Experience

Stanford Medicine Partners

• United States
• Hospitals and Health Care
• 200 - 300 Employee

• Senior Quality Specialist

  • Feb 2016 - Present

  • Lead for AMP program reporting and main contact/project manager for the annual AMP audit for IHA and OPA public reporting; Lead for Essence Medicare Advantage Health Plan, and IPA provider network engagement and process improvement projects• Oversee data entry and QA to ensure accuracy for audit purposes• Validate and maintain data generated by our NCQA Certified vendor and work with the appropriate departments to correct errors and make improvements; Generate reports for providers and senior leadership for tracking and internal reporting purposes• Lead multiple large scale, organization wide, performance improvement initiatives to improve patient care, and patient experience, including identifying opportunities for process improvement• Responsible for negotiating timelines and priorities for projects, coordinating action plans, and monitoring/analyzing results for projects that are consistent with the organization's strategic goals and objectives

• Quality Improvement Coordinator

  • Feb 2016 - Nov 2019

  • Provided data analytics for our AMP (P4P) public reporting program• Worked closely with our data aggregation vendor to ensure our data is handled accurately • Supported the yearly P4P audit process for public reporting purposes



Kimco/Mediquest

• Oakland, California

• Quality Improvement Data Entry

  • Aug 2014 - Feb 2016

  • Input patient information into the company data aggregator to provide leadership with quick access to essential patient data related to the IHA AMP (previously P4P) reporting program • Participated in the vendor selection process for a new AMP and HEDIS NCQA certified reporting tool and completed data validation to ensure a smooth and accurate data transition to the new platform • Utilized Excel to generate reports and graphs as well as comparing month to month data and rates. • Participated in organizational population health improvement projects • Volunteered to assist with special office projects, successfully completing all tasks prior to deadlines.



OSU Physicians Central Billing Office

• Columbus Area, Ohio

• Data Entry Operator

  • Apr 2012 - Jun 2014

  • Posted payments and read EOBs from all insurance companies • Learned how to read and post rejections and correspondence issues related to patient care • Regularly exceeded monthly production requirements • Posted payments and read EOBs from all insurance companies • Learned how to read and post rejections and correspondence issues related to patient care • Regularly exceeded monthly production requirements



Nesco Resource

• Columbus, Ohio

• Revenue Cycle Support Clerk

  • Jun 2011 - Apr 2012

  OSU Physicians Central Billing Office: • Processed the mail, fulfilled batch requests, and scanned and filed all payment and charge batches after they were completed • Change the file room from a paper filing system to a digital scanning system • Trained to assist with payment posting • Employee of the month, December 2011 Progressive Medical: • Assisted in completing a major update of the patient records • Completed and sent out medical justification forms and certificates of medical necessity to get patient files up to date per Medicare guidelines • Utilized my organizational skills, attention to detail, and data entry skills.