Patient Services Assistant February 2017 to CurrentDepartment of Veteran － Little Rock, AR
Serves as the initial subject matter expert, for the Central Business Office (CBO), adjudicating and authorizing Veteran's eligibility applications for programs such as, but not limited to, enrollment, eligibility for VA healthcare benefits, and financial assessments.
Acts as primary contact with physicians and nursing staff in the care delivery areas to advise Veterans of availability of services, procedures, and practices regarding administrative processes.
Develop financial assessments to determine the veteran's priority for enrollment in the VA Healthcare System and their eligibility for income based benefits Counsel veterans and their representatives regarding the outcome of the case development process to ensure that eligibility for VA benefits and services are thoroughly explained Research historical healthcare record information to obtain and provide information Prepare computerized case notes relative to customer calls Adjudicates cases that meet VA Hardship determination criteria.
Credentialing Specialist August 2013 to December 2016Northside Hospital － Atlanta, GA
Assisted the Central Business Office Supervisor with initiating primary source verification of education, training, licensure, professional, and clinical competence, and other certifications required by the Professional Standards Board for LIP and mid-level practitioners.
Acquired and assured that primary source verification has been completed on all documentation prior to any board action/privileges determinations.
Coordinated actions with Human Resource Management, and appropriate Service Chiefs to ensure all credentials for LIP staff are current and complete.
Responsible for the collection, organization, filing, and maintenance of documentation to ensure compliance with the requirements of internal and external review agencies and/or accrediting bodies as related to program areas assigned.
Compared applicant's application against the Northside Hospital Standard Procedures and the Appendices with regard to education and accreditation; licensure, registration and certification requirements; grade requirements; and assignment for the standards; to ensure the individual meets all requirements for the position being hired.
Performed primary source verification using the documentation of the original source of a specific credential to verify the accuracy of the qualifications claimed in the applicant's package.
Assisted in maintaining an accurate and current computer data base on all LIPs employed Northside Hospital Campus-Wide.
Verified licensure(s)/credential(s) utilizing primary source verification at the time of initial appointment, reappointment, and expiration.
Provided guidance to the Chief of Staff's office, Human Resources, and service chiefs regarding Northside Hospital's and Joint Commission on Accreditation of Healthcare Organizations (JCAHO) policy requirements and revisions concerning credentialing, privileging, and Scopes of Practice.
Served as a liaison for matters regarding credentialing and privileging of the medical staff within the medical campus, outside healthcare facilities, human resources, state licensing boards, National Practitioner Data Bank, administrative office at universities, contracting offices, and representatives, etc.
Advanced Medical Support Assistant February 2011 to July 2013Department of Veteran's Affairs － Decatur, GA
Assisted with clinic access contingency plans by adjusting appointment times, location, or dates as well as shift patients to other healthcare providers as conflict with staffing and/or coverage occurred Screened/received phone calls in a courteous and timely manner, determined the nature of requests and provided the information desired using privacy rules and established clinic processes.
Managed electronic wait list to verify and validate accuracy and resolved issues.
Developed and maintained effective working relationships with all clinical and administrative staff in determining priorities of activities in support of direct patient care.
Interpreted and applied a complex body of pertinent laws, regulations, directives, and policies that relate to the administration of VA Healthcare Benefits.
Completed personnel reports, rosters, and maintained supplies and forms.
Generated patient workload reports for validation and monitored activity in clinical areas to assure consistent and accurate reporting.
Conducted patient/employee surveys, interviews, observes workflow; guided patients through hospital system, inputs referrals, documents complaints, and provided follow-up and suggested resolutions to supervisor.
Explained complex regulations and eligibility criteria concerning veterans ' entitlements and VA benefits, priorities for care, access to care and advanced clinic access.
Set priorities and deadlines adjusting the flow and sequencing of the work to meet team and patient needs.
Resolved difficult problems and diffuses potential dissatisfaction with VA services.
Support Specialist Administrative Assistant March 2004 to March 2010United States Air Force － NM
Coordinated all office functions and communications.
Screened and followed-up communications and determined appropriate disposition of communications.
Consulted with and informed appropriate persons of situations requiring attention.
Maintained appointment book and calendar of events for Commander, ensuring accuracy and timely input.
Answered incoming telephone calls, screened and responded or referred to appropriate staff members to respond.
Performed routine and special typing and word processing, as well as, filing and photocopying duties.
Drafted written correspondence as required or directed.
Developed systems which allowed for the timely and efficient handling of the high volume of work which developed in the administrative area.
Coordinated travel arrangements, government travel cards, and all other spending accounts Constructed meetings to include maintaining schedule of meetings, coordinating, preparing and distributing agendas, coordinating presentations and recording and distributing minutes.
Monitored capital budget expenditures for the Operations area.
Supported the 27th Special Operations Wing office with scheduling of meetings/recordings minutes and distribution of appropriate material.
Responded to all concerns/complaints directed to 2nd Command and ensures follow-up by Commander.
B.S : Business Administration, 2006Liberty UniversityBusiness Administration
Cert. Financial Management, 2010Cert. Business Analytics, University of Pennsylvania University of Illinois at Urbana-ChampaignCert. Financial Management
Seeking a position with an organization where I may continue to dedicate my customer service and leadership skills to continuously improve the experience of the veterans for the better of healthcare.
Microsoft Office including SQL, Access, and Excel w/ Pivot
Type 100+ WPM
Data Entry 7,000+ KPH
CPT Coding, ICD-9, ICD-10
HR Recruiting Peoplefluent
Various SAP Programs (CRM, ESP, and SCM)
McKesson Star suite
administrative, Benefits, Billing, book, budget, CPT Coding, CRM, Data Entry 7, data base, delivery, documentation, filing, financial, forms, government, Human Resource Management, Human Resources, HR, ICD-10, ICD-9, Insurance, notes, meetings, Access, Excel, Microsoft Office, Office, nursing, direct patient, PeopleSoft, personnel, policies, presentations, processes, Coding, Project Management, recording, Recruiting, reporting, Research, SAP, scheduling, SQL, staffing, Supervisor, surveys, telephone, phone, travel arrangements, Type, typing, validation, VISTA, word processing, workflow, written