Experience

Providence Infusion and Pharmacy Services

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

• Admissions Assistant

  • Jun 2019 - Present

  Process Medical Authorizations through medical insurances providing CPT/HCPC Coding and the Units of Measures, along with ICD-10 coding, physicians order and clinical records under Home Infusion and Enteral Tube Feeding services. Verifies insurance benefits and eligibility on all new referrals. Performs monthly verification of Department of Social and Health Services (DSHS) coverage for long term Medicaid patients and weekly verification for capitated Hospice patients. Responsible for entering new patient and physician data into the software database, including new therapy sessions on new and existing patients; Enter ICD-9/ICD-10 codes as needed. Responsible for performing Medicare Part D eligibility and drug formulary checks. Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy. Document appropriately in patient electronic record regarding payer/billing information. Verification of physician licensure on an ongoing basis. Responsible for creating Cost Disclosure/Advance beneficiary notices for Medicare patients and tracking for signed form. Prepare hospital charity agreements and send and track patient financial assistance applications. Show less



Providence Health & Services

• Hospitals and Health Care
• 700 & Above Employee

• Care Management Liaison 2

  • Apr 2017 - Jun 2019

  Provide patient-centered, coordinated access to the complex network of facilities, institutes, and clinics within five regions in the United States including WA, OR, CA, MT, AK. Foster and nurture relationships with existing patients, providers, and those seeking treatment within providence Health and Services, Swedish Health Services and affiliates. Provide patient-centered, coordinated access to the complex network of facilities, institutes, and clinics within five regions in the United States including WA, OR, CA, MT, AK. Foster and nurture relationships with existing patients, providers, and those seeking treatment within providence Health and Services, Swedish Health Services and affiliates.



Share and Care House

• United States
• Civic and Social Organizations

• Representative Payee Specialist/ Legal Guardian Support

  • Jun 2016 - Apr 2017

  Authorized in managing beneficiary's financial funds from Social Security, housing and essential needs, and social welfares and services from the Department of Social and Health Services Authorized in managing beneficiary's financial funds from Social Security, housing and essential needs, and social welfares and services from the Department of Social and Health Services



Brigham Young University-Hawaii

• United States
• Higher Education
• 300 - 400 Employee

• Finance and Accounting Associate

  • Jan 2015 - Jun 2016

  • Provided general office assistance and offered necessary support with the financial aid office as needed. • Assured compliance with PCI, FERPA, University, Federal and State regulations. • Provided general office assistance and offered necessary support with the financial aid office as needed. • Assured compliance with PCI, FERPA, University, Federal and State regulations.



Share and Care House Washington State

• Compliance Associate

  • Aug 2015 - Nov 2015

  To comply with different projects in all the departments of Share and Care House, as well as to create and revise the company's Policies and Procedures focusing with the Internal Auditor's position and the Payee Program Director's position. To comply with different projects in all the departments of Share and Care House, as well as to create and revise the company's Policies and Procedures focusing with the Internal Auditor's position and the Payee Program Director's position.



Polynesian Cultural Center

• United States
• Leisure, Travel & Tourism
• 700 & Above Employee

• Business Cash Verifier

  • Jul 2014 - Jan 2015

  • Received and distributed funds from sales and marketing, concessions, parking, and reservations department• Assisted employees in cash and checks verification, counterpoints, excels, and document filing.

• Executives Secretary

  • Jan 2014 - Jun 2014

  • Maintained customer confidence and protects operations by keeping informations confidential.• Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.• Maintained department schedules by maintaining calendars for department personnel; arranging meetings, conferences, teleconferences, and travels.

• Prime Dinning Ambassador, Lead Supervisor

  • Sep 2012 - Feb 2014

  • Supervised, trained, motivates and uplifts workers in Ambassador Restaurant.• Controlled and planned daily food production.