Detail-oriented healthcare administrative professional with over 10 years of experience reviewing confidential records, conducting compliance audits, interpreting regulations, verifying documentation, and maintaining accurate electronic records. Proven ability to analyze complex information, identify discrepancies, prepare detailed reports, and communicate effectively with internal and external stakeholders while consistently meeting deadlines in highly regulated environments.
Overview
11
11
years of professional experience
Work History
Health Systems Specialist
Harry S. Truman Memorial Veterans' Hospital
Columbia, MO
11.2023 - Current
Conduct detailed audits and reviews of confidential provider credentialing records to ensure compliance with federal regulations, accreditation standards, and organizational policies.
Analyze documentation to identify discrepancies, missing information, and compliance risks while ensuring accurate and timely resolution.
Verify professional licenses, certifications, education, employment history, and supporting documentation through independent research and verification.
Research and interpret federal regulations, agency policies, and procedural guidance to support compliance decisions.
Prepare detailed reports and supporting documentation while maintaining strict confidentiality and data integrity.
Maintain accurate electronic records utilizing multiple database systems with exceptional attention to detail.
Collaborate with internal departments and external organizations to resolve documentation discrepancies and obtain required records.
Perform quality assurance reviews and recommend process improvements that increase efficiency and accuracy.
Human Resources Assistant
Harry S. Truman Memorial Veterans' Hospital
Columbia, MO
12.2022 - 11.2023
Provided technical guidance and assistance to management and senior leadership on sensitive and complex labor relations issues affecting employees across diverse administrative and clinical occupations with varying working conditions, entitlements, and policies
Developed management strategies to address labor issues
Established relationships and provided technical guidance through effective customer consultation
Resolved issues through explanation of personnel policies and referred significant or technical matters to the appropriate HR Shared Services Unit
Provided information and assistance to employees and supervisors by interpreting regulations and rules
Demonstrated knowledge of SSBP duties, priorities, commitments, policies, and program goals to manage multiple assignments, set priorities, meet deadlines, and oversee others' work to achieve objectives and deadlines
Supported HR Specialists on special projects by gathering and organizing data, identifying issues and discrepancies, and formatting materials
Conducted personal observations and planned studies to gather information, identify, and analyze procedures, problems, and issues; determined effective procedures to improve the efficiency, effectiveness, and timeliness of administration or processes
Advanced Medical Support Assistant
Harry S. Truman Memorial Veterans' Hospital
Columbia, MO
04.2021 - 12.2022
Established a positive perception of healthcare quality through front-line interactions with patients, family members, and staff as an Advanced Medical Support Assistant
Demonstrated care and compassion when addressing sensitive matters by explaining procedures to veterans and their family members in person and via phone
Maintained cooperative and courteous interactions with patients, families, co-workers, hospital staff, and external stakeholders
Exhibited professional behavior and maintained a professional work environment compliant with Environment of Care, Joint Commission, and Office of Inspector General regulatory standards
Collaborated with internal and external resources to support the Veteran's Mental Health Journey by developing resource lists for well-being support within the facility and local community
Collaborated with a multi-interdisciplinary coordinated care team to support the establishment and maintenance of patient care flow throughout Behavioral Health
Maintained confidentiality of staff information, Protected Health Information (PHI), Personally Identifiable Information (PII), and confidential financial data in compliance with the Privacy Act, HIPAA, HPM 589A4-240, privacy policies, procedures, and relevant laws and regulations
Health Benefits Assistant
Harry S. Truman Memorial Veterans' Hospital
Columbia, MO
12.2019 - 04.2021
Processed admissions and outpatient treatment applications
Assembled and organized medical records, verified accuracy of information, and identified patients' medical needs
Determined legal entitlement for reimbursement of beneficiary travel and the medical care benefits to which the patient was entitled
Addressed technical inquiries concerning patient rights, responsibilities, and medical eligibility for care Investigated eligibility-related problems or situations requiring special attention
Informed medical staff of eligibility determinations; when eligibility was denied, notified patients with detailed explanations and recommended alternative medical care sources or referrals to specialized advisors
Responded to patients' questions, provided information, and initiated appropriate actions
Referred callers to appropriate health care professionals and directed callers and visitors to the ROI department upon receipt
Effectively managed conflicts with patients and customers in a constructive and appropriate manner Provided advisory and technical assistance to patients and administrative staff to complete Legal-Medical requests
Applied in-depth knowledge of laws and regulations governing the authorization and disclosure of health information
Certified Nursing Assistant
Harry S. Truman Memorial Veterans' Hospital
Columbia, MO
02.2015 - 12.2019
Delivered comprehensive patient care to complex residents with diverse physical and behavioral conditions, including personal nursing care, support tasks, and treatments
Executed effective interventions during emergency situations
Delivered emotional support to residents and their families
Entered specific information into patients' records using the Computerized Patient Record System (CPRS) Provided direct patient support, including personal care and basic patient education
Educated residents and family members on the importance of continuing proper health care procedures