Sovannary Ros
Louisville,CO
Summary
Versatile Provider Data Specialist with a robust background in data integrity and health information management at Boulder Community Health. Expertise in Meditech and Excel, coupled with a keen ability to streamline processes. Proven track record of maintaining accurate healthcare provider data and improving system efficiencies. Aiming to leverage my abilities to successfully fill the vacancy on your team. Frequently praised for communication by my peers can rely on me to help the team achieve its goals. Efficient and experienced professional with proven knowledge of document imaging, desktop technology, and emerging technologies. Aiming to leverage my abilities to successfully fill the Contact Manager Expert role on your team. Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and resultsdriven with a passion for growth and efficiency to meet company needs and increase service value. Seeking to utilize excellent communication, interpersonal, and organizational skills to complete tasks. Reliable with a good work ethic and the ability to quickly adapt to new tasks and environments. Highly motivated and detail-oriented professional with expertise in data analysis, project management, and process improvement. Adept at troubleshooting and resolving complex issues.
Overview
11
11
years of professional experience
Work History
Provider Data Specialist
Optum Serve
Remote
01.2022 - Current
- Load capitation and contracts into downstream systems
- Configure providers associated with groups, provider notes and network IDs
- Validate provider updates are accurate
- Complete provider Adds/Changes/Terms
- Complete Provider demographic changes
- Utilize database systems and tools to enter and/or research provider data (examples include Excel, Facets, NDB, PULSE, NICE, VACCN, Knowledge Central, PIMS, Convey)
- Contact internal data submitter to verify/clarify data to be entered
- Format data for loading into respective system (i.e., through automated load)
- Research multiple databases to pull in the correct or needed information
- Participate with process improvement opportunities
- Participate in Leadership Foundations BCE class
- Adept at ensuring timely processing of provider data changes according to established procedures
- Utilized critical thinking skills to develop innovative solutions for improving the efficiency of provider data management processes
- Proficient in Microsoft Office Suite, including Excel, Word, Access and PowerPoint for data entry and analysis
- Demonstrated aptitude for troubleshooting issues related to provider data integrity
- Demonstrated ability to effectively interpret and analyze provider data, while maintaining accuracy and compliance with company standards
- Knowledgeable about current HIPAA regulations relating to patient privacy protection when working with sensitive health care information
- Proven ability to quickly learn new software programs used in managing provider data.
Data Integrity Specialist
Optum Insight/Boulder Community Health
Boulder, US
10.2015 - 01.2022
- Recognize issues that compromise the integrity of legal records
- Informs HIM Director as issues are identified and work with appropriate departments to resolve identified issues
- Acquires comprehensive knowledge of software involved to determine what procedural issues versus system/application deficiencies are
- Coordinates BCH medical record forms process
- Works closely with form owners and others to assist with creation, approval, and maintenance of all medical record forms
- Researches and accurately corrects complex overlay situations and duplicate medical records in Meditech and Epic
- Actively participates in Duplicate Medical Record Committee, providing committee members with necessary data integrity related metrics
- Receives medical record amendment requests
- Coordinates with physicians and other clinicians' response to request and assures amendment to medical record as appropriate
- Notifies HIM Director of all requests
- Coordinates with clinical department managers to resolve in chart correction in EHR
- Maintains professional knowledge and growth through journals, professional affiliations, seminars, and workshops to keep abreast of trends in information technology, data management and healthcare in general
- Performs and assists with other assigned tasks
- Review Chart Corrections work queue send to appropriate department if needed assistance to correct
- Interface error work queue-correcting error and re-submitting errors
- Maintained data accuracy and integrity by monitoring, researching and correcting errors in source systems
- Collaborated with stakeholders across multiple departments to ensure the accuracy of business intelligence reports.
Clinic Receptionist
Optum Insight/Boulder Community Health
Boulder, US
04.2013 - Current
- Data entry
- Check in and out of patients
- Collect co-pays
- Post charges and payments
- Submit prior authorization for insurance coverage for referrals
- 2+ years claims and data entry
- Submit Medicaid eligibility
- Scanning patients records
- Answered multi-line phone system, routing calls, delivering messages to staff, and greeting visitors
- Monitored supervisor's work calendar and scheduled appointments, meetings, and travel
- Prepared correspondence such as letters or emails confirming appointments or providing instructions regarding upcoming visits
- Troubleshot technical issues with computer systems, medical software programs and other office equipment.
Education
B.S - Health Information Management
Western Governors University
A.S - Health Care Information Management
DeVry University
Skills
- Greenway
- Meditech
- Amazing Charts
- SharePoint
- Mmodal
- Faxcom
- Epic Data entry
- Excel
- Office
- PowerPoint
- NDB
- PULSE
- Convey
- Microsoft word
- Scanning
- VACCN Data Suite
- Knowledge Central
- PIMS
- Data Validation
- HIPAA Compliance
- Medicaid knowledge
- Multitasking
- Organizational Skills
- Analytical Skills
- Adaptability and Flexibility
- Problem-Solving
- Analytical Thinking
- Cross -r eferencing
Personal Information
Title: CONTRACT MANAGER EXPERT
References
References available upon request.
Timeline
Provider Data Specialist
Optum Serve
01.2022 - Current
Data Integrity Specialist
Optum Insight/Boulder Community Health
10.2015 - 01.2022
Clinic Receptionist
Optum Insight/Boulder Community Health
04.2013 - Current
B.S - Health Information Management
Western Governors University
A.S - Health Care Information Management
DeVry University
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