Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Tonya Cripps

Grass Range,MT

Summary

I have 11 years of office experience. I currently work as a Resident Advocate in a long-term nursing care facility. I correlate with Behavioral Health Management as a care coordinator to develop care plans for the residents who are needing mental health counseling. I have experience working with families, providers, nurses, and other staff members to meet the goals of the patients or clients. I have management experience working in a client and hospital settings overseeing other receptionists. I have registration experience working in a hospital, clinic, and ER setting. I worked with several different software such as EPIC, Cerner, Medicaid portals, Qualitrax, Point Click Care, and several insurance websites verifying insurance. I have amazing skills in prioritizing, organization, and time management. I work well with others, and I am a great team player. I have great computer skills and phone etiquette. I am very professional and dedicated to my work.

Professional advocate skilled in supporting and empowering residents within community settings. Proven ability to implement effective support initiatives and foster positive community atmosphere. Known for collaborating effectively with teams and adapting to dynamic situations, ensuring residents receive consistent and compassionate care.

Overview

28
28
years of professional experience
1
1
Certification

Work History

Resident Advocate Director

Valley Vista Rehabilitation and Nursing
03.2024 - 06.2025
  • The Resident Advocate oversees the development, implementation, supervision, and ongoing evaluation of the Social Services Department. It is designed to meet and assist the residents in attaining or maintaining their highest practicable well-being. The Resident Advocate is responsible for establishing relationships with residents and their families. The Resident Advocate's responsibilities are ensuring the resident's needs are met. The Resident Advocate works with other social workers and the Ombudsman, coordinating any meetings needed. The Resident Advocate sets up care conferences with families to review the residents' care.
  • Duties
  • Hold care conferences and meetings with staff, residents, and their families.
  • File grievances and follow up on the grievances.
  • Record keeping
  • Gather up information and complete forms for different resources for residents who need financial or medical assistance.
  • Do Discharge plans for residents to return to the community or other facilities.
  • Correlate doctor appointments for the residents.
  • Care coordinates with Cotton Wood’s Behavioral Health Psychologist to schedule sessions for the resident’s mental health.
  • Do clinical assessments (MDS) on the residents to develop individualized care plans.
  • Complete level of care assessments for the residents and work with Mountain Pacific to complete their level of care.
  • Work with Physical Therapy, Occupational Therapy, and Speech Therapy to help the residents receive the rehabilitation care they need.
  • Use Qualitrax for inputting resident health information and uploading their H&P.
  • Work with Mountain Pacific on conducting reviews of the residents to determine the level of care.
  • Use Teams for the resident’s behavioral health sessions.
  • Fill out Medicaid and long-term Medicaid forms with families and the residents.
  • Put behavioral health education seminars on for staff to educate them on dementia and Alzheimer’s.
  • Use PointClickCare for EMR.
  • Maintained asafe environment for 43-patient facility with continuous surveillance.

Patient Access Supervisor

Central Montana Medical Center
05.2022 - 02.2023
  • The Patient Access Supervisor is responsible for developing and enforcing policies and procedures, ensuring that proper patient experience protocols are followed. I monitor clinic reception pools, oversee and correct errors in various registration and billing work queues, and manage the overall training and coordination of work for the department. I supervise the hospital and clinic areas in preparation for staffing schedules and assist in department improvements and changes. I monitor all areas to ensure Patient Access Registration and Schedulers give an excellent patient experience and respond to patient needs promptly.
  • Duties
  • Interview and assist in hiring employees.
  • Assist in the onboarding process of new employees.
  • Interview and register patients into Epic.
  • Prepare all the necessary paperwork for patient registrations promptly.
  • Obtain all the required signatures, verify, and collect the patient's insurance information into Epic. Update insurance information if needed.
  • Assist the patients with financial needs.
  • Direct patients and paperwork to the proper departments.
  • Complete pre-registration duties and prepare physician clinic schedules.
  • Explain financial requirements to the patient or responsible party and collect deposits or deductibles as required.
  • Promptly and courteously answer incoming calls and utilize procedures to respond to emergencies.
  • Answer patient billing inquiries, receive payments, and maintain confidentiality regarding all patient information.
  • Work with HIM to correct statistical errors, create and maintain an audit process to review accounts, and ensure accuracy.
  • Conduct team meetings to apprise staff of changes and to address broader-based program area issues and initiatives.
  • Developed staffing calendars and ensured staffing needs are met. Implement alternative staffing.
  • Identifies any trends or errors and reports to the registration manager.
  • Maintain a solid understanding and knowledge of payer requirements, registration, scheduling workflows, and referral requirements to ensure staff follow established procedures to maximize reimbursement.
  • Ordered and monitored office supplies, monitoring and tracking the clinic office budget.
  • Managed approximately 90-100 incoming calls, 50 emails, and faxes per day from patients.
  • Implemented quality assurance measures to ensure that patient access processes adhered to hospital policies and industry best practices for optimal service delivery.
  • Streamlined patient registration process by implementing efficient workflows and reducing wait times.
  • Managed day-to-day operations of the Patient Access department, ensuring all tasks were completed accurately and in a timely manner.
  • Maintained compliance with all relevant regulations, including HIPAA guidelines on patient privacy protection, while handling sensitive information during registration processes.
  • Served as a liaison between patients, physicians, and administrative staff to address concerns or questions related to registration or billing issues effectively.
  • Stayed calm under pressure and successfully dealt with difficult situations.
  • Recruited, hired, and trained all staff, providing direct supervision, ongoing staff development, and continuing education to employees.
  • Communicated with patients, ensuring that medical information was kept private.
  • Discussed medical histories with patients in an effort to provide the most effective medical advice.
  • Scheduled surgeries, managed pre-certifications, and verified insurance coverage.

Patient Access ER/Float, Patient Access Scheduler, Patient Access Registration

Central Montana Medical Center
02.2021 - 05.2022
  • Complete the registration process by gathering, verifying, and updating demographic and insurance information to ensure accurate patient information. I have scheduled appointments for patients for surgery, radiology, clinical, physical therapy, and orthopedics. Answer any patient questions and coordinate with their medical team to ensure that any follow-up calls are arranged. Triage any phone calls to their medical team or transfer their call to the ER.
  • Duties ER/Float
  • Register for Hospital, ER, Lab, Radiology, CPC, Cardiac Rehab, Rehab, infusion, and Clinic.
  • Educate patients regarding Notice of Privacy Practices (NOPP), Patient Rights, Good Faith Estimates, No Surprise Act, and Conditions of Admissions.
  • Direct patients and paperwork to the proper departments. Ensure accurate and timely corrections to patient records and accounts in coordination using a software program called AccuReg, HIM, and the Central Business Office.
  • Monitor work queues and reports to ensure all insurance, demographic, and eligibility information is obtained and entered accurately following established policies and procedures.
  • Initiates collection of co-payments following each patient’s insurance policy, accepts all other payments on accounts, provides receipts for all transactions, and maintains and reconciles the cash drawer band by following the reconciliation policy and procedure.
  • Utilize procedure and maintain competency for the emergency alert system.

Patient Access Scheduler, Patient Access Registration

  • Complete the pre-registration process by gathering and updating demographic, insurance, and prior authorization information to ensure accurate information for patients, guarantors, and insurance follow-up.
  • Schedule and coordinate appointments that meet the patient’s needs, following the schedule templates and policies of hospital and clinic departments and providers.
  • Schedule complex orders for ancillary services.
  • Direct patients and paperwork to the proper departments. Ensure accurate and timely corrections to patient records and accounts in coordination with HR and the Central Business Office.
  • Used Epic System for EMR.
  • Used the Montana Access Portal to verify Medicaid insurance.
  • Used BCBS, Humana, and other insurance portals to verify insurance coverage.
  • Managed 90-100 incoming calls, emails, and faxes per day from patients.

Clerk of the Court/Justice of the PeaceCity

City JP Court
07.1997 - 08.2006
  • Enhanced court efficiency by maintaining accurate records and promptly processing legal documents.
  • Coordinated courtroom schedules for seamless case progression, minimizing delays and optimizing resource utilization.
  • Managed jury selection process for streamlined court proceedings, ensuring fair representation for all parties involved.
  • Processed legal documentation accurately and efficiently, minimizing errors and preventing potential delays in case proceedings.
  • Trained new employees on proper filing procedures and record-keeping practices to maintain consistency across departments.
  • Supported court operations by serving as a reliable point of contact for inquiries from members of the public or legal professionals.
  • Facilitated communication between attorneys and court staff for effective collaboration on cases.
  • Contributed to a positive work environment through courteous interactions with colleagues, attorneys, litigants, and other stakeholders.
  • Expedited case resolution by assisting judges with research, document preparation, and administrative tasks.
  • Collaborated closely with law enforcement agencies to ensure accurate reporting of warrants, citations, arrests, and other pertinent data.
  • Acted as a liaison between judges' chambers and attorneys' offices for efficient scheduling coordination.
  • Maintained strict confidentiality with sensitive information, safeguarding the integrity of the judicial system.
  • Ensured compliance with court policies and procedures, upholding the highest standards of professionalism in all interactions.
  • Improved case management by organizing and updating files, facilitating timely access to vital information.
  • Participated in ongoing professional development opportunities to stay current on best practices within the judicial system administration field.
  • Assisted in the preparation of court orders to streamline judges' decision-making processes during trials or hearings.
  • Implemented new case management software, leading to more accurate tracking and quicker access to relevant information.
  • Managed financial transactions related to fines or fees collection while adhering to established accounting guidelines.
  • Maintained court dockets and updated disposition of cases after court hearings and trials.
  • Assisted attorneys and court personnel in the courtroom
  • Answered telephone calls, took messages, and transferred calls to appropriate colleagues.
  • Reviewed court documents to process subpoenas, motions, and pleadings.
  • Prepared court documents for filing in alignment with established protocols to support compliance.
  • Maintained and updated electronic databases to accurately and securely store court documents.
  • Prepared court orders and judgments for signature.
  • Responded to in-person and telephone requests for information from the general public, attorneys, and other involved parties.
  • Examined legal documents submitted to courts for adherence to laws and court procedures.
  • Assisted the court in scheduling hearings, meetings, and other events to support seamless operations.
  • Processed payments for fines and fees, maintained accurate drawers, issued receipts, and updated account balances.
  • Drafted professional court correspondence to facilitate legal proceedings.
  • Collected court fees and fines, and recorded amounts collected in the City/JP Court registry.
  • Stayed up-to-date on Montana laws and licensing requirements to complete accurate and efficient reviews.
  • Informed customers by mail or telephone of additional steps needed to obtain licenses.
  • Managed heavy caseloads effectively while adhering to strict deadlines, demonstrating excellent organizational skills.
  • Improved community relations by efficiently resolving disputes and addressing concerns.
  • Served as a reliable resource for legal guidance within the community, offering expertise on various legal matters and issues.
  • Collaborated with other Justices of the Peace to share knowledge and improve overall effectiveness within the jurisdiction.
  • Developed strong working relationships with local law enforcement, fostering effective communication and collaboration.
  • Developed strong working relationships with local law enforcement, fostering effective communication and collaboration.
  • Managed 50-100 calls, emails, and faxes per day from customers, lawyers, and other professionals.
  • Issued various permits and licenses, such as marriage, hunting, or dog licenses, and collected appropriate fees.
  • Assisted the court in scheduling hearings, meetings,and other events to support seamless operations.
  • Responded to in-person and telephone requests for information from the general public, attorneys, and other involved parties.
  • Assisted attorneys and court personnel in the courtroom.

Education

MS - Clinical Mental Health Counselor

Walden University
Columbia, Minnesota
08.2026

Bachelor of Science - Human Services

Rasmussen University
Bloomington, Minnesota
08.2024

Associate of Health, Art and Science Degree - undefined

Western Dakota Technical Institute
Rapid City, South Dakota
05.1997

Skills

  • Care planning
  • Case management
  • Trauma-informed
  • Teamwork and collaboration
  • Problem-solving
  • Time management
  • Problem-solving abilities
  • Multitasking Abilities
  • Reliability
  • Excellent communication
  • Organizational skills
  • Professional ethics
  • Analytical thinking
  • Conflict resolution
  • Records and client records management
  • Treatment Planning
  • Referral coordination

Accomplishments

  • Achieved good health care for the residents through effectively helping by coordinating with providers, nurses, and staff.

Certification

  • Licensed CNA. Current license through the State of Montana.
  • National Honor Society for Online Students and Member of Omega Nu Lambda confirmed by Walden University, Alpha Zeta chapter
  • Deans List, remained through out Walden University

Timeline

Resident Advocate Director

Valley Vista Rehabilitation and Nursing
03.2024 - 06.2025

Patient Access Supervisor

Central Montana Medical Center
05.2022 - 02.2023

Patient Access ER/Float, Patient Access Scheduler, Patient Access Registration

Central Montana Medical Center
02.2021 - 05.2022

Clerk of the Court/Justice of the PeaceCity

City JP Court
07.1997 - 08.2006

Associate of Health, Art and Science Degree - undefined

Western Dakota Technical Institute

MS - Clinical Mental Health Counselor

Walden University

Bachelor of Science - Human Services

Rasmussen University
Tonya Cripps