Ross Stores, Inc.

-Enhanced store performance by implementing proven management processes to increase weekly revenue on average $2-3k.
-Set, enforced, and optimized internal policies to maintain responsiveness to demands.
-Developed processes to save on costs and prevent shrink
-Introduced new methods, practices, and systems to reduce turnaround time.
-Collaborated with internal teams to streamline operations across materials handling, production, and shipping.
-Created and implemented strategies for improving operational efficiency and accuracy.
-Planned, organized, and monitored resources to deliver efficient use of labor, equipment, and materials.
-Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency, and help the company practice inclusivity.
-Monitored and analyzed performance data, identifying areas of improvement and developing opportunities for improvement.
-Monitored and supervised daily and weekly key performance indicators to maintain on-track status.
-Managed staff hiring, training, and supervision.
-Located and resolved problems with team production and performance to maintain consistent quality levels.
-Enhanced processes by pinpointing bottlenecks and working with the supervisor to resolve them.
-Managed and oversaw employee weekly schedules for accuracy and efficiency while maintaining payroll.
Monitored and completed Cash Office processes and functions.
-Assisted in increasing yearly profits by 3%
-Managed cross-functioning teams of 34 with a retention rate of 85%

Area Operations Supervisor 

Charles Schwab-Eurest 

Maintained Quality Assurance
-Ensured the quality and consistency of project deliverables
-Maintained quality through regular reviews aiming for a specific error rate
Led training for temporary team members
-Planned and executed training programs for project teams of 15-20 in a year span
-evaluated the effectiveness by tracking the performance after training sessions
Streamlined processes and protocols
-identified inefficiencies in project workflows and implemented process improvements
-Saved 10% of resources and time due to process improvements, such as reduced project completion times 
Prioritized inventory management
-Handled project resources and allocated them efficiently
-tracked use of resources to minimize waste and ensure timely project completion
Reported process improvements to management
-Continuously communicate with managerial team and presented recommendations for project improvements
-Analyzed the impact of the suggested improvements and the impact of the project performance

BOH Utility Operations 

Mountain View Pain Center

-Scheduled and Managed Appointments: Orchestrated pain and injection appointments with precision, resulting in a 15% increase in appointment adherence and timely patient care.

-Streamlined Call Routing: Implemented efficient call routing strategies for both inbound and outbound patient calls, reducing call handling time by 20% and improving overall patient satisfaction.

-Enhanced Patient-Provider Relations: Acted as the key patient care liaison, fostering positive patient-provider relationships and achieving a 25% increase in patient satisfaction scores.

-Training Process Optimization: Led initiatives to enhance the efficacy of the training process, resulting in a 30% reduction in onboarding time for new team members while maintaining high-quality service standards. Implemented training modules that improved employee retention by 15%.

Customer Service Rep/Injection Scheduler

The Collective

-Strategic Scheduling: Implemented an optimized patient scheduling system, resulting in a 5% reduction in appointment wait times and improved patient access to care.

-Payment Management: Oversaw the collection and accurate posting of payments, reducing billing errors by 8% and improving financial accuracy.

-Efficient Call Handling: Led initiatives to streamline inbound and outbound patient calls, resulting in a 25% reduction in call wait times and enhanced patient communication.

-Patient-Provider Relations: Acted as the primary patient care liaison, fostering positive patient-provider relationships and achieving a 5% increase in patient satisfaction scores.

Medical Receptionist

Cochlear

-Filed and updated patient information and medical records
-Examined patients' insurance coverage, deductibles, insurance carrier payments, and remaining balances not covered under policies when applicable.
-Collected payments and applied to patient accounts.
-Communicated with insurance providers to resolve denied claims, on average 5-10 denials daily
-Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
-Printed and reviewed monthly patient aging report
-Liaised between patients, insurance companies, and billing office.
Identified and resolved patient billing and payment issues.
-Maintained and updated collections tracking spreadsheet to help organize payment information.
-Communicated with patients for unpaid claims for HMO, PPO, and private accounts and delivered friendly follow-up calls for proper payments to contracts.
-Prepared billing correspondence and maintained a database to organize billing information.
-Located errors and promptly refiled rejected claims.
-Posted and adjusted payments from insurance companies.
-Analyzed complex EOBs to verify accurate billing of insurance carriers.
-Completed appropriate claims paperwork, documentation and system entry.
-Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
-Oversaw payment verification processes and conducted AR follow-up activities, resulting in reduced turnaround time to 30-45day
-Successfully verified eligibility and claim status, contributing to an increase in claim approvals

Reimbursement Collector

Hampson

Designed educational guides and resources for immigration assimilation reducing heuristic differences between 
immigrants and native-born workers.
-Administered class management of 50 learners on diversity, equity, and inclusion, developing a sense of belonging.
-Orchestrated ESL learning programs offering international students the opportunity to improve English language skills by 20% annually.
-Researching and analyzing DEI initiatives on intercultural awareness and sensitivity courses to educate international 
learners on dynamic values and beliefs of different cultures, reducing conflicts.
-Created progress notes and files for learners to monitor academic progress and identify areas of improvement.
-Implemented the ADDIE method to train and host courses, enhancing quality design, structured content, and controlled workloads for faculty and learners.

L&D Specialist-DEI Consultant

Osayca

-Oversaw the designing and development of curriculum to enhance teaching and learning, achieving educational objectives.
-Advocated for diversity and cultural sensitivity by creating cultural competence courses dispelling negative 
stereotypes and personal biases on different groups.
-Implemented different learning styles during training to accommodate diverse creativity, increasing learner engagement by 80%.
-Orchestrated the onboarding cycle for 3 new hires by elaborating the organization's structure and policies, resulting in 
seamless acclimation to the new workspace.
-Integrated lesson plans on verbal drilling and vocabulary expansion, enhancing content comprehension and pronunciation by 25%.
-Conducted E-learning through online training and facilitation to allow easy access to training, increasing learner engagement, and attendance.

Training Director/L&D Specialist-DEI Consultant 

-Completely appeals, correspondence, document scanning, and attachment initiatives.
-Filed and updated patient information and medical records.
-Delivered timely and accurate claim submissions.
-Posted payments and collections on a regular basis.
-Communicated with insurance providers to resolve denied claims.
-Analyzed complex EOBs to verify accurate billing of insurance carriers.
-Verified insurance of patients to determine eligibility.
-Generated monthly billing and posting reports for management review.
-Investigated and handled account payments and provided information regarding outstanding balances.
-Audited and corrected claims and posted documents for accuracy.

Medical Billing Analyst

USAP

-Expertly verified payments and managed AR follow-up, resulting in a 30% reduction in overdue accounts.
-Prepared billing statements for patients and verified correct diagnostic coding.
-Analyzed complex EOBs to verify the accurate billing of insurance carriers.
-Reviewed patient records, identified medical codes, and created invoices for billing purposes.
-Delivered timely and accurate claim submissions.
-Liaised between patients, insurance companies, and billing office.
-Filed and updated patient information and medical records.
-Verified insurance of patients to determine eligibility.
-Accurately entered patient demographics and billing information to enable tracking history and maintain accurate records.
-Tracked and monitored requests for medical records.
-Scanned and uploaded medical records into the EHR system.
-Followed up with medical staff regarding missing information in patient records.
-Utilized EHR systems to store, retrieve, and process patient data.
-Collected payments and applied to patient accounts.
-Followed up with insurance providers to resolve denied claims.

Medical Billing Administrator

Amerita

-Maintained knowledge of claim processing, claims principles, medical terminology,  and HIPAA regulations.
-Managed large volume of medical claims on a daily basis.
-Responded to correspondence from insurance companies.
-Reviewed provider coding information to report services and verify correctness.
-Followed up on denied claims to verify timely patient payment and resolution.
-Processed insurance payments and maintained accurate documentation of payments.
-Monitored and updated claims status in claims processing system.
-Researched and resolved complex medical claims issues to support timely processing.
-Evaluated medical claims for accuracy and completeness and researched missing data.
-Verified patient insurance coverage and benefits for medical claims.
-Checked documentation for accuracy and validity on updated systems.
-Maintained strong knowledge of basic medical terminology to better understand services and procedures.
-Maintained confidentiality of patient finances, records, and health statuses.
-Modified, updated, and processed existing policies.
-Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
-Verified client information by analyzing existing evidence on file.
-Assured timely verification of insurance benefits before patient procedures or appointments.
-Made contact with insurance carriers to discuss policies and individual patient benefits.
-Posted payments to accounts and maintained records.
-Generated, posted, and attached information to claim files.
-Prepared insurance claim forms or related documents and reviewed for completeness.
-Notified insurance agents and accounting departments of policy cancellations and changes.
-Identified and resolved discrepancies between patient info and claims data

Medical Claims Analyst

Intercultural and Strategic Project Manager with healthcare administrative and L&D experience domestically and internationally with proven rates of success. Leading projects of cross-cultural teams that focus on planning, organizing, and executing projects while maintaining steady client and team member relations.

I have a passion for cultivating and organizing inclusive and diverse cross cultural teams to drive stellar projects to completion. Analyzing and deconstructing problems in order to create resolutions.

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