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Office Medical

Location:
El Paso, TX
Posted:
June 21, 2020

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NORMA CHAVEZ, MBA

915-***-**** – cell

addy9s@r.postjobfree.com

SUMMARY OF QUALIFICATIONS

My objective will be to help achieve the organizational goal through the use of all the resources that are made available. Meeting or exceeding expectations will be a priority. Experience, education and dedication are attributes that will be used in the work environment. EDUCATION

University of Phoenix, El Paso, Texas Last day of school - April 29, 2015 Master Business Administration

Graduated - May 9, 2015

Minor – Human Resource

Member of the Voice of the Phoenix Student Panel

PROFESSIONAL WORK OF EXPERIENCE

University Medical Center

PFS Contract Coordinator. 10/22/18 – Current

● Reporting to the PFS Manager

● Employing a contracts management system

● Directly responsible for developing and implementing contract reimbursement models according to executed managed care contract terms, identifying, and analyzing discrepancies in system

● Directly responsible for the managed care reimbursement term calculations and reconciliation of payment variances

● Acts as intermediary with Managed Care, Revenue Cycle and PFS management to accurately administer contract terms, identify, recommend and implement issue/problem resolution necessary to affect timely and accurate reimbursement.

● Commercial Collection 40 accounts per day quota- reporting to collection supervisor Firstlight Federal Credit Union 07/24/17- 10/12/18 Talent Management Coordinator

● Responsible for performing a variety of Human Resource support duties.

● Assists in maintaining the Talent Management database and all employee records and files.

● Processes personnel actions in preparation for bi-weekly payroll.

● Reviews and monitors various payroll generated reports.

● Completes recording functions involving attendance statistics, termination, hire and transfer data, and other employment related data.

● Provides recommendations regarding the development and administration of human resource policies and programs.

● Resolves and responds to questions and inquiries from employees and applicants.

● Performs general office support functions and assists area personnel as necessary. HealthSCOPE Benefits 01/26/15- 7/20/17

Claims Anaylist

● Analyst -3rd party insurance administer

● Process and evaluate medical, vision, dental and massage therapy claims Page 2 of 4

● Focus on process high dollar claims (using company’s P&P guidelines)

● Obtaining and verifying authorization on claims for proper handling Pier 1 Imports 09/ 27/11 – 11/19/17

Part-time Customer Sales Associate

● Sales and cashier experience.

● Notify customers of promotions, store incentives, and products.

● Assist in the training and development of peers

● Unload merchandise from truck in warehouse, and set up floor display Tenet HealthCare Corporation 01/06/97 – 10/03/14

Med-Post Urgent Care

Patient Access Representative

● Registered patients

● Work with insurances,

● Focus on collecting overdue bills, denials and rejections claims

● Provide and type confidential correspondence, memos documents (following HIPPA regulations)

● Handle patient charts

● Order patient medications

● Schedule appointments

Providence Memorial Hospital

Network Contract Specialist:

Provide and type confidential correspondence, memos documents (following HIPPA regulations)

Renew and create hospital lease agreements for outside vendors and equipment

Renew and create hospital physician contracts, and potential candidate’s contracts

(when required prepare flights, hotels, meals, transportation for potential candidates) Business Office Network Administrative

Assistant/Charge Management Coordinator – for

Providence Memorial, Sierra

Medical and Providence East Hospital’s):

Data entry of findings from the auditor’s audit results of the patient chart for accuracy

Maintain hospital and external auditor policies and procedures to meet adequate requirements and deadlines.

Follow up with patient on audit results

Prepare error reports for CFO’s and all department directors to all three hospitals

Prepare PowerPoint presentation on errors for all three hospitals

Prepare monthly error rate minutes for CFO’s and directors to send to corporate office in Dallas

Maintain hospital and external auditor policies and procedures to meet adequate requirements and deadlines.

As the department safety officer provided updates information on policies and procedures.

Track, provide and maintain yearly test exams for staff

Prepare re-orientation classes

Kept Kronos system accurate on staff times

Approved and kept staff time off request up to date

Assisted supervisor in preparing the yearly evaluation for staff

Coordinate department meetings, minutes, schedules, various reports, maintain office supplies, and budget objectives.

Administered training and conduct sessions to employees on an individual or classroom setting

Provide and type confidential correspondence, memos documents (following HIPPA regulations)

Process purchase orders, travel arrangement for continuing education credits for staff as needed

Maintenance and box medical records to send to storage facility

Provide and type confidential correspondence, memos documents (following HIPPA regulations)

Process purchase order for supplies

Prepare travel arrangement for continuing education credits for staff as needed

Volunteered on spare time to assist other departments Education department / Texas Tech students/answer phone calls. Organize office when needed Patient Access Department /Out-patient Registration area- registered patients

Experience assisting supervisor on a daily basis and especially when out on leave Business Office Network Administrative

Page 3 of 4

Assistant/Support Clerk II- for Providence Memorial, Sierra Medical and

Providence East Hospital’s):

Data entry of findings from the auditor’s audit results of the patient chart for accuracy

Maintain hospital and external auditor policies and procedures to meet adequate requirements and deadlines.

Follow up with patient on audit results

Prepare error reports for all three hospitals

Maintenance and box medical records to send to storage facility

Provide and type confidential correspondence, memos documents (following HIPPA regulations)

Process purchase order for supplies

Prepare travel arrangement for continuing education credits for staff as needed Business office Managed Care Coordinator:

Review accuracy of insurance contract payments according to the hospital agreement with insurance payer

Focus on collecting of overdue bill accounts

Provide and type confidential correspondence, memos documents (following HIPPA regulations) Business Office Medicaid Collector:

Verify and assure claims billed within timely filing

Review accuracy of insurance payments according to the hospital contract agreement

Appeal when necessary

Provide and type confidential correspondence, memos documents (following HIPPA regulations) Business Office Commercial Collector:

Verify and assure claims billed within timely filing

Review accuracy of insurance payments according to the hospital contract agreement

Appeal when necessary

Collect and make arrangements of payments from patients

Send claims to bad debt when needed

Provide and type confidential correspondence, memos documents (following HIPPA regulations) Skills and Knowledge:

● Loyal, ability to multitask, responsible and ethical way of working

● Strong organizational skills

● Be able to use time management wisely

● Ability to communicate effectively, decision making skills

● Punctual, reliable, dependable, and honest

● Demonstrate computer and technology skills

● Real Estate (Landlord) Lease agreements

● Customer Sales Associate

● Cash register experience

● Banking experience: Teller, New Accounts, Loan Secretary experience

● Answer 10 line switchboard

● Prepare powerpoint presentation and minutes

Trained on the following programs:

● Operate windows XP, Microsoft programs: excel, word, power point, outlook- email, Coral WordPerfect, office copier, fax, and scanner.

● Hospital programs: ACE, CT Vision, SMS,AP Plus, PBAR, MASS, HPF, VI Webb, On Demand, Access, Kronos, Passport One Source, IMAC, EPX- electronic payment exchange system, Passport One Source Insurance verifier system, IOS Scan printer, DocuTap- Tenet practice manager patient system.

● Blue Hill data system to HealthScope, DocTrac, PC View, Health Axis,

● ADP, Intranet, internet, badge system for Human Resource data entry

● E-verify system to verify eligibility of employment

● Invision, Soarian, SSI (clearing house), Cerner-Millennium, HSI Papers, Page 4 of 4

Certificate of Completion:

● Tenet yearly certificates of online compliance courses required by hospital - 1997 to 2013

● Tenet – Providence Memorial Hospital – Introduction to Medical Terminology - April 2013

● University of Phoenix certificate of completion of Microsoft and powerpoint - 2012

● El Paso Community College Human Resource Management Course from Jan - May 2009

● Received a plaque for volunteering for the past 15 years from Ysleta ISD - 2009

● Heart Math Class – 2008

● Completed Strengths based Leadership by Don Clifton assessment

● University Medical Center online yearly coursed required by hospital 2018-2019 Last updated: November 2019



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