Project Manager
Resume:
Eva Benitez
Project Manager
Anaheim, CA ***** • 714-***-****
Goal-oriented professional with diverse experience in end-to-end management of large-scale projects. Exceptional talent for devising strategic plans and mitigating potential risks to ensure on-time and within budget completion of projects. Adept at executing business transactions in real SAP S/4HANA system and analyzing financial reports to assist in executive decision-making process. Possess in-depth knowledge of medical industry, managed care, durable medical equipment, terminology, insurance regulations and practices, and HIPAA requirements. Passionate about revolutionizing organization through thought leaderships and cross-functional project management. Excel at analyzing and interpreting financial reports and identifying sources of any errors.
Areas of Expertise
Project Management
Strategic Planning & Execution
Reporting & Documentation
Healthcare Management
Risk Assessment & Mitigation
Quality & Accuracy Review
Database Management
Team Building & Leadership
Analytical Problem Solving
Professional Experience
Memorial Care Medical Group - Fountain Valley, CA 2017 – Present
Directory Support/Provider Demographic Management Coordinator
Ensure seamless execution of tasks in corporate office, servicing 10+ facilities at large medical group, including acute care hospitals, urgent care centers, and outpatient facilities. Deliver effective training and guidance to team of four members on projects, IPA contracts, communications, checklists, approval process, and use of excel to enhance their skills and performance. Craft detailed planning reports and documentation regarding execution of strategic decisions.
●Succeeded in improving productivity by 3% and workflow by 20% via documenting processes, identifying bottlenecks, and resolving potential problems in collaboration with cross-functional teams.
●Achieved 100% accuracy in compliance audit.
●Enhanced efficiency and effectiveness of operations via implementation of lean business process improvements.
Key Projects
●Reports: Compared data for presentations such as trends, outliers, and abnormalities as well as developed network management directory support reports with graphs for management.
●Provider Demographic Rosters / Data Validation: Utilized pivot tables, VLOOKUP, concatenate, and exact formulas to verify data accuracy and obtained data from HealthNet, Alignment, Anthem, Blue Shield, Aetna, CalOptima, United Healthcare, Humana and Scan for MDs, PAs, NPs, optometrists, RNs, CNAs, PTs, OTs, Psychologists, and Social Workers.
●Outlook Analysis: Determined various urgent/non-urgent requests and patient-related emails.
●SB-137 Compliance: Maintained accuracy of provider directory data, investigated notices from providers and health plans, and updated any incorrect data.
Byram Healthcare Centers - Huntington Beach, CA 2012 – 2015
Insurance Verification Specialist / Document Specialist
Attained and verified patient insurance approvals for company, offering disposable medical equipment for treatment of diabetes, ostomies, wounds, urology, incontinence, and other conditions. Obtained authorizations/prescriptions and submitted updated data to health plans for approval in cross-collaboration with medical providers and health plan representatives.
●Reduced 40% waste through proper organization and maintenance of patient documentation.
●Slashed authorization approval time from five to three days by recommending appropriate workflow solutions.
●Identified member benefits by training staff on use of AEV’s website.
Maximinos Lands - San Bernardino, CA 2008 – 2015
Project Manager
Met assigned goals by reviewing contracts, overseeing staff schedules and projects, and delivering exceptional customer service within commercial and residential landscaping company. Achieved highest client satisfaction by understanding needs and providing quotes. Ensured on-time completion of special projects by renting equipment.
●Decreased payroll costs by 30% via negotiation of pricing and fees while driving consistent service improvement.
●Improved customer satisfaction rate by 95% through better communication and project execution.
Internship Experience
Administrative Assistant / Coordinator (Internship) Family Choice IPA - Westminster, CA (2017)
●Provided proper assistance to staff with updating system data.
●Designed promotional materials for marketing staff and administered database of 800+ healthcare participants via Excel reports.
●Drafted detailed reports for Marketing Department.
●Succeeded in increasing physician membership by 10%.
Administrative Assistant (Internship) PT@The Beach - Long Beach, CA (2016)
●Prepared schedules for appointments and notified patients of upcoming appointments.
●Checked in patients, verified their insurance, and collected payments.
●Analyzed revenue from cash and insurance payments.
●Maintained 98% accuracy rate by creating member reports/charts.
Education
Master of Business Administration in Project Management California State University, Chico
Bachelor of Science in Healthcare Administration California State University, Long Beach
Professional Training & Certifications
Project Management Professional Certification (In Progress)
Project Management institute Certified Member
Collaborative Institutional Training Initiative (Citi Program) Social and Behavioral Research Certificate
Lean Six Sigma Foundations/ Business Process Improvement Certificate
HIPAA EDI Standards/HIPAA Training - Premiere for Home Health Managers
Workplace Emergencies & Natural Disasters
On-Boarding Session I – In the Home/On-Boarding Session II – Personal Services/On-Boarding Session III – Community Involvement
New Employee Orientation/Workforce Readiness/Workplace Safety
Customer Service Representative Certificate
Medical Billing / Medical Coding / Physical Therapy / 5S • 5 Whys
Technical Proficiencies
Word, Excel (VLOOKUP & Pivot Tables), MS Project, PowerPoint, Outlook, Access, Scheduler, Photoshop, Vensim, SAP, Echo, Tapestry, SPSS, ERP, Tableau, R, ICD-9 & ICD-10, Photoshop, Adobe Dreamweaver, Digital Cameras, Keyboarding 105 wpm
Languages
English & Spanish: Fluent American Sign Language: Basic
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