I am eager to leverage my strong foundation of work experience and skills in a dynamic role that promotes personal and professional growth while committed to continuous learning and development, with a passion for applying acquired knowledge to drive impactful results.
Overview
26
26
years of professional experience
Work History
Senior Heath Service Rep
Behavioral Health Services
10.2015 - Current
Substance Use Treatment Services
- Reporting and data analysis
- Understanding knowledge of various system (PMM, Ariba, KRONOS)
- Effective implementation of organization’s objectives
- Provide inputs and active in execution of implementing internal new P&P as required
- Personnel management
- Scheduling management
- Working with various community base agencies and resources
- Support providers in all level such as billing inquiries, liaison between patients and staff
Accepted payments and updated accounts with latest information.
Scheduled appointment to resolve more complex issues.
Provide onboard with new staff training, evaluation and support for disciplinary action
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Health Service Representative
Behavioral Health Services
11.2014 - 10.2015
Behavioral Mental Health
- Patient registration
- Support and train new staff
- Data analysis
Office Manager/Administrator
Silicon Valley Pediatricians, Inc.
06.2010 - 05.2014
- Annual budgeting and forecasting
- HR/Personnel management
- Hiring and terminating staff
- Payroll
- Staff development trainer
- Audits third party billing vendor
- Private and Non-profit business model
- Comprehension of insurance contracts (PPO & HMO)
- Credentialing/Re-credentialing
- Monthly AR reconciliation
- Marketing/branding strategies: identify opportunities, best practices
- Electronic Medical Record research and implementation planning
- Writing & updating office policy manuals
Community Outreach Manager
Santa Clara Family Health Plan
11.2008 - 02.2009
- Representative for the health plan at county and state stakeholder meetings
- Accurate delivering of grant deliverables
- Preparation and participation in state audit
- Advocated and marketed the Health Plan in the Asian community, particularly in the Vietnamese community throughout Santa Clara County
- Develop outreach strategies and identify grant opportunities
- Data analysis for all outreach activities
- Community building through collaboration with other human services
- Lead a Vietnamese Consumer Advisory Committee
- Provided training and education to community base organizations, clients and service providers
Community Outreach Specialist
Santa Clara Family Health Plan
08.2005 - 10.2008
- Oversight of outreach activities for the Asian community for Santa Clara County and other ethnic groups
- Manage multiple projects simultaneously within adequate timeline
- Writing up process and procedures for the department
- Conduct presentations for members, community organizations and providers
- Participated in DHCS Marketing & Compliance audits
- Development of Retention Education Patient Navigation Tools for Certified Application Assistors in Public Health Coverage Programs
Authorization Coordinator
Santa Clara Family Health Plan
09.2002 - 08.2005
- Make authorization decisions based on Medi-Cal guidelines
- Review authorization requests for all programs
- Provided trainings for contracted providers and staff regarding authorization process using online system
- Worked with intra departments to solve complex issues with regards to authorization appeal
Member Service Representative
Santa Clara Family Health Plan
06.1999 - 09.2002
- Knowledgeable of the healthcare programs
- File and Resolved member Grievances in accordance to State guidelines
- Support in data analysis Monthly Membership Activity Report
Education
Alcohol & Drug Studies
SJCC
08-2019
Master in Business Administration -
University of Phoenix
12.2007
Bachelor of Science - Physiology
UC Davis
06.1999
Skills
- Knowledge in Microsoft Words, Excel, Power Point and Outlook
- Kronos, Avatar, Unicare, HealthLink, PMM, Ariba
QUALIFICATION
- Experience in short and long terms project management
- Great analytical and organizational skills
- Management and leadership experiences
- Knowledgeable in healthcare management and trends