Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
BusinessAnalyst
Open To Work

Sonya Hernandez

Apple Valley,CA

Work Preference

Job Search Status

Open to work
Desired start date: Open to discussion

Desired Job Title

Office Assistant (Night Shift Lead)Medical Biller (externship)Front Desk ReceptionistMedical Billing & Coding Instructor

Work Type

Full Time

Location Preference

RemoteOn-Site
Open to relocation: Yes

Salary Range

$45000/yr - $200000/yr

Important To Me

Healthcare benefitsPaid time offWork from home optionPaid sick leave4-day work weekWork-life balanceFlexible work hours

Summary

Detail-oriented Quality Assurance Specialist with a strong background in patient charting standards and healthcare services. Proven expertise in problem- solving and enhancing service delivery processes. Adept at coordinating workflows and ensuring compliance with industry regulations.

Overview

25
25
years of professional experience

Work History

QAR Specialist

High Desert Center
Victorville, California
01.2023 - Current
  • Analyzed data to identify trends in service delivery, leading to improved processes.
  • Developed comprehensive reports to guide decision-making and enhance team performance
  • Implemented strategic process improvements that increase efficiency and reduce operational costs.
  • Managed documentation to ensure compliance and mitigate risks effectively.
  • Facilitated interdepartmental coordination to streamline workflow processes.

Office Assistant (Night Shift Lead)

St John of God Healthcare Services
04.2014 - 07.2022
  • Conducted nightly audits
  • Managed office communications and coordinated schedules for healthcare staff.
  • Assisted in patient record management and ensured data accuracy.
  • Supported logistics for medical supplies and equipment distribution.

Medical Biller (externship)

Health Link-Management
San Bernardino, CA
03.2013 - 04.2013
  • Executed filing, data entry, and collections in medical billing
  • San Bernardino, CA
  • Processed medical claims using electronic billing systems.
  • Reviewed patient accounts for accuracy and completeness.
  • Coordinated with healthcare providers to resolve billing inquiries.

Front Desk Receptionist

County of San Bernardino
Victorville, CA
04.2009 - 04.2010
  • Delivered customer service by addressing inquiries and resolving issues to enhance client satisfaction
  • Executed general office duties including typing, operating office machines, and sorting mail to maintain efficient office operations
  • Victorville, CA

Medical Billing & Coding Instructor

Four-D College
Victorville, CA
02.2008 - 01.2009
  • Taught insurance reimbursements, workers compensation, and medical terminology to enhance student knowledge in billing processes
  • CPT, HCPCS & ICD-9 Coding
  • Processed UB-04 and CMS-1500 forms for insurance claims, ensuring accurate submissions and compliance with regulations
  • Victorville, CA

Medcheck Lead Analyst/Hearing Representative

Corvel Corporation
San Bernardino, CA
01.2001 - 01.2005
  • Reviewed and coded medical bills, trained team members, assigned quotas, and conducted daily audits for quality assurance
  • Dispute resolutions, reconsiderations, appeals, and re-evaluations
  • Status conferences, Hearing/Trial appearances, WCAB; UB-04 & CMS-1500
  • Processed Workers Compensation claims to ensure timely resolution
  • Oversaw operations in San Bernardino, CA, ensuring compliance and efficiency

Education

RADT-I - Registered Alcohol And Drug Technition

CCAPP
10-2020

Diploma - Medical Billing and Coding

Summit College
CA

GED -

San Bernardino Adult School
San Bernardino

Skills

  • Data Analysis
  • Process Improvement
  • Workflow Coordination
  • Compliance Management
  • Documentation Accuracy
  • Quality assessment
  • Performance improvement
  • QAR/Audit Preparation

Timeline

QAR Specialist

High Desert Center
01.2023 - Current

Office Assistant (Night Shift Lead)

St John of God Healthcare Services
04.2014 - 07.2022

Medical Biller (externship)

Health Link-Management
03.2013 - 04.2013

Front Desk Receptionist

County of San Bernardino
04.2009 - 04.2010

Medical Billing & Coding Instructor

Four-D College
02.2008 - 01.2009

Medcheck Lead Analyst/Hearing Representative

Corvel Corporation
01.2001 - 01.2005

RADT-I - Registered Alcohol And Drug Technition

CCAPP

Diploma - Medical Billing and Coding

Summit College

GED -

San Bernardino Adult School

Similar Profiles

CREATE PROFILE
Sonya Hernandez