients and their family members and representatives of the healthcare industry
- Collaborate with;’ members, caregivers’ physicians, and other providers to ensure a comprehensive, positive treatment experience and patient satisfaction
- The customer service representative, patient liaison, consumer advocate, or crisis resolution representative
- Help secure health care, create Autism authorizations, manage insurance, assist with treatment plan discussions, review diagnoses, treatment options tests, medications, medical records, and decision- making
- Provide insurance or financial guidance
- Implement, coordinate, monitor, and evaluate Autism options and services to meet members health
- Maintains accurate and complete documentation in the Case Management database and Case Management Care Coordination in an
- HMO environment.
Customer Service and Account Manager
Spectrum Vancouver Customer Call Center
Vancouver, WA
02.2018 - 05.2021
- Correspond with customers to resolve billing issues and queries
- Update and maintain billing records documentation requirements
- Perform assigned administration-related duties and responsibilities
- Use patience and practical communication skills to uncover customer needs, answer questions and leave a positive impression on every customer interaction
- Building relationships and turning the knowledge I have gained in training into customer service wins
- Provide over-the-phone account and payment support services, including maintenance, activations, and packaging, plus how and when to schedule field visits and escalate calls to your support team
- Educating customers on service options and upselling to increase the value of their investment
- I have developed a thorough understanding of Spectrum products and services to assist customers in navigating the way to successful resolutions.
NSHC Dental Clinic Manager
Norton Sound Healthcare Corporation
Nome, AK
04.2013 - 07.2016
- Patient Hostel, and Pre
Maternal Home Associate Administrator
Nome Children’s Home
07.2013 - 07.2016
- Improved employee attendance, credentialing, and accountability about attendance and tardiness
- Train and ensure effective customer services
- Skills via the telephone and in person
- Ensure effective communication between the front and back-office staff
- Monitor staffing hours to
- Ensure coverage to meet clinic needs and budget
- Maintains adequate staffing levels by interviewing, screening, and selecting applicants to
- Meet patient schedule
- Improved accuracy and efficiencies of practice management productivity reports submitted to the Board
- Coordinated with
- The State of Alaska Inspector to revise current standards for mandated Fire drills to allow us to facilitate patients’ needs while meeting the needs
- Of our patient’s medical issues and concerns
- Reduced the number of unfavorable problems and complaints from guests and patients at the
- Facility
- Manage daily operations and reporting; analyze information to troubleshoot operational efficiencies and implement solutions
- Actively
- Manage staff to establish clear direction and priorities and implement plans to promote office efficiency
- Revised Policy and Procedure Manuel
- Created office procedure manual containing all original document templates
- Create and maintain annual budget for three departments and
- Manage accounts, ensuring an elevated level of customer service.
Medical Office Account Manager
Clinicient, 1515 Fifth Ave
Portland, OR
04.2011 - 01.2013
- Ensure the office functions as part of a layered organization, not solely as an individual entity
- Ensure the office and staff protect patient PHI and comply with HIPAA rules and regulations
- Ensure operation efficiencies and compliance with all mandated laws
- Maintaining billing rules, business logic, workflows, fee schedules, payer and credentialing settings, EDI, and ERA management
- Identifying articulating unmet patient needs to service and operations management for resolution
- Managed accounts receivable; this would include the analysis of accounts receivable, directing the follow-up team to collaborate with payers and determine the status of unpaid claims, and taking the necessary actions to ensure prompt claim payment.
Operations Director
Comfort Care Mobile Dental
Milwaukie, OR
03.2007 - 04.2011
- Meet patients, caregivers, and Administrators to present specialized Dental plans catered to individuals living in an assisted living facility
- Research grants available for specialized treatment options for elderly individuals in assisted living facilities
- Coordinate schedules with Assisted living and Retirement homes, residents, caregivers, and staff to coordinate times Mobile unit would be
- Onsite to provide treatment for residents who have purchased this Specialized Dental program.
Claims Analyst
Regence Blue Cross
Portland, OR
02.2005 - 01.2007
- Provide quality customer service to external and internal customers
- Respond to inquiries regarding dental, workman comprehension, individual
- Health claims and policies in an accurate manner
- Resolve claims issues by taking appropriate action
- Provide timely resolution to questions and
- Issues using available systems involving department staff, external resources, and contacts
- Accurately and appropriately provide
- Comprehensive and legally defensible documentation
- Utilize time proficiently to offer optimal service and secure and analyze information pertaining
- To claimants' condition, history, insured status, and other policy provisions to accurately determine eligibility for and entitlement to dental, vision
- And individual health benefits
- Research and evaluate new or revised member eligibility and benefit plans or provide data to make a reconsideration
- Of denials, pre-determinations, or payments based on applicable policy limitations and provisions
- Investigate and apply for contract benefits in
- Processing each claim, ensuring clarity, accuracy, and validity, and issuing payment for processed claims.
Office Manager
Constant Lu, D.D.S
Vancouver, Washington
07.2001 - 01.2005
- Manage daily operations and reporting; analyze information to troubleshoot operational efficiencies and implement solutions
- Ensure the team
- Delivers quality and compassionate dental care to every patient
- Actively manage staff to establish clear directions and priorities and implement
- Plans to promote office efficiency
- Treatment plan presentation with acceptance and completion percentage rate from 95 to 98%
- Present all
- Restorative, Hygiene, recall schedule coordination with improvement from 68% to 95%
- Management of emergency patients’ enrollment in new
- Patients on an 80 or 95% ratio
- Managed patient records and accounts, accounts receivable, and insurance processing
- Billing, authorizations and appeals and collections, schedule manager, inventory control, treatment plan preparation and presentation with
- Acceptance with completion of restorative, Hygiene recall schedule coordination
- Daily activities audit reconciliation, including reviewing, correcting errors in daily activities and approving the report promptly
- Ensure effective customer service and patient relations.
Office Manager
Edward Barnes, D.M.D
Portland, Oregon
06.1989 - 05.2001
- Manage daily operations and reporting; analyze information to troubleshoot operational efficiencies and implement solutions
- Ensure the team
- Delivers quality and compassionate dental care to every patient
- Actively manage staff to establish clear directions and priorities and implement
- Plans to promote office efficiency
- Treatment plan presentation with acceptance and completion rate from 95 to 98%
- Coordinator of restorative
- Hygiene and recall schedule with the improvement of 90% total treatment acceptance of all treatment plans
- Management of emergency patients
- Enrollment and conversion to the patient of record
- Maintain adequate staffing levels by interviewing, screening, and selecting applicants to meet
- Patient schedule
- Management of accounts receivable and payable, all aspects of insurance processing and appeals, patient
- And staff satisfaction and retention.
Child advocate
Post Office
Nome, AK
- (907-443-5259, Client/child Advocates responsible for providing therapeutic interactions and supervision to youth who are placed in the Nome Children’s Home
- State-funded temporary shelter and treatment facility for children awaiting permanent placement, reunification, or completion of their treatment plan
- Staff members are responsible for implementing appropriate social, educational, and recreational strategies, timely documentation, home security, household duties, de-briefing sessions, and crisis intervention
- Preparing meals attentive to individual child diet restrictions.
Education
Master of Healthcare Administration - undefined
Western Governors University
December 2023
American Heart Association BLS/CPR - undefined
Concordia University
April 2015
Education ESL & TEFL Certificate Diplomas - undefined
Serious Teachers Inc. TEFL
March 2011
Dental Assisting National Boards Certification in Dental X-ray Technician - undefined
December 2010
Bachelor of Science - Healthcare Administration
June 2005
undefined
Concorde Institute Medical Transcription
December 2000
Medical Coding and Terminology - undefined
Mt. Hood Community College
December 2000
Dental Assisting National Boards Certification in Dental Assisting - undefined
October 1989
Dental Assisting National Boards Certification in Practice Management - undefined
June 1988
associate degree - marketing and management
Blue Mountain Community College
June 1981
Timeline
Patient Advocate, specialist
Anthem Blue Cross BlueShield, Plaza, HCS Beacon Behavioral
05.2021 - 05.2023
Customer Service and Account Manager
Spectrum Vancouver Customer Call Center
02.2018 - 05.2021
Maternal Home Associate Administrator
Nome Children’s Home
07.2013 - 07.2016
NSHC Dental Clinic Manager
Norton Sound Healthcare Corporation
04.2013 - 07.2016
Medical Office Account Manager
Clinicient, 1515 Fifth Ave
04.2011 - 01.2013
Operations Director
Comfort Care Mobile Dental
03.2007 - 04.2011
Tutoring Specialist
Home Tutoring/Caregiving
01.2007 - Current
Claims Analyst
Regence Blue Cross
02.2005 - 01.2007
Office Manager
Constant Lu, D.D.S
07.2001 - 01.2005
Office Manager
Edward Barnes, D.M.D
06.1989 - 05.2001
Child advocate
Post Office
Master of Healthcare Administration - undefined
Western Governors University
American Heart Association BLS/CPR - undefined
Concordia University
Education ESL & TEFL Certificate Diplomas - undefined
Serious Teachers Inc. TEFL
Dental Assisting National Boards Certification in Dental X-ray Technician - undefined
Bachelor of Science - Healthcare Administration
undefined
Concorde Institute Medical Transcription
Medical Coding and Terminology - undefined
Mt. Hood Community College
Dental Assisting National Boards Certification in Dental Assisting - undefined
Dental Assisting National Boards Certification in Practice Management - undefined
associate degree - marketing and management
Blue Mountain Community College
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