Aurelia Rios

Detail-oriented and highly organized healthcare administration professional with extensive experience in medical staff credentialing, privileging, compliance, and regulatory audit preparation. Strong communicator with excellent customer service skills, the ability to manage multiple priorities, and a proven record of working effectively with diverse teams. Skilled in auditing complex documentation, maintaining confidential records, and ensuring adherence to federal regulations and accreditation standards.

Proficient in Microsoft Office, Outlook, Data Entry, and healthcare information systems.

Retirement - Veterans' Health Administration - Cleveland, OH

(2022-04)

Health System Specialist (Manager) – Medical Staff Office - Veterans' Health Administration - Cleveland, OH

(2021-03 - 2022-03)

• Supervised a team of 12 employees, providing coaching, performance evaluations, and workflow oversight.
• Ensured all providers were properly credentialed and compliant with federal, state, and JCAHO standards.
• Managed malpractice reporting to medical and licensing boards, preparing required documentation, and ensuring timely submission.
• Oversaw office budget, purchasing approvals, and proper use of government credit cards.
• Maintained complete, audit-ready provider records for regulatory inspections.
• Assigned provider person-class codes and monitored suspension reviews through final determination.
• Ensured 100% audit readiness for JCAHO and federal regulatory reviews.
• Strengthening team performance by improving documentation accuracy and reducing processing errors.
• Streamlined malpractice reporting workflows with zero deficiencies.
• Reduced delays in privileging decisions through proactive monitoring and coordination.

Program Analyst – Medical Staff Office - Veterans' Health Administration - Cleveland, OH

(2019-01 - 2021-03)

• Audited FPPE and PPE evaluations for 1,200+ providers across multiple clinical services.
• Reviewed quarterly FPPEs for new providers and semiannual PPEs for permanent staff.
• Managed recredentialing cycles, verifying provider information and running required reports (NPDB, FSMB, certifications, licenses, etc.).
• Ensured all documentation was complete before board review and approval.
• Improved documentation accuracy across services by identifying and correcting evaluation gaps.
• Reduced recredentialing delays through early outreach and timeline coordination.
• Enhanced board review efficiency by ensuring complete, error-free verification packets.

Program Assistant – Medical Staff Office - Veterans' Health Administration - Cleveland, OH

(2012-03 - 2019-01)

• Credentialed assigned providers, approved ePass access, and assigned person-class codes.
• Verified NPI, DEA schedules, and EPCs requirements for prescribing privileges.
• Prepared appointment letters, memos, and routed documents for leadership signatures.
• Conducted primary source verification and ensured compliance with federal regulations using VetPro.
• Served as Acting Supervisor during leadership transition.
• Credentialed numerous providers annually with high accuracy and compliance.
• I guided the group of colleagues in creating a streamlined credentialing instruction packet, reducing provider confusion and onboarding time.
• Consolidated provider documents into a single PDF packet, improving efficiency and consistency.
• Successfully managed credentialing operations as Acting Supervisor without workflow disruption.
• Maintained full HIPAA compliance in handling sensitive provider data.

Program Support Assistant (Residency Program) – Department of Medicine - Veterans' Health Administration - Cleveland, OH

(2009-11 - 2012-03)

• Verified credentials, licenses, and certifications for incoming Chief Residents.
• Coordinated onboarding, system access, and CPRS training.
• Monitored resident rotations, elective schedules, and block assignments.
• Tracked discharge summaries in VISTA/CPRS and ensured timely completion.
• Managed conference logistics, on-call schedules, and M&M documentation.
• Served as ADPAC, handling device requests and IT work orders.
• Maintained supply inventory and reconciled purchases in VISTA.
• Served as timekeeper for multiple T&L groups.
• Ensured 100% credentialing compliance for incoming residents each academic year.
• Reduced overdue discharge summaries through proactive tracking and follow-up.
• Improved residency program operations through efficient scheduling and conference coordination.
• Enhanced departmental efficiency by resolving IT access issues and maintaining accurate inventory records.

Medical Support Assistant – Patient Care Administrative Services - Veterans' Health Administration - Cleveland, OH

(2008-01 - 2009-11)

• Scheduled, rescheduled, and managed patient appointments using VISTA.
• Handled multiple phone lines, preregistration, and end-of-day reporting.
• Printed encounter forms, medication lists, and clinic reports.
• Processed means tests, co-pays, and travel entries in CPRS.
• Maintained organized records using alphabetical and numerical filing systems.
• Improved clinic workflow through efficient scheduling and multitasking.
• Ensured accurate patient documentation and travel entries in CPRS.
• Provided consistent, high-quality customer service to veterans and clinical staff.

Bachelor of Business Administration - University of Phoenix (2014-06)

Computer Classes Certificate - Esperanza Inc. (2007)

Associate of Applied Business, Information Technology Application Specialist - Information Technology - Cuyahoga Community College (2005)