SIERRA NISSELL
Raymond,USA
Summary
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
10
10
years of professional experience
Work History
MAS3
HealthCare Authority
10.2024 - Current
- Determined initial and ongoing eligibility for Medicaid programs.
- Utilized complex federal and state eligibility regulations published in WAC and RCW to assess household circumstances.
- Utilized multiple interdependent electronic systems including but not limited to the Automated Client Eligibility System (ACES), HealthPlanFinder, ProviderOne, Audit Plus, Microsoft Office, SOLQ, Document Management System (DMS) and Employment Security Department (ESD)
- Gather information for required documentation by interviewing clients, providers, and third parties using various communication methods.
- Establish effective working relationships with clients and their advocates and manage difficult interactions with tact and diplomacy
- Answer inquiries, resolve questions, update eligibility records, and otherwise maintain and expand access to medical care for eligible Washington citizens
- Collaborated with advocates, providers, Heath Benefit Exchange, and state agencies to provide clarification and answer inquiries
- Consistently attained third place for production of PERs during specified events in MEDS.
Utilization review/Quality Assurance Assistant
Harbors Home Health and Hospice
02.2024 - Current
- Reviewing patient documentation for accuracy, integrity and consistency
- Ensure compliance with state and federal home health and hospice regulations
- Record quality issues and planning processes to decrease the instance of defects
- Perform audits quarterly
- Database management
- Check patient medical records, looking for any aberration or oversight in care
- MatrixCare, Ivanti, QIES, iQIES, HARP, Excel, Word, Teams, and Outlook knowledge
- Strong communication and strategizing skills
Personal Service Representative
Stafford Creek Correctional Center
04.2022 - 01.2023
- Update and verify patient information at every visit
- Assist patients with filling out patient history forms, consent forms, and payment contract forms
- Review patient accounts, identify delinquent accounts, and collect overdue payments
- Answer, investigate, and/or direct patient inquiries or complaints to the appropriate medical staff member
- Knowledge of medical terms and practices
- Professional manner and appearance
- Strong interpersonal and communication skills
- Meticulous attention to detail
- Proficient in Microsoft Office Suite (Word, Excel, Outlook, and Access)
Medical Assistant
Aerotek (Sea Mar)
06.2019 - 09.2019
- Recorded patients' medical history, vital statistics, and test results
- Prepared treatment rooms for patient examinations
- Interviewed patients to obtain medical information and measure their vital signs, weight, and height
- Showed patients to examination rooms and prepared them for the physician
- I prepared and administered medications as directed by a physician
Referral Tracker
Community Health Care
01.2019 - 08.2019
- Tracked referrals and/or prior authorizations
- Scheduled patient appointments
- Obtained specialists reports
- Microsoft word, excel, and outlook
- Answered and made telephone calls
- Utilized excellent customer service skills
CNA/Unit Secretary
Grays Harbor Community Hospital
07.2015 - 10.2016
- Bathed and assisted with dressing patients
- Obtained patient vitals
- Observed patients changes in behavior and conditions
- Assisted with ambulation
- Housekeeping
- Client transportation
Education
Bachelor In Architectural Science - Healthcare Management
Western Governors University
Salt Lake City, UTAssociate - Health Administration
Clover Park Technical College
Lakewood, WA08.2018
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Attention to detail
- Time management
- Flexible and adaptable
- Dependable and responsible
- Multitasking Abilities
- Active listening
- Computer skills
Timeline
MAS3
HealthCare Authority
10.2024 - Current
Utilization review/Quality Assurance Assistant
Harbors Home Health and Hospice
02.2024 - Current
Personal Service Representative
Stafford Creek Correctional Center
04.2022 - 01.2023
Medical Assistant
Aerotek (Sea Mar)
06.2019 - 09.2019
Referral Tracker
Community Health Care
01.2019 - 08.2019
CNA/Unit Secretary
Grays Harbor Community Hospital
07.2015 - 10.2016
Bachelor In Architectural Science - Healthcare Management
Western Governors University
Associate - Health Administration
Clover Park Technical College