YOLANDA L. DUGAS
Summary
Dedicated professional with history of meeting company goals utilizing consistent and organized practices. Established record of impeccable quality in work product; constantly exceeding expectations. Skilled in working under pressure adapting to new situations and resolving challenges to best enhance the organizational brand. Proven communication skills in building successful partnerships. Enthusiastic collaborator eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel with the company.
Overview
7
7
years of professional experience
3
3
years of post-secondary education
Work History
QUALITY ANALYST
Veterans Evaluation Services
Houston, TX
01.2020 - 03.2022
- Reviewed Veterans’ Compensation and Pension exams for consistency and accuracy
- Addressed inconsistencies/errors and suggested required updates as desired by Department of Veteran Affairs
- Developed unyielding Provider/Quality Analyst relationships, ensuring quality of final work product
- Consistently increased month-to-month production
- Peer-reviewed deliverables during critical COVID-19 restrictions
- Consistently maintained extraordinary quality score of 99%
COMMUNICATIONS SPECIALIST EXECUTIVE
MedAire
Phoenix, AZ
04.2019 - 08.2019
- Received, coordinated, and documented all incoming medical travel and security assistance requests via phone or email
- Facilitated medical arrangements for domestic and international airline and yachting crew members
- Completed medical assessments of travelers to clear them for flight eligibility per approved airlines criteria
- Managed over 75 calls and 55 electronic requests per day
HIM SPECIALIST
Houston Methodist West Hospital
Katy, TX
05.2018 - 04.2019
- Exceeded daily goals to process discharged hospital charts within 24 hours
- Collected and distributed medical records for daily processing
- Scanned/indexed ER documents into OnBase and Horizon Patient Folder EMR systems
- Mobile scanned critical inpatient documents to ensure Medicare compliance
- Coordinated/designed HIM Department display for 2019 I-CARE Values Recharge campaign
PREP/SCAN TECHNICIAN
Houston Methodist Hospital
Houston, TX
07.2016 - 05.2018
- Consistently achieved goals to prep discharged ER charts in 48-hour turnaround time
- Assisted inpatient/day surgery teams to accomplish goals of 24-hour processing
- Mobile scanned/indexed time-sensitive inpatient documents to ensure compliance with Medicare regulations
- Efficiently scanned History and Physical documents daily into Epic EMR system
- Collaborated with credentialing department to ensure that physicians maintained current credentials and licenses
- Helped create HIM Department presentation during 2018 I-CARE Values Recharge campaign
RECOVERY SUPPORT SPECIALIST
Benefit Recovery
Houston, TX
11.2014 - 04.2016
- Researched, appealed, and resolved denied Medicare/Medicaid/Commercial insurance hospital claims utilizing Epic Medical Billing Software
- Verified health insurance coverage parameters and statuses for dates of service
- Requested ICD-9 and ICD-10 diagnosis code corrections to resubmit insurance claims.
- Prepared/submitted CPT/HCPCS coding corrections reports to billing department.
- Consistently met or exceeded production goal of 300-500 accounts per week with 98% error rate
Education
BS - Management, Business Information Systems
DeVry University
05.2014 - 04.2017
Skills
Customer service
Microsoft Office (Excel, Word, Outlook, PowerPoint, Access)Typing (55 wpm) and Data Entry (9500 KSPH)
Medical terminology
CMS-1500/UB-04 insurance claim forms
Medical Software – Epic, Allscripts, OnBase, Horizon Patient Folder
Insurance verification – Commercial/Medicare/MedicaidICD 10-CM, DSM-5, and CPT/HCPCS coding
Report creation
MS Project, Visio, SQL, and MySQL
Accomplishments
- Cum Laude Honors Graduate
- Alpha Beta Kappa National Honor Society
- Dean’s List
Additional Information
- 10+ years of superb customer service
- Exemplary quality assurance/auditing
- Superior attention to detail
- Outstanding written/verbal communication
- Exceptional critical thinking, organizational, and research skills
- Dedicated home office
Timeline
QUALITY ANALYST
Veterans Evaluation Services
01.2020 - 03.2022
COMMUNICATIONS SPECIALIST EXECUTIVE
MedAire
04.2019 - 08.2019
HIM SPECIALIST
Houston Methodist West Hospital
05.2018 - 04.2019
PREP/SCAN TECHNICIAN
Houston Methodist Hospital
07.2016 - 05.2018
RECOVERY SUPPORT SPECIALIST
Benefit Recovery
11.2014 - 04.2016
BS - Management, Business Information Systems
DeVry University
05.2014 - 04.2017