Tanya Romero, MHA

Program Manager at TrisBell, Inc.
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Contact Information
us****@****om
(386) 825-5501
Location
US

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Experience

    • United States
    • Business Consulting and Services
    • 1 - 100 Employee
    • Program Manager
      • Sep 2020 - Present

      Planning and coordination of account activity and health. Identifying opportunities for optimal results. Planning and coordination of account activity and health. Identifying opportunities for optimal results.

    • 200 - 300 Employee
    • AMB
      • Feb 2018 - Present

      Identified client’s hair care concerns while researching products to best treat their hair. Planned and implemented various marketing and advertising techniques to generate new sales to further personal and team success. Identified client’s hair care concerns while researching products to best treat their hair. Planned and implemented various marketing and advertising techniques to generate new sales to further personal and team success.

  • Private Practice
    • Temecula, Riverside County
    • Finanancial Administrator
      • Jul 2019 - Sep 2020

    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Health Information Manager
      • Sep 2018 - Jun 2019

    • United States
    • Hospitals and Health Care
    • 200 - 300 Employee
    • Call Center Manager
      • Dec 2015 - Nov 2017

      Directed and supported the operations of the referral department to include general administration and the monitoring, tracking and timely completion of referrals Served as liaison between the insurance companies, specialty providers and patients by tracking insurance authorization statuses such as approvals and denials Communicated with primary care providers, staff, and patients alike to preserve open communication and information of any delays or barriers to care Trained and managed over 20 employees with their daily duties and responsibilities to include caller resolution and effective customer service Monitored high volume calls, caller hold time, abandoned calls and quality control to ensure services were provided within company guidelines and department procedures Planned, directed and oversaw office renovation and relocation due to organizational growth Responsible for creating new and additional job position and hiring over fifteen additional staff members to meet the growing demands of the department Initiated a new patient registration pilot which included developing training materials, new policies, planned tasks, milestone and project roll out; new patient registration was implemented for all new patients who called and came through the call center department thus improving the patient care experience Administered all scheduling and support services to the medical and dental clinics within San Diego and Riverside county while also responsible for the after-hours support for all 26 locations. Created, updated and tracked performance and quality measures to improve workflows and improve the patient experience Collaborated with other department leads on new and special projects such as HEDIS, P4P identifying new members and health plan; initiating communication with all new enrollees to schedule their Initial Health Assessments

    • Beneficiary Service Representative/Referral Manager/Volunteer Coordinator
      • Nov 2013 - May 2015

      Performed any assigned duties and responsibilities with strict adherence to health and safety regulations, confidentiality protocols and military standards and policies Served as a Tricare Liaison for Tricare Overseas Program (TOP) beneficiary population at the Military Treatment Facility (MTF) Performed a variety of tasks such as processing registration for Tricare beneficiaries in the Composite Health Care Systems (CHCS) database for accountabilities and future references Enrolled, dis-enrolled and transferred portability for all recipients using the Department of Defense Online Enrolling System (DOES) Provided education to beneficiaries in person, over the phone and at off- site briefings to ensure that beneficiaries are well informed with current information and procedures Organized, coordinated, and provided care coordination and care management services for patients receiving optimal care including acute illness management, chronic disease management, and preventive care across multiple health settings Communicated with clinical staff, internal providers, patients, and external providers regarding referral processes, concerns, and results Compiled and updated the regular analysis of metric and performance reports to track referral data and the day-to-day operations of the referral management department Coordinated placement of volunteers based on the needs and requests of each clinic or command

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Patient Service Representative/ Administrative Assistant
      • Mar 2009 - Jun 2011

      Greeted patients and visitors, responded to questions or concerns Operated telephone system and maintained daily direct and indirect patient relations, operations and served as the point of contact, handled communications and scheduling appointments Responsible for facility finances, verification of deposits and payment of office expenditures Prepared and modified documents including correspondence, reports, drafts, memos, and email Greeted patients and visitors, responded to questions or concerns Operated telephone system and maintained daily direct and indirect patient relations, operations and served as the point of contact, handled communications and scheduling appointments Responsible for facility finances, verification of deposits and payment of office expenditures Prepared and modified documents including correspondence, reports, drafts, memos, and email

  • United Medical Endoscopy Center
    • Lancaster, California
    • Insurance Verifier Specialist
      • Dec 2005 - Aug 2007

      Compiled patient’s financial, emergency contact, insurance and case specific information Verified all patients being admitted for out -patient cases: Insurance eligibility, benefits, and authorization prior to service date Prepared end of month activity and quality review reports and professionally communicated with patients, visitors, physicians, and coworkers Compiled patient’s financial, emergency contact, insurance and case specific information Verified all patients being admitted for out -patient cases: Insurance eligibility, benefits, and authorization prior to service date Prepared end of month activity and quality review reports and professionally communicated with patients, visitors, physicians, and coworkers

Education

  • University of Phoenix
    Master’s Degree, Master of Health Administration
    2014 - 2015
  • University of Phoenix
    Bachelor’s Degree, Bachelors of Science in a Health Administration
    2011 - 2013
  • University of Phoenix
    Associate of Arts - AA, Health/Health Care Administration/Management
    2008 - 2010

Community

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