Information Technology Team Leader

EDUCATION

Western Govern University Master of Science, Information Technology Management est May 2025, Salt Lake City, Utah

Texas State University Bachelor of Health Sciences Concentration Business Administration, Minor Human Development, and Family Science, San Marcos, Texas

Palo Alto College Associates of Biology San Antonio, Texas

STEM Early College High School San Antonio, Texas

SKILLS

INTERNATIONAL ENVIRONMENT

ACTIVE LISTENING

CROSS-FUNCTIONAL COLLABORATION

SOCIAL PERCEPTIVENESS

CRITICAL THINKING

SERVICE

ORIENTATION

COMPUTER LITERACY

TEAM LEADER

Federal contractor healthcare administrator that Serves as a liaison for medical, facilities, and personal. Using healthcare knowledge and technology to report and maintain records to coordinators in a healthcare clinic. Medical billing clerk for the Uniform Business Office (UBO) programs: Third Party Collections (TPC), Medical Services Account (MSA), and Medical Affirmative Claims (MAC). Initiates and processes claim for first or third-party payers on behalf of beneficiaries and civilians treated in MTFs. Provide an optimal patient experience, to support executives and officials. Upholding the highest standards of integrity, notability and securing privacy of identities. Our mission is to optimize allowable health care cost recovery within compliance guidelines in support of the operational and readiness mission of the MHS.

WORK EXPERIENCE

Mission Operations Directorate Secretary

Air Force Service Center (AFSVC) Joint Base San Antonio- Kelly, TX

March 2024-currently

Prepares a wide variety of recurring and nonrecurring correspondence, reports and other documents and review and finalizes correspondence/ documents prepared by others in handwritten or electronic drafts.

Consolidates and finalizes information for various reports in accordance with established procedures.

Proofreads/edits correspondence and documents for correct grammar, spelling, capitalization, punctuation and format, return incorrect mater prepared by others with revision marked.

Reviews and processes incoming and outgoing correspondence, material, publications, regulations, and directives.

Establishes and monitors suspense dates and bring to supervisor attention, responsible for coordination the organization and other offices/personal.

Locates and selects appropriate reference and procedure for application to specific questions.

Maintains supervisors Calander, Coordinates meeting arrangements and schedules meetings and/or conferences.

Serves as a Lead Military Pay Technician responsible for providing instructions, distributing, and balancing the workload of three or more employees who perform such work as processing a wide variety of military pay transactions.

Distributes and balances the workload among employees in accordance with established workflow or job specialization, assures timely accomplishment of the assigned workload, and assures that each employee has enough work to keep busy.

Keeps in touch with the status and progress of work, and makes day-to-day adjustments in accordance with established priorities, obtaining assistance from the supervisor on problems that may arise.

Estimates and reports on expected time of completion of work and maintains records of work accomplishments and time expended and prepares production reports as request.

Instructs employees on tasks and job requirements, develops written instruction as necessary, and answers questions regarding procedures, policies, and directives.

Reviews a full range of technician transactions to determine correct input; returns or rejects work for corrective action.

Defense Health Agency Brooke Army Medical Center-Medical Clerk III- March 2021-March 2024

Hematology oncology

Gathering information from doctors, medical records, patients, and their families.

Updating and maintaining the cancer registry.

Contacting discharged patients and their families for follow-up information.

Preparing reports and graphic representations of the registry data.

Complying with government regulations and medical ethics.

Extracting relevant information from patient records.

Liaising with physicians and other parties to clarify information.

Examining documents for missing information.

Assigning CPT, HCPCS, ICD-10-CM, and ASA codes.

Assigning APC and DRG codes.

Ensuring documents are grammatically correct and free from typing errors.

Performing chart audits.

Advising and training physicians and staff on medical coding.

Informing supervisor of issues with equipment and computer program.

Ensuring compliance with medical coding policies and guideline

Develops designs for program evaluation projects and executes these designs.

Training data analysts on best practices for data analysis, database management, and data security and privacy issues

Works with staff to ensure the Director receives timely information essential to the support of the OHMO

Identifying and developing new methods of improving mental health and substance use disorder treatment within VA

Developing, implementing, and conducting program evaluation projects across the VA health system

Documenting existing processes and events that occur during query design and development to ensure operational continuity.

Training on best practices of data analysis, database management, and data security and privacy issues

Patient administration division

●Receives bookings from physicians and interviews patients before admission to obtain required information and to explain hospital policies. Screens insurance information to identify patients needing preadmission approval from third-party payors. Assembles admission folders containing paperwork for scheduled patients.

●Greets patients and conducts patient interviews to obtain required information and signatures. Notifies the nursing unit of patient arrival and assigns a volunteer if needed. Prepares receipts for telephone rental, bill payment, etc. Accepts patient valuables and provides patient information literacy.

●Prepares and distributes various admission forms.

●Serves as a liaison with insurance companies regarding the admission of their subscribers and logs notifications made. On designated shifts calculates daily census and verify the accuracy of nursing-unit census listings.

●Monitors physician’s orders to ensure restrictions are applied to the chart, record, and ClinicComp.

●Prepares death and birth registration certificates for physicians’ and administration staff signatures.

●Answers daily inquiries regarding admitting procedures, hospital regulations, and services; refer inquiries to the appropriate person or department elsewhere in the hospital when necessary.

●Arranges transfers; maintains a list of available beds and bed board index of patients; enters discharges and transfers into the computer.

●Under the direction of the supervisor, conducts on-the-job training of new employees.

●Provides backup relief coverage for telephone operators.

●Abstracts physiological and anatomical data on trauma patients for inclusion into a trauma data collection system. Performs duties to support the abstraction of quality trauma data for use locally, statewide, and nationally.

●Always maintains confidentiality and security of patient data, Abstracts data from the medical record according to the requirements of the hospital, state and national trauma registry data definitions including demographic characteristics, prehospital information, initial hospital treatment, operating room usage, outcome, and final disposition. Remotely accesses electronic health records and trauma data collection systems. Effectively assess patients for discharge planning needs.

●Maintain familiarity with laws, regulations, and interpretations pertinent to discharge planning.

●Responsible for a multitude of units on the weekends and holidays which include ER, Orthopedics, Women's Health Pavilion, Medical-Surgical Units, and Observation Units.

●Work every weekend with a large caseload to facilitate a safe discharge plan which includes being creative and using community resources to ensure a safe discharge plan.

●Perform all additional duties that were determined needed at the discretion of supervision.

●Obtain all pertinent demographic data required by law and regulation information for admission and coding for clinic and patients.

●Answer questions regarding admission policy, patient transfer, and medical specialty requirements.

●Ensure Admission records for DD Form 2569; Record Health Insurance or Military affiliation through Defense Eligibility Enrollment Reporting System (DEERS) and the composite Health Care System (CHCS)

●Using knowledge of medical terminology by completing routine requests to transfer patients to other health care facilitates.

● Proficient in Swank HealthCare, TRANSCOM Regulating and Command & Control Evacuation System (Trac2es), Pacific Asynchronous TeleHealth (PATH), Composite Health Care System (CHCS), Armed Forces Health Longitudinal Technology Application (ALTHA), as well as tracking changes in accordance with Department of Defense (DoD) policies, Army regulations, and DoD policies and procedures.

●Creates and maintains logs of incoming and outgoing personnel, patients, and attendants, as well as acting as the main keeper of centralized files and documents.

●Serves as the main liaison by making direct contact between the nursing staff, aeromedical staging squadron, other clinics, and any applicable personnel to ensure attendants, medications, records, x-rays, baggage, and any special equipment is accounted for.

●Arranges for receipt and briefing of in-coming and out-going personnel, as well as patients and their attendants/escorts, to include notifying the contracted ambulance, if necessary, for transportation of litter patients.

●Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency.

●Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.

UT Health San Antonio Geriatric department- Administration program coordinator May 2022- May 2023

Greets patients, verifies insurance coverage and eligibility, reviews new patient registration, obtains authorizations, assists in the collection of copays, and enters new patient information.

Maintains medical and insurance referral records and prepares patient charts.

Assist with planning and coordination of programs and their activities. Monitor implementation of program policies and practices Support program growth and development.

Coordinate program communications. Manage staff work assignments, workloads, and work schedules.

Oversee the program budget, including tracking billing, payments, and other financial transactions.

Coordinate interactions/relationships between staff, clients, administrators, and all other program stakeholders. Schedule and organize program-related meetings and events.

Oversee the use of technology for program operations, such as video conferencing technology, presentation software and other communications technologies, for instance Create and maintain program records, reports, presentations, and proposals.

Facilitate positive relations between the program team, the public, the media. other departments within the organization, and all other involved parties.

Serve as primary customer service, financial, and administrative point of contact for the unit and stakeholders within and outside the University for all matters pertaining to the Geriatric Fellowship and research program.

Manage budget and accounting matters for the programs Fellowship grant, including budget monitoring and forecasting, reallocation, financial reporting, expense management, invoice review, contracts, purchases, and overall expense management Assist with processing of physical check deposits using remote check scanner or preparing and making bank deposits.

Reserve for Doubtful Accounts journal entry and ensure that all writes offs are processed prior to year-end consistent with company policies.

Performs reconciliation of all posted charges Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist. Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate and timely clinical documentation.

Coordinate with Office of Sponsored Projects and other financial offices regarding post-award management, including budget updates, compliance, and reporting.

Support all aspects of the fellowship nominations and selections process, including setting up the applications, coordinating the Nomination Panel, compilation of nomination materials, coordination of the Selection Panel

Facilitate mid-year check-ins with fellows to determine renewals and returns home and/or career transitions.

Support fellows with their needs for cataloguing and archiving their work. Schedule, plan, and coordinate program activities, including travel and self-enrichment conferences.

Work directly with Texas Global and units across UT Austin to support all aspects of international relocation of fellows, including arranging travel and securing necessary visas, supporting fellows with locating housing in Austin or Puerto Rico, and supporting other aspects of relocation, as needed (e.g., school, and childcare enrollment for families)

Manages the Learning Management System (Canvas) course syllabus, support documents, exams, assignments, and communication.

Works closely with academic units and DMS Academic Records Manager to assemble course schedule and student enrollment following the established policies and deadlines.

Oversee development of policies, processes, workflows, dashboards, training materials, and other assets to ensure operational effectiveness of the program.

Reviews both handwritten and electronic records and interprets documentation to identify all procedures and diagnoses. Maintains the confidentiality of employees, patients, administrative and medical staff information with no infractions.

Backup support for Accounts Payable to include but not limited to PO/Receipt/Invoice three-way matching, coding non-PO invoices and expense reports, entering in AP module, and assisting with weekly disbursements.

Reviews both handwritten and electronic records and interprets documentation to identify all procedures and diagnoses. Maintains the confidentiality of employees, patients, administrative and medical staff information with no infractions.

Assigns proper CPT and ICD10 codes in accordance with coding guidelines and posts charges, maintain certifications to be informed of coding regulations and insurance policies and effectively applies this knowledge. Conforms to all HIPAA and billing compliance requirements.

Runs concurrency reports for any discrepancies and escalates complex overlaps to Coding Supervisor. Maintains 95% accuracy standards and meets daily productivity expectations.

Backup support for Accounts Payable to include but not limited to PO/Receipt/Invoice three-way matching, coding non-PO invoices and expense reports, entering in AP module, and assisting with weekly disbursements.

Assist with processing of physical check deposits using remote check scanner or preparing and making bank deposits.

Reserve for Doubtful Accounts journal entry and ensure that all writes offs are processed prior to year-end consistent with company policies.

integration of new acquisitions into the existing A/R framework.

Assists with education of all coders and Medical Staff members, while educating throughout the organization as needed.

Performs reconciliation of all posted charges Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist. Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate and timely clinical documentation.

Assists with writing compelling appeals to all DRG denials from outside agencies referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment as well as protect the organizations reimbursement.

Serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management.

Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency.

Develops and maintains hospital and department specific coding guidelines, training manuals, policies, and procedures. Upon completion submits to Director of HIM Facility Coding for approval.

Oversees staffing including preparing weekly, holiday, PTO, and vacation schedules, including completing payroll approvals. Tracking staffing levels, e-learning and annual health assessments. Interview prospective staff.

Serves as a resource to customers including HIM and other departments, UHS system members and assist with HIM coding issues. Continuously seeking innovative ways to improve.

Understands 3M integration with EPIC. Coordinates changes with those necessary to ensure smooth implementation of changes.

Reviews the current OIG work plan for risk areas in the HIM department. Review these charts to identify patterns, trends, and variation in these cases. Once identified, evaluate the causes of change or problems, and takes appropriate action to resolve or explain variances.

Educate beneficiaries and MTF staff about the various billing and collection programs and processes to include the requirement of a DD Form 2569, Third Party Collections – Record of Other Health Insurance, and the required complete of an Injury Log.

Facilitates procedures and processes for Third Party Collections, Medical Service Account and Medical Affirmative Claims IAW DoD 6010.15-M, Military Treatment Facility (MTF) Uniformed Business Office (UBO) Manual.

Obtains information, (internal or external to MTF) if necessary, through direct patient interviews or by telephone. Insurance companies shall be called for verification of benefits and coverage amounts and to obtain other requirements to be met for reimbursement.

Inputs and updates patient insurance information in CHCS, AHLTA, or MHS GENESIS and TPOCS or into other databases required by the MTF. Insurance coverage information is obtained, entered CHCS, and TPOCS or other Government standard system with insurance information for those beneficiaries with billable coverage.

Prepares and mails or transmit claims to third party payers using the UB-92, the HCFA 1500, Health Insurance Claim Form, or other form required. Claims may also be processed electronically when available to the Government.

Conducts follow-up claim inquiries until payment received and/or case is closed.

Works with the facility Admissions and Dispositions Office to obtain authorizations and pre-certifications from third party payers.

Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.

Monitoring budgets and preparing reports, maintaining medical and staff records, Tracking medical and office supplies

Ability to collaborate effectively with team members and stakeholders with a diverse range of expertise.

Strategic and crisis management, problem-solving, and planning skills.

Knowledge of quality assurance best practices. Vendor relations experience.

La fiesta Supermarket- Cashier- December 2018- March 2021

●Conduct transactions allowing clients to pay bills, send money and receive money orders or checks domestically and internationally. Issue receipts, refund checks, credits, or change due to customers.

●keeping businesses and supply chains on schedule by managing scheduling, record keeping, and inventory control

●Consisting of assisting store personnel in resolving pricing discrepancies, tagging merchandise, and updating vendor data for products will assist customers with product inquiries and ensure products are stocked and replenished.

COMPUTER PROFICIENCY

●Microsoft Office Specialist: Excel Associate (Office 2019)

Microsoft Office- Word, Excel, PowerPoint, Publisher, Adobe Acrobat, Access

●Team collaborations: Dropbox, Slack, Zoom, Skype, Trello, Asana

●Browser-Internet Explorer, Google Chrome, Safari, Firefox

●Engineering programs: Autodesk inventor, Avery32, Robot for VEX 4.0 Python, C++, HTML

●Hospital Applications- CliniComp, Reflection Workspace (CHCS), AHLTA, ABACUS, MHS GENESIS. RXNT, NEXT GEN, Allegiance MD, Athena One

CERTIFICATES- JOB-RELATED TRAINING

Suicide prevention

Bloodborne Pathogens and Sharps Precautions

Hazard Communication

Causes of Medical Errors and Adverse Events

Patient Right and Responsibilities

Registration Scheduling Comp

Genesis and documenting in Power Chart

Trace2es Patient Movement, Overview, and secondary Course

HIPAA and Privacy Act Training

Safe Serve Commission

Texas Alcohol Beverage Commission

REFERENCES

●Arnold, Charles, Director Mission Operations Air Force Services Center, AFIMSC 3515 S General McMullen Dr, San Antonio, TX 78226 *******.******.**@**.**.*** Cell 210-***-****

●Castro, Edward A MAJ USARMY MEDCOM BAMC (USA) Dep Chief Patient Administration Division, MEDCOM BAMC. 3551 Roger Brooke Dr, Fort Sam Houston, Texas 78234 ******.*.******.***@**********.****.***********.** work:210-***-**** cell: 210-***-****

●Maryann Surran, MSA Supervisor Hematology Oncology 3551 Roger Brooke Dr, Fort Sam Houston, Texas 78234 *******.*.******.***@******.*** work: 210-***-****

cell 210-***-****

●Natalroman, Gerald L SFC USARMY MEDCOM BAMC (USA) Patient Administration Division NCOIC, MEDCOM BAMC 3551 Roger Brooke Dr, Fort Sam Houston, Texas 78234 ******.*.**********.***@****.*** cell 210-***-****

●Jessica Mermea, Billing and Collections, Brooke Army Medical Center, 3551 Roger Brooke Dr, Fort Sam Houston, Texas 78234 *******.******.***@******.*** 210-***-****

●Gabriela De La Garza, Medical support administrator, UT Dentistry Center for Oral Health Care& research, 8210 Floyd Curl Dr, San Antonio Texas, 78229 *****@******.*** Cell 210-***-****

●Sharon Martinez, Manager, La Fiesta Cox supermarket, San Antonio, Texas 6103 Pecan Valley Dr. 78223 cell: 210-***-****

on to ensure accuracy,

@trinity.edu

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