Experience

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  Automated Health Systems

  • Education And Outreach Manager
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  Automated Health Systems

  • Remote

  • Education And Outreach Manager

    • Jul 2018 - Present
    • Remote

    Provide information and education across the State of Maryland to all practitioners offering Maryland Medicaid services. Conduct extensive trainings to provider groups and stakeholders across Maryland regarding the new ACA Re-Validation, Enrollment and Update requirements using the new electron...

• 

  Always Better Care Home Health

  • Las Vegas, Nevada Area and Laughlin and surroun...

  • Patient Care Coordinator

    • Mar 2016 - Apr 2018
    • Las Vegas, Nevada Area and Laughlin and surroun...

    Market company of dedicated healthcare professionals with patients who need care to remain in their homes. Communicating daily with medical professionals, facility administrators, case managers, patients and family members. Oversee referral process to completion. Also connect patients who can ben...

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  Horizon Health

  • Boulder City Hospital, Boulder City NV

  • Community Education Manager

    • Jun 2015 - Jan 2016
    • Boulder City Hospital, Boulder City NV

    Develop and manage community marketing plan.Track outreach efforts and results. Create reports. Chair marketing meetings. Educate community on services available at the facility. Give presentation to community groups on various healthcare topics.

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  Semi -retired

  • Las Vegas, Nevada Area

  • Traveler

    • Oct 2014 - May 2015
    • Las Vegas, Nevada Area

    Took some time off work to visit family on the East Coast.

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  UnitedHealthcare

  • Cypress, Ca

  • Physician Advocate

    • Feb 2013 - Oct 2014
    • Cypress, Ca

    Conduct webinars to educate providers on TRICARE and other healthcare commercial products. Communicate network issues with CEOs and Administrators of hospitals and medical groups. Educate on system and portal usage, CMS STARS, Medicare issues, HEDIS, ICD-10, encounter data and compliance issues. ...

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  TriWest Healthcare Alliance

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

  • TRICARE Regional Provider Representative

    • Jan 2011 - Feb 2013

    Conduct seminars, webinars, Military Treatment Facility briefings,eLearning and outreach activities. Present TRICARE information at conferences to civilian and military medical professionals regarding TRICARE health benefits. Also provide specific educational assistance to providers and their staffs for EDI processing of healthcare functions for TRICARE. Direct responsibility for education in the states of Wyoming, Colorado, Nebraska, Iowa, North Dakota, South Dakota, Kansas, Missouri and Minnesota. Also participate in Executive Council meetings at the Military Treatment Facilities. Assist in preparation of training materials, powerpoints and spreadsheets, and facilitate additional training through online webinars. Provide back up educational assistance to the other states in the 21 state region of the TRICARE West region. Provide one-on-one technical training for electronic processing of authorizations/referrals, claims and various research tools to medical facility and provider groups. Use Microsoft Office Suite, Spreadsheets, SharePoint, build PowerPoint Presentations.

  • Quality Analyst and Call Center Trainer

    • Apr 2010 - Jan 2011

    Conduct quality monitoring, training and coaching of Contact Center Staff for improved customer service. Collaborate with supervisors, managers and other departments to identify and address potnetila quality issues and service improvements. Ensure accuracy and relevancy of training on processes and procedures. Utilize certified skills under the Behavior Analytic model while integrating its practices into the Contact Center. Plan and execute formal and informal learning activities in a classroom environment.

  • TRICARE Field Representative

    • Mar 2006 - May 2010

    Provide TRICARE education to civilian and military medical providers from Los Angeles to the Oregon area via seminars, briefings and on-site visits. Also conducted seminars, briefings and provider visits in Arizona, Wyoming, Hawaii, Colorado, Idaho, Washington and Oregon to cover for vacancies in those areas. Investigated customer complaints and congressional inquiries. Assisted with the training of new TRICARE Field Reps in various areas of the West Region. Participated in Executive Council meetings with clinic commanders at LAAFB, Vandenberg AFB, Port Hueneme, Madigan, Ft Lewis and Oak Harbor. Maintained a strong presence and positive professional relationship with providers and facility administers. Assist providers with complex claims issues and followed through to resolution on problem issues. Knowledge of Microsoft Office programs including Word, Outlook, PowerPoint and Excel. Received the Commander’s Coin of Excellence from the Commander at the Presido of Monterey for my contributions as an educator and resource person for his staff and the civilian providers in regards to the TRICARE program.

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  Force 3

  • HIPAA Compliance Officer

    • 2005 - 2006

    Actively supported over 100,000 service connected personnel and their families in the greater Los Angeles area in the education of HIPAA laws and regulations and tracking HIPAA compliance. Managed 100% PHI tracking and reporting for 61st Space Command. Briefed command staff on compliance; schedul...

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  TriWest Healthcare Alliance

  • Nellis AFB, Las Vegas, NV 80919

  • TRICARE Service Center Office Manager

    • Sep 2001 - Dec 2003
    • Nellis AFB, Las Vegas, NV 80919

    Oversee the full operation of the TRICARE Service Center.Troubleshoot and resolve beneficiary and provider issues. Prepare performance evaluations of staff. Review urgent and escalate authorization and referral requests.From 2001 to 2002 performed duties of TRICARE services representative assisti...