Alisha Olguin

Healthcare administration professional with extensive experience in medical staff credentialing, provider enrollment, compliance coordination, and operational leadership across hospital, home health, and startup environments. Proven ability to manage regulatory requirements, billing and claims workflows, quality programs (QAPI), and cross‑functional coordination. Entrepreneurial leader with hands‑on experience launching and managing healthcare service organizations.

Medical Staff & Contract Coordinator - Rehoboth McKinley Christian Health Care Services (RMCHCS) - Gallup, NM

(2021-10 - 2025-10)

• Coordinate medical staff credentialing and re‑credentialing processes in compliance with hospital bylaws, state, and federal regulations.
• Manage provider files and data using credentialing software, ensuring adherence to Joint Commission and NCQA standards.
• Support onboarding of physicians and advanced practice providers, including document verification and orientation.
• Prepare agendas, minutes, and follow‑up documentation for medical staff and committee meetings.
• Review, and track provider contracts, renewals, and compliance deadlines.
• Serve as liaison between providers, administration, legal, and external stakeholders.
• Oversee payer enrollment and revalidation processes to support timely reimbursement and reduce claim denials.

FM Residency Program Coordinator - Rehoboth McKinley Christian Health Care Services (RMCHCS) - Gallup, NM

(2022-04 - 2022-11)

• Coordinate residency program activities in compliance with ACGME requirements.
• Maintain resident credentialing, licensure, and certification records (BLS, ACLS, ATLS).
• Track resident duty hours and monthly work‑hour reporting.
• Coordinate medical student rotations, resident schedules, conferences, and Grand Rounds.
• Manage teleconferencing logistics and maintain attendance documentation.
• Conduct routine inspections of resident on‑call rooms and coordinate follow‑up with support departments.

Office Administrator & Compliance Coordinator - Precious Life Home Care, LLC - Gallup, NM

(2024)

• Serve as Office Administrator for a home health agency overseeing daily administrative operations, staffing coordination, scheduling support, and office workflow management.
• Coordinate Quality Assurance and Performance Improvement (QAPI), Infection Control, and Emergency Preparedness programs, including committee coordination, tracking, documentation, and ongoing compliance readiness.
• Assist with development, implementation, and maintenance of policies and procedures aligned with state and CMS requirements.
• Support billing and claims processes, including claim submission support, documentation review, follow-up on denials, coordination with payers, and issue resolution.
• Conduct limited field work and home visits to support operational and compliance needs.
• Coordinate communication between office staff, field staff, and leadership to ensure continuity of care.

Managing Partner (Startup Phase) - Precious Ride Non‑Emergency Medical Transportation, LLC - New Mexico

(2024)

• Co‑founder and managing partner for a non‑emergency medical transportation (NEMT) startup.
• Lead business setup activities including compliance planning, operational workflows, vendor coordination, insurance coordination, vehicle documentation, and regulatory readiness activities.
• Support development of policies, procedures, and regulatory readiness for state and local requirements.
• Assist with budgeting, staffing coordination, and startup logistics.

Family Assistance Analyst - New Mexico Human Services Division

(2018-05 - 2019-03)

• Performed a full range of duties in determining eligibility for and authorizing public assistance services in accordance with federal and state regulations.
• Independently managed a caseload and interacted with clients to facilitate transition to self-sufficiency.
• Interviewed clients to determine eligibility for food, financial, medical, and energy assistance programs.
• Assessed income potential based on language and vocational skills, education level, training needs, and employment history.
• Identified and responded to client needs while providing timely and appropriate customer service.
• Authorized distribution of program benefits and coordinated referrals to appropriate medical, social, educational, and vocational resources.
• Completed periodic reviews of benefit authorizations and recertifications in compliance with program requirements.
• Composed detailed case narratives and analyzed case records to support eligibility decisions.
• Maintained accurate case records by verifying and analyzing changes in client circumstances affecting eligibility and benefit levels.
• Utilized multiple computer systems to analyze, organize, and document client information.

Collection Agent - Cash Cow Auto, Tires & Glass, LLC

(2019-09 - 2020-03)

• Oversaw all aspects of collecting payments due from accounts receivable.
• Conducted follow-up calls with customers to collect past-due payments.
• Analyzed accounts past due by 180 days to determine collection feasibility and escalation for bad debt status.
• Worked with clients experiencing financial hardship to establish structured payment plans.
• Maintained professional communication with borrowers who had stopped making payments.
• Performed cash handling, payment posting, and administrative support duties as needed.

Finance Manager - Duke City Auto, LLC

(2015-03 - 2018-03)

• Offered vehicle financing and insurance products while providing thorough explanations of aftermarket products, warranties, and manufacturer coverage.
• Developed and maintained relationships with lending institutions to secure competitive interest rates and financing programs.
• Processed financing and leasing deals accurately and obtained approvals through proper federal, state, and corporate channels.
• Ensured compliance with federal, state, and local regulations governing vehicle sales and finance operations.
• Created and maintained finance referral programs in collaboration with the sales department.
• Trained sales staff on finance and lease programs, compliance requirements, and product offerings.

High School Diploma - Gallup Central High School