LORIE JIMENEZ

SAN ANTONIO, TX

ad1wnk@r.postjobfree.com

210-***-****

Professional Summary:

A skilled data professional with over 18 years experience in working with medical information systems.

In-depth experience working with provider and patient records, and insurance companies to collect and

validate data in Military Health Systems. Specialized experience with quality assurance and integrity

within Composite Health Care System, AHLTA, TRICARE Informational Portal, and DEERS. Proficient

in Microsoft Word, Excel, and PowerPoint.

Professional Experience:

Laulima Government Solutions, San Antonio, TX June 2018 – September 2023

Data Analyst/Team Lead

• Team Lead over 7 External Workload Data Analyst dispersed nationwide; assign workload based on region.

• Coordinate with the civilian facility business offices to establish a workflow to receive data performed by military providers, surgeons, nurses, and technicians participating in Training Affiliation Agreement Program (TAA).

• Optimize monthly data collection procedures by utilizing Master Information Platform (MIP).

• Create monthly presentation and brief to leadership.

• Assisted in creating the Standard Operations Procedure (SOP) for External Workload Capture Program.

• Facilitate bi-weekly and monthly meetings with Program Managers, Government POCs, and team members via Microsoft Teams.

• Provide Government POC bi-weekly status reports for all team members.

• Serves as designated liaison between Government POCs and contractor leadership and team members.

• Collect provider external workload data from over 30 locations; provide quality check for accuracy.

• Comply with all mandated deadlines and increased data collection by 51%.

• Train and provide guidance to new employees on all facets of the program.

• Review candidate’s qualifications to determine behavioral and cultural fit.

Government Contract Position – Dec 2011 – May 2018

OBXtek Inc/ERP International/Pragmatics, San Antonio, TX

Management Data Analyst

• Provided quality assurance and data integrity within the Air Force Medical Service (AFMS) information system core files, including the provider files, clinic profiles, End of Day (EOD), Ambulatory Data Module writebacks and clinic and provider workload.

• Identified (utilizing a combination of CHCS adhocs, SQL, and Excel), corrected and completed provider data errors and/or omissions, profiles, templates, EOD, and ADM writebacks.

• Ran provider reports using SQL and CHCS adhocs.

• Hand selected to train 8 new employees on all facets of the program.

• Organized, developed, and presented training.

• Reviewed provider records for accuracy and verified all necessary information is captured.

• Corrected provider demographic errors, helping to assist 76 Military Treatment Facilities (MTFs) within the continental US and overseas in preventing potential loss of revenue, workload inaccuracies, data integrity and patient safety incidents.

Smartronix Inc., San Antonio, TX Oct 2008 – Dec 2011

Data Quality Analyst/Trainer

• Corrected and reviewed all Patient Files within the Composite Health Care System (CHCS) for accuracy and completeness. Focus efforts on the most important error type and most recent patient records within AHLTA/CHCS/DEERS.

• Monitored, documented, and communicated changes in patient identity or sponsorship which impact medical records tracking.

• Provided quantifiable impact of work accomplished and ensure all patient file related information in CHCS is consistent with Department of Defense (DOD) and AF directives. Correct duplicate patient records within CHCS by merging information where needed.

• Corrected National Enrollment Database (NED) Patient/Primary Care Information (PIT) discrepancies. Communicate with MTF Points of Contact of unresolved duplicate patients and registration errors when necessary.

• Submitted duplicate patients and registration errors that cannot be corrected to MAJOM Subject Matter Expert (SME).

• Conducted MTF site visits to hold training sessions on proper CHCS registration procedures as prescribed by the AFI 48-210. During the site visits briefings were given to command (Lt. Colonel and above). Post summary reports were written for command at both the site levels as well as the Air Force Medical Operations Agency (AFMOA).

• Assisted in developing standards for facilities for handling proper identification of patients to prevent duplication of the patient file.

Humana Military, San Antonio, TX Aug 2007 – Oct 2008

Beneficiary Service Representative

• Counseled and assisted active-duty military, active-duty family members, retirees, and their eligible family members with TRICARE benefits and benefit options available within the military treatment facilities, and other sources, as well as eligibility for outside medical care.

• Provided clear and concise education, including face-to-face and group briefings, concerning TRICARE medical benefits and government policies and procedures to incoming and outgoing beneficiaries, customers, and other uniformed services personnel.

• Registered TRICARE beneficiaries in the Composite Health Care System (CHCS).

• Collected and recorded Other Health Information (OHI) information into applicable systems.

• Maintained confidentiality and proper handling of Protected Health Information (PHI).

• Worked closely with referral nurses from the San Antonio Multi-Market Central Appointment & Management Office at Wilford Hall Medical Center to coordinate patient referrals, consults, and disengagement appointments with appropriate Health Care Network, Certified and Authorized Providers.

• Communicated with patients and providers with appointment status information.

Education/Training:

St Philips College, San Antonio, TX, Associate of Arts, 2018

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