Experience

Genesis Physicians Group

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Senior Manager

  • Jul 2008 - Present

• Physician Representative

  • Jul 2008 - Present

• Physician Services Representative / Medical Case Management / Physician Recruitment

  • Jul 2008 - Present

  Actively seek out and or create new physician relationships for recruitment opportunities for membership into Genesis Physicians Group. Work closely with physician offices in my LPO (N. Collin Co., Irving, Tarrant Co., N. Dallas and E. Dallas) as their direct contact Liaison with Genesis Physicians Group and contracted insurance carriers. Assumed responsibility to address and correct all claims issues and initiate adjustments and concerns on behalf of my physician’s offices to contracted Insurance carriers. Organize Quarterly meetings and educate office staff on STAR program and HEDIS/HCC measures per CMS guidelines. Maintain working up to date knowledge of the Medicare Advantage Healthcare marketplace to appropriately field questions regarding current events and trends. - Responsible for creating authorizations for confinements, requesting clinical documentation from facilities, and organizing patient’s charts. Conduct telephonic communication with members to complete Post-hospital and General Health Risk Assessments to evaluate for possible Case Management needs. Maintain welcome home spreadsheet to track and trend compliance with policy time frames. Lead the task force initiative team to help implement ways to save the organization money. Complete daily follow up calls to local facilities to monitor patient admits and discharges for updating spreadsheet and computer entry. Facilitate communication with Spanish speaking members for the department.

• Manager

  • Jul 2008 - Present



Baylor Scott & White Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Lead Surgery Coordinator

  • Aug 2005 - Jul 2008

  Coordinated all urgent and emergent surgery cases with the OR staff, anesthesiologists and surgeons. Maintained the “scheduling board” between 3 pm and 6 pm for the late OR crews on hand. Assisted with transfer and positioning of patients in the OR suites before and after surgery. Delivered specimens to pathology and the lab and picked up blood/blood products for the OR department. Responsible for all OR patient charges and accounts through reviewing peri-operative charts to make sure non-routine chargeable items and implants used during the cases were accounted for. Directed the anesthesia and ancillary techs in the OR department. Responsible for making sure the circulating nurses had what was needed for the individual cases. Initiated and maintained the filing system for the peri-operative charts. Handled the phone system for the department to answer questions, estimate times for cases to be completed and coordinate other cases throughout the day to maintain a smooth efficient flow of the surgery cases.



Texas Tech University

• United States
• Higher Education
• 700 & Above Employee

• Staff/Student

  • Nov 1997 - Aug 2005

  Inspected all buildings on campus to complete evaluations of the structures. Created work orders for any and all shops to correct deficiencies found. Performed construction jobs that helped maintain operating functions for all structural aspects of the buildings, including doors and locking devices. Responsible for educating students assigned to me in the school class work program about construction repairs. Inspected all buildings on campus to complete evaluations of the structures. Created work orders for any and all shops to correct deficiencies found. Performed construction jobs that helped maintain operating functions for all structural aspects of the buildings, including doors and locking devices. Responsible for educating students assigned to me in the school class work program about construction repairs.



Kaiser Permanente

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Surgical Referral Specialist and Surgery Scheduler/MA

  • Jun 1992 - Nov 1997

  Coordinated all surgeries with referral surgeons, anesthesiologist, surgical assistance and OR staff. Medical Assistant in the urgent care center utilizing clinical skills which included but were not limited to vital signs and triage, minor surgical procedures, reduction of fractures with casting and splinting, patient education, and venipuncture. Responsible for maintaining a clean safe clinical setting, under the supervision from the doctor assigned to during shifts worked after hours and on weekends.