MONIQUE RILEY

Cell:612-***-****

ad40d6@r.postjobfree.com

Skill sets:

● Account management ● Community relationships

● Customer service excellence ● Business to Business sales

● Verbal, phone, liaison, and written communications ● Strategic decision-making

● Group and leadership presentations ● Team motivating

● Volunteer recruiting, supervision, and training ● Database IT management

● Budget management ● Complex problem resolution

CAREER HIGHLIGHTS

• Manage employees, provider schedules in accordance with organizational policy and standards while working for a federally qualified health care center.

• Build, maintain and recruit dental service accounts as a sales management representative for Decare Dental.

• Initiated and implemented the first volunteer outreach program for People's Center Health Services / TAMS (Teenage Medical Center). Recruited 15 volunteers/college students at community events which helped to exceed goal of reaching 8,000 participants.

• Hosted and presented at various health care events, community events, and seminars throughout career. Including "Minneapolis Urban League".

• Meet and exceed established sales and marketing AIP goals. WORK EXPERIENCE

INDIAN HEALTH BOARD OF MINNEAPOLIS-Minneapolis, MN 5/2019-present Counseling & Support Clinic Manager-Management Services

• Provides a welcoming environment in the C&S clinic, verbally, visually, and aesthetically

• Ensures client experience is valued and makes recommendations for Improvements and creates and documents departmental policies, procedures, and workflows to meet expectations of Indian Health Service and Bureau of Primary Health Care standards and Joint Commission accreditation standards.

• Tracks and reports KPIs and other improvement indices for the C&S clinic; creates and reports analytical data to funders and the IHB Board of Directors as required; manages and tracks projects related to client satisfaction, clinic operations, and community art and design projects.

• Answers phones, email and voicemails promptly and routes to appropriate parties in a timely fashion.

• Actively manages scheduling of C&S provider client panels, working with providers in a consistent manner to maximize service delivery

• Manages client transportation needs in conjunction with Scheduling Supervisor

• Works with Chief Psychologist and Integrated Behavioral Health Manager to manage intakes and referrals between C&S providers, internal IHB departments and outside agencies (schools, treatment programs, etc.) as needed

• Creates and manages on-call provider schedule with Chief Psychologist

• Monitors clients’ insurance as up to date for billing purposes and refers to Navigator when they are eligible for sliding fee discounts and/or insurance issues

• Creates and monitors purchase requisitions and other C&S expenditures, orders, inventories, and stocks clinic supplies

• Manages facility needs for C&S clinic in conjunction with the IHB Administrative Services for keys, general repairs, janitorial needs, etc.; supports OSHA and other relevant safety protocols

• Endorses and maintains awareness that each essential function should be viewed and implemented in a way that respects the American Indian community, seeks to harmonize mainstream mental health practices with indigenous healing practices, preferences, and perspectives, and reduces the effects of colonized processes

• Participates in community and indigenous activities, events and trainings regularly

• Manages administrative functions such as travel planning for C&S providers and staff; processes mail, faxes, and handles confidential and non-confidential correspondence and documentation; tracks providers annual CEU activities and spending

• Manages payroll activities for C&S staff such as accurate time entry and time off requests supervises administrative staff and provides regular feedback, training, and support HEALTHPARTNERS DENTAL-St. Paul, MN 9/2018-12/2018

• Dental Clinic Supervisor-Management Services

• Managed and hired and trained reception and clinical dental department employees

• Approved and monitored employees paid time off (PTO)

• Manage appointment availability open encounters/posted charges reports.

• Review and monitor referral, follow up and account work ques

• Adjust future schedule templates and access planning actuals.

• Maintain provider and staff schedules

• Post charge reports, refund request and daily charge reviews.

• Response to patients concerns and or complaints

• Maintain company compliance and infection control policies. OPEN CITIES HEALTH CENTER-St. Paul, MN; 8/2015-7/2017 Dental Clinic Manager –Management Services

• Managed and hired and trained dental department employees

• Approved and monitored employees paid time off (PTO)

• Lead the department which provides superior patient service by demonstrating responsiveness and sensitivity to patient needs with urgency in accordance with patient needs, organization policies and procedures, and government regulations.

• Developed strategies that ensured the practice achieved its goals as measured by key performance indicators for the year

• Organization expert on public health care programs: Medicare and Medicaid eligibility

• Ensured ongoing staff retention through management of dental staff license, credentialing, and training

• Proficient in ADA and CPT codes and terminology

• Marketed, promoted, and participated in community outreach events DECARE DENTAL - Eagan, MN; 4/2013 – 8/2015

Sales Management Representative- Professional Services Division

• Recruited general and specialty dental providers domestically and internationally for on.

• Inside and outside sales management

• Provided credentialing materials, prepare correspondence including welcome letters and contracts, and ensure providers are paid according to contract terms.

• Responded and researched provider concerns regarding claims, billing, policy systems and contract issues.

• Developed and enhanced relationships with providers and stakeholders to foster and maintain business connections.

PEOPLE'S CENTER HEALTH SERVICES - Minneapolis, MN; Feb 2012 Non-profit community clinic providing federally qualified health care services. Outreach and Education Coordinator - TAMS Clinic (Teenage Medical Center)

• Recruited, hired, and trained health educators, patient coordinators, and volunteers regarding outcome-based patient education and provider support issues.

• Liaison between TAMS and community / schools and agencies working with youth.

• Managed budgets and grants with funding from the Minnesota Department of Health.

• Directed marketing and sales promotions. Developed marketing promotional items and worked at various community events and colleges. Participated in Teenwise Conference.

• Conducted community needs assessment and patient satisfaction surveys.

• Performed outreach and event presentations.

• Contributed ideas on program and service improvement. HEADWINDS SOLUTIONS - Minneapolis, MN; 2011 - 2012 Supplier of medical, dental, and industrial supplies to clinics, hospitals, and medical facilities. Customer Relationship Manager

• Managed client's accounts, invoices, payments, and claims securely and accurately.

• Enhanced sales through corporate presentations, face to face contact, email, and phone.

• Developed and maintained professional relationships with prospects, clients, and vendors.

• Participated in healthcare seminars and community events to establish and maintain a positive reputation.

SEDGWICK CMS - Minneapolis, MN; 2009

Third party administrator for disability, short, and long-term insurance. Claims Specialist

• Processed long and short-term disability claims pertaining to pregnancy.

• Analyzed and determined benefit payments, adjustments, and other claim-related issues.

• Ensured claims were processed and paid in a timely fashion.

• Communicated daily with clients, claimant, providers, and department members.

• Investigate insurance fraud and report findings to the required agencies.

• Maintained accurate patient file for quality and control measure.

• Maintained account spread sheets per government regulations requirements. HENNEPIN COUNTY MEDICAL CENTER (HCMC) - Minneapolis, MN; 2000 - 2008 Dental Assistant / Principal Office Specialist - Emergency Services

• Provided customer service while checking in patients, verifying insurance, securing information, and making appointments.

• Managed patient charts, printed labels, and pulled patient x-rays and medical history.

• Provided work for patients with compromised health situations such as infectious disease, diabetes, kidney/liver failure, chromosomal issues, paraplegic, and trauma.

• Lead pediatric dental assistant. Trained, managed, mentored, and coached incoming dental assistants.

• Insured HIPAA, OSHA, and JACO regulations and compliance guidelines were followed. EDUCATION

St. Thomas University-Minneapolis, MN

Certified Project Management Professional

St. Catherine’s University - St. Paul, MN

B.S. Communication Studies, Social Welfare Minor

Lakeland Medical/Dental Academy - Minneapolis, MN

Licensed Dental Assistant / CPR-AED Certified, A7188 PROFESSIONAL AND VOLUNTEER AFFILIATIONS

Certificate of Training Guardian Ad Litem Program - Minneapolis, MN Court Monitor WATCH Program - Minneapolis, MN

Mock Interviewer STEP-UP Achieve Organization - Minneapolis, MN Program Facilitator for Co-Kids - Minneapolis, MN

Electoral Judge -Minneapolis, MN

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