Credentialing Specialist

• Oct 2022 - Present

Credentialing & Billing Associate

• Aug 2021 - Jul 2022

Credentialing •Analyzed and verified immunizations and training certifications of PAs, LSAs and CSAs to ensure that their documents were compliant with state regulations •Maintained 20 queues simultaneously such as TB, Varicella, 7-panel drug screen, various hospital specific required documents •Assisted in managing assistant’s accounts via phone/email to ensure they were compliant with mandated guidelines. Multi-tasked to maintain documentation during peak document seasons •Managed all medical provider licensing, including completing and processing initial and renewal applications •Ensured recent surgical assistants and physician assistants were being licensed appropriately and in a timely manner •Created and managed profiles of all assistants on Council for Affordable Quality Healthcare (CAQH). Accounts Receivables Specialist •Posted customer payments by recording cash, checks, and credit card transactions on Medisoft •Audit patient accounts on Medisoft to ensure they contain correct information, such as billing addresses and invoice numbers •Posted payments to credit patient accounts and generated patient statements accordingly. Responded to patient billing inquiries •Protected patient and family privacy rights and maintains confidentiality of patient records in accordance with policy and procedure and HIPAA requirements Data Administration •Created and maintained logs for tracking daily procedures performed by Physician Assistants (PAs), Licensed Surgical Assistants (LSAs) and Certified Surgical Assistants (CSAs) •Reviewed and entered data for updates in Medisoft and Coremax Billing software •Communicated with Surgical/Physician Assistants to verify information and to request additional/missing information •Filed away face sheets, operation reports, progress notes, negotiations, billing statements and any additional paperwork related to patient records and files. Show less

Case Investigator/Data Collector

• Jul 2020 - Jun 2021

• Employed dynamic communication and interpersonal skills, cultural competency/ sensitivity, tactful language, and empathetic interviewing skills to build rapport and maintain trust with patients of varied backgrounds while maintaining patient data through Salesforce database.• Verified patient’s identity during initial communications and prior to disclosing confidential information. While obtaining and documenting detailed information regarding patient diagnosis, demographics, COVID-19 symptoms and their onset date(s), clinical course, underlying medical conditions, and other risk factors.• Assessed patient’s ability to safely and effectively self-isolate at home, with adequate water, food, prescription medicines, and other necessities. Identify barriers to necessary interventions and facilitate appropriate referrals, per local protocols. • Collaborate with a team of public health professionals to efficiently provide necessary supportive services for isolation and notify close contacts of exposure to COVID-19. •Analyze quantitative and qualitative data for COVID hotspots within the state of Texas through Salesforce technology Show less

Research Assistant

• May 2020 - Aug 2020

• Assisted the PI in publication of manuscript “Consumption of Areca Nut in US mainland”• Assisted with the design and implementation of qualitative and quantitative data collection tools• Reviewed and addressed modifications and amendments to IRB applications and their approvals• Assisted with the development, and implementation of surveys (Qualtrics and Redcap)

Dental Practice Manager

• Oct 2012 - Oct 2014

•Self-employed in my own private practice and performed various preventative and restorative dental procedures •Managed the overall patient flow within the practice to achieve maximum efficiency •Onboarded and trained all new staff members, as well as led, mentored, and coached existing team members •Provided regular feedback to employees on their performance and took an active role in leading the employee’s annual review •Ensured strict compliance with pertinent laws and regulations (HIPAA, OSHA, Employee Policy, & Basic Labor laws) Show less

Patient Access Representative

• Aug 2005 - Sep 2006

•Performed clinical duties for over 50 patients a day from scheduling appointments to patient documentation •Obtained, verified, and entered complete and accurate demographic information on all accounts to facilitate smooth processing through the revenue cycle •Acted as patient and family advocate, providing necessary information that improved patient clinical experience and satisfaction. •Provided complete and accurate documentation on each visit to ensure compliance with hospital and government regulations •Maximized the efficiency and accuracy of the collection process by pursuing collections at the time of service •Assessed the needs of the patients and physicians to help with insurance benefits and physician referrals. Show less