VICTORIA CHAVEZ

Remote

Departmental liaison and with Intellisoft & CAQH for ongoing process management/improvement

Departmental policy and procedures annual review/updates

Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.

Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access.

Performed primary source verifications such as criminal histories, licenses and board certifications.

Trained employees on best practices and protocols while managing teams to maintain optimal productivity.

Implemented departmental policies and standards in conjunction with management to streamline internal processes.

Researched and prepared reports required by management or governmental agencies.

Conferred with management to develop or implement personnel policies or procedures.

Remote

Used Verisys, CAQH to maintain facility databases containing physician records, files and credentialing documents.

Collaborated with physicians to ensure timely completion of hospital applications.

Utilized well-developed active listening, interpersonal and communication skills in collaborating with diverse individuals each day.

Kept close tabs on documentation expiration dates, communicating with the correct personnel to submit files prior to expiration.

Offered high level of assistance during managed care auditing process and conducted internal file audits.

Performed primary source verifications such as criminal histories, licenses and board certifications.

Maintained informational resources, tracking and documenting requests for updates, certification and credentialing.

Performed database queries, compiled information according to requests and logged logistics changes.

Completed enrollments into Medicaid, Medicare and private insurance plans.

Tagged documents according to tiered access thresholds, updating packets, reviewing reports and forwarding items requiring approval or verification.

Maintained detailed database of compliance data, activities and actions taken.

Investigated reported and identified compliance issues against accepted standards.

Perform administrative activities for the Department of Cardio-Thoracic Surgery; serves as a central point of liaison with other departments and external constituencies in the resolution of a variety of day‐to‐day matters concerning the unit

Assists in administrative problem-solving, program/project planning, and onboarding program development

Monitor, reconcile, and assists with fiscal administration for the Cardio-Thoracic Surgery Unit, including travel for 20 Physicians

Credentialing /re‐credentialing

Scheduled and coordinated meetings, appointments and travel arrangements for managers or supervisors.

Automated office operations by managing internal and external customer correspondence, record tracking, and data communications.

Organized training, client meetings, team meetings, and events.

Produced and distributed on-call schedule and other forms of communication.

Strengthened traceability by developing organization systems for contracts, records, reports and agendas.

Managed calendar of 16 Surgeons daily.

Arranged domestic and international travel, hotel and transportation needs for staff.

Composed and edited complex and sensitive correspondence, reports and documents.

Gathered, entered and updated data to maintain departmental records and databases.

Prepared agendas and took notes at meetings to archive proceedings.

Worked with finance department to file receipts and reimbursements.

Summarized and analyzed data from sources to create detailed documents, reports and high-level presentations.

Support clinic workflows, resources to general department operations, IT issues, clinic supply, Physician and staff onboarding
Multi‐project management: multiple clinic moves, project management of Flu Clinic set up and supervision of 12 LVNs. Point of Contact for department staff needs, maintain clinic stock, coordinate training, structure recognition and employee retention
Organize/prepare department meetings supporting Assistant Chief and partnering co‐leads. Integrate multiple AV technology
and software applications. Prepare/track executive expense reports
Support monthly department meetings (4 departments, 4 managers and 25 Physicians, 100 Support Staff) and Didactic training
Patient Coordinator: Coordinate the provision of program services for members with a multidisciplinary team
(Heart Failure, and Escobar Risk) for Transitional Program services
Medical Assistant (2000‐2002), DME Coordinator (2002‐2008), Administrative Specialist (2008‐2010, 2016‐2018