Healthcare
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Detail-oriented and highly organized bilingual healthcare professional with 4+ years of experience supporting healthcare operations claims review, compliance auditing, and revenue cycle management in outpatient clinical environments and cross-functional team collaboration in high-volume healthcare environments. Skilled in case file examination, documentation auditing, Medicare and managed care compliance, and data analysis to identify discrepancies and improve healthcare processes. Experienced in reviewing medical documentation, CPT/ICD-10 coding accuracy, and supporting appeals and dispute resolution processes.
Proven ability to collaborate with cross-functional teams, provide training and feedback on documentation standards, and support quality improvement initiatives that enhance operational efficiency and regulatory compliance.
HEALTHCARE ADMINISTRATOR 05/2022 to 08/202
● Conducted internal audits of patient records and billing documentation to identify claim discrepancies, reduce denial rates, and improve documentation accuracy while ensuring compliance with HIPAA, CMS, and payer requirements. Reviewed CPT and ICD-10 coding accuracy, claims documentation, and reimbursement data to reduce billing errors and support claims review processes. Analyzed claims data and denial trends to identify opportunities for appeals process improvement and revenue cycle optimization.
Provided quality and compliance support by identifying documentation gaps. Assisted with staff education and training on documentation standards, compliance requirements, and workflow improvements. Monitored operational and financial KPIs, including claim approval rates, denial patterns, and documentation accuracy metrics.
MEDICAL OFFICE MANAGER'S ASSISTANT 04/2021 to 03/2022
● Assisted with revenue cycle oversight, including insurance verification, claims follow-up, benefits auditing, and documentation review to support accurate reimbursement. Conducted administrative and documentation audits to ensure compliance with Medicare regulations, payer policies, and internal clinic procedures. Collaborated with clinical and administrative staff to identify workflow improvements that reduced claim denials and improved documentation accuracy.
Provided operational support to leadership by supervising front-desk operations, coordinating provider schedules, and maintaining efficient clinic workflows. Monitored key performance indicators (KPIs) such as patient volume, appointment utilization, and service efficiency to support operational decision-making. Supported staff scheduling, payroll coordination, and operational coverage to maintain continuity of care and clinic productivity.
Oversaw vendor coordination, supply management, and facility operations, ensuring adherence to organizational policies and supporting a compliant and patient-centered healthcare environment.
ASSISTANT CLINICAL ADMINISTRATOR 12/2020 to 04/2021
Supported clinical documentation review and compliance monitoring to ensure alignment with Medicare documentation standards and payer requirements. Assisted in claims review and benefits verification processes. Coordinated with administrative and clinical teams to maintain accurate case documentation and billing records
EVENT OPERATIONS SUPERVISOR 07/2015 to 01/2020
Managed calendars, appointments, and operational logistics for 50+ events across Texas, coordinating vendors, staff, and client communications to ensure seamless execution. Developed comprehensive event timelines and oversaw administrative functions including budgeting, cost analysis, venue booking, contract negotiation, and promotional outreach. Cultivated strong vendor and supplier relationships, securing favorable pricing and high quality services through strategic negotiation.
Maintained accurate financial records, expense tracking, and contractual documentation while demonstrating exceptional organizational and multitasking skills in fast-paced, high-pressure environments.
