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ALICE L. PEREZ
1973 Hackett Dr
Woodland, CA 95776
Evening: (530) 406-1159
Daytime: (925-372-2603)
Availability: Job Type: Permanent
Work Schedule: Full-time
Department of Veterans Affairs
150 Muir Road, Martinez, CA 94553
Maintenance Control Manager (GS-1601-7, Step 9) 11/13 – Present
Supervisors: Kevin Maxson (916-843-2774) or Salary: 59,334.00 USD Annually
Melissa Chelemedos (926-372-2188) Hours: FT 40 per week
Okay to contact Supervisor: Yes
Duties and Responsibilities:
 Assisting the Supervisory Program Analyst with the following:
o Utilities: (Will be taking over the responsibility fully come April, 2015). Setting up yearly
binders by type vendor. Data from utilities invoices and Fund Control Point (FCP) are recorded
daily; quarterly info/reports are recorded in VSSC website and faxing vendors’invoices to our
Central Office for payment reported to Fiscal for MCCF Cost-Transfers. Verify all payment have
been made through On-Line Certification System(OLCS). Provides update to VISN 21 Energy
Manager via excel spreadsheet.
o Human Resources (HR): Creates competency folders for each new staff members. Assist with
the review of Position Description and update in Microsoft Word to ensure they are accurate.
o Suspense: Assist where needed in the review and execution of suspense(s)from Suspense
Coordinator. Once received, disseminate to the correct responsible party is notified and completes
the suspense prior to the due date. Then let the Program Analyst know so she can add to her
tracking spreadsheet and provided weekly update to Chief and Leadership as needed.
o Mail, Correspondence and Reports: Processes incoming and outgoing materials such as
correspondence,reports,memoranda, report of survey, and other forms of written communication.
Provides general clerical mail and correspondence services such as preparing a variety of reports,
reviewing outgoing correspondence forproper attachments,or consolidates/coordinates submittals
of information. Researches fields and assembles background information on the subject of
incoming material prior to referral.
o Organization Charts, Cascade List, and Phone List: Creates and maintains cascade list for each
section and provides to each section chief and the Police Service on a quarterly basis. Maintain
service phone listing.
o Staff Meetings: Record, transcribe and disseminate Monday Morning OPS Weekly Leadership
minutes to all Service Chiefs and Managers. Record, transcribes and disseminate Engineering and
Safety Collaborative Meeting Bi-weekly Committee minutes to all Members. Schedules /
Coordinates quarterly staff meeting for East Bay Division. Submit Veterans Canteen Service
Promotional Account request for funds.
o Equipment Inventory Listing (EIL’s): Ensure EILs assigned to E&FMS are completed prior to
the due date and that all equipment is accounted for on an annual basis. Works closely the LMS
employees should inventory change are required (excess or new items).
o Computer Software: Highly proficient with VistA, IFCAP, Outlook, MS Word, Power
Point, Excel, Sharepoint, Visio, Access. Currently, work in a production/processing
environment.
As the current Maximo Super User and Trainer, I always have multiple computer
applications open and working simultaneously such as
Outlook
VistA
Maximo
Excel
Word
Access
Internet Explorer
Lync Conferencing
o Additional Tasks: I develop many Excel Spreadsheets to track and monitor spending and
expenses for FCP 6517 for the Chief, Maintenance Operations at our Sacramento Valley Division.
The report also serves as a Budget Cost Analysis to analyze where the spending habits are, and to
potentially reduce unnecessary spending,and betterutilize our resources ,and organized multiple
documents for distribution. Analyze departmental needs to assist with organization, and
participate in conference calls; team meetings; constructing design boards for team meeting
presentations. Also an active member on the Leadership Committee Team.
 Commercial Assistant and Project Management and Liaison, and Furniture Acquisitions.
o Completed working with the VHA Interior Designer on various projects as her Facilities
Design Project Manager / Liaison.
o Doing identification, researching, and creatively solving problems that pertain to the quality of the
interior environment.
o Take measurements of interior space for design analysis and redesign purposes. Utilize
specialized knowledge of interior construction,building systems and components,building codes,
equipment, materials, and furnishings.
o Preparing drawings first on graph paper, then doing them in the AutoCad program, which I then
save to a PDF file, for easier printing until the new Plot machine is ordered and in working
condition. I also take documents relative to the design of interior spaces in order to enhance and
protect the health, safety, and welfare of the public.
o Coordinating and integrating the mechanical, electrical, and structuralengineering disciplines
within the interior context. This takes managing projects, developing cost estimates, evaluating bid
proposals,reviewing construction documents,participating in on-site construction visits,
conducting pre- and post-occupancy.
o When new projects are being started,I coordinate the meeting with the design team, end users and
contracting officer to discuss what is being wanted and if feasible for what the purpose of the unit
is, while keeping up on current trends that are not only pleasing to all, but meets all the infection
control and safety requirements. This required going over finishes, fabric swatches,carpet
samples and paint colors. All of this is found on various website by manufacture.
 Development of color boards are created with a variety of options that is presented to the
end user,which I did for the new Behavioral Health Unit at Mather.
 A cost estimate is compiled and also presented,to give everyone an idea of what the cost
potentially will be, so the Furniture Acquisition can be complied and sent to the
Contracting Officer, which is put out on the GSA website for solicitation. However, some
of the items can be purchased either from a credit card or 2237 Funding Request is
entered.
 Also had to take photos of the armoire in the new hospice unit here in Martinez that was
sent in error, to the GSA Vendor for replacement. Maintain and monitor the “To Do” list
I created for the Interior Designer that assists with project management not only for her,
but is transcribed into the Bi-weekly Projects Staff meeting for all to review, along with
Attending space design planning and aesthetics meetings.
 Finished projects that were given to me in a timely manner with documentation to Chief
of Projects. Worked with the Interior Designer on various projects as her Facilities
Design Project Manager / Liaison, with doing identification, researching, and creatively
solving problems that pertain to the quality of the interior environment. Take
measurements of interior space for design analysis and redesign purposes. Utilize
specialized knowledge of interior construction,building systems and components,
building codes,equipment, medical/prosthetic equipment, materials, and furnishings.
Preparing drawings first on graph paper, then doing them in the AutoCad program, which
I then save to a PDF file, for easier printing until the new Plot machine is ordered and in
working condition. I also take documents relative to the design of interior spaces in order
to enhance and protect the health, safety,and welfare of the public. Coordinating and
integrating the mechanical, electrical, and structural engineering disciplines within the
interior context. This takes managing projects, developing cost estimates, evaluating bid
proposals,reviewing construction documents,participating in on-site construction visits,
conducting pre- and post-occupancy.When newprojects are being started, I coordinate
the meeting with the design team, end users and contracting officer to discuss what is
being wanted and if feasible for what the purpose of the unit is, while keeping up on
current trends that are not only pleasing to all, but meets all the infection control and
safety requirements. This required going over finishes, fabric swatches,carpet samples
and paint colors. All of this is found on various website by manufacture. Then color
boards are created with a variety of options that is presented to the end user, which I did
for the new Behavioral Health Unit at Mather. A cost estimate is compiled and also
presented,to give everyone an idea of what the cost potentially will be, so the Furniture
Acquisition can be complied and sent to the Contracting Officer, which is put out on the
GSA website for solicitation. However, some of the items can be purchased either from a
credit card or 2237 Funding Request is entered.
o Accomplished the final coordination of the Hospice Suite in the CREC, just took photos ofthe
armoire in the new hospice unit here in Martinez that was sent in error, to the GSA Vendor for
replacement. Maintain and monitor the “To Do” list I created for the Interior Designer that assists
with project management not only for her, but is transcribed into the Bi-weekly Projects Staff
meeting for all to review, along with Attending space design planning and aesthetics meetings.
Administrative Assistant (GS-0301-7, Step 9) 01/12 - 11/13
Supervisor: Elbert McClain (925-372- 2465) Salary: 59,334.00 USD Annually
Okay to contact Supervisor: Yes Hours: FT 40 per week
Duties and Responsibilities:
 Responsible for a wide variety of office compliance needs,updating directories, maintaining
ASISTS online program incidents reports and resolution follow-ups.
 Demonstrated knowledge of administrative practices and procedures established for interpreting
and applying basic ergonomic standards and operating instructions to specific conditions,and if an
ergonomic assessment is needed, an Ergo Self-Assessment form V0806 should be filled out the by
the employee and forwarded to Occupational Health for follow-up. A 2162 Incident Report in
ASIST should be entered into the program and extracted for evaluation. The workstation is
assessed forproper positioning to identify problem areas. This information can also be found on
the VANCHCS SharePoint with slides to assist like: “Putting yourworkstation to work for you -
the science of fitting workplace conditions and job demands to the capabilities of the working
population; Risk Factors; Stressful Postures.” There are many types of positions that are more
harmful than others; there are some simple exercises that can be done to relieve discomfort for
such things as: Carpel Tunnel, back strain and pressure,neck tension,arm and legs for numbness
and tingling, thus the importance of having an organized desk to aid in the discomfort. Also
demonstrated knowledge of investigative techniques relative to ergonomic evaluations to identify
problem areas involving how an employee interacts with their workspace environment. Assisted
with assessing both the workstation and the employee’s environment to see what problems exist,
such as: work surface, keyboard positioning, monitor height, computer setup and placement.
Then depending on the findings, adjustments will be made to ensure the employee is able to work
with minimal discomfort. Such problems might include the following: Carpel Tunnel, back strain
and pressure,neck tension,arm and legs for numbness and tingling, thus the importance of having
an organized desk to aid in the discomfort. A reassessment may be required as the employee may
need additional adjustments as conditions increase or decrease. This can depend on whether there
are external medical appliances (wrist guards,neck brace, hand guards,etc) that would need to be
worn during working hours.
 Applied statistical methods to the collection, computation, analysis,editing and presentation of
data, and currently am part of the bi-weekly Environmental Rounds that occur the 2nd and 4th
Tuesday of the month. Inspection findings are collected and entered into the WALSH Tracking
System for correction.
 Worked on ASISTS trend analysis report with Lead Safety Specialist to determine trends of
workplace injuries and give general time frames of when incidents occurs,all of which is
presented weekly as available. This data assists leaders in proactively reducing injury and illness
incidents. I also gather, edit, analyze and present statistical information to the DOL specialist to
close any open incidents.I directly work with supervision to express the importance of timely
incident reporting and closure; all are according to Section 1904 (OSHA Reporting and Records
keeping), VHA Directive 2011-020 and Automated Safety Incident Surveillance and Tracking
System requirements. I completed and submitted the yearly “Safety and Sanitation Rounds” for
East Bay Division that was conducted in June, and entered this data into the WALSH Integrated
Tracking System. These entries will be tracked, edited when necessary,and “resolved” to maintain
compliance monitoring. I completed and submitted the yearly “Site Safety Plan” suspense due on
July 15, 2013 to the Learning Management System Records Management Programs Specialist.
 Maintained safety office budget,records files, supplies,ADP equipment and currently, the budget
designated to safety is underFund Control Point 6165. I monitor the 2237’s that are being
submitted for approval to cover outstanding project costs orreplenishment of funds for the next
fiscal quarter, and to ensure these funds are available when needed. I also identify to management
priority purchases needed as well as place online supply orders using Metro Office Supplies’ site.
Moreover, I ensure ADP equipment is secured by monitoring employee PC’s to ensure they are
not left active leading to HIPPA violations, potential Privacy Officer Intervention, citations and
cost to the VA for Identity Theft Protection Coverage. I also keep extension records on my “U”
and “W” drives of various records to provide ease of access to uppermanagement if requested.
 Responsible to assemble and prepare pertinent information related to correspondence,inquiries,
meetings and technical reports. Prepare and at time author documents for signatures as follows:
o Memos– Site Designated Safety Officer; Contracted Clinical Nursing Home Programs
Overview for 2012 for Chief of Safety, Associate Directors and Director’s signature
according to Policy Statement 00-01. I ensure all attachments are properly presented in
order of precedence.
o Processed Conference/Travel Request Approval Process (CTAPS) requests as needed.
o Monthly, I route the SF 1164 (Claim for Reimbursement for Expenditures on office
Business)for the Chief of Safety that goes to the Fiscal Travel Office for payment.
o Recorder for the monthly EOCC meeting and author/submit minutes according
to policy guidance.
 Record, transcribe and disseminate the Bi-weekly Engineering and Safety Collaborative Meeting
minutes, update the information, restrict document access and upload it to the Engineering
SharePoint under Agenda and Minutes; committee members utilize the minutes to mitigate action
items.
o Example: For instance, the current conversation is about the proper storage of hazardous
wastes and DECONC entry-level in regards to the Compressed Gas Cylinder Storage
Shed at Mather. Where the exterior compress hazardous gas shed that near Bldg 700 Ed
collects Mather on the floor. The gas cylinder stands in the water which causes
corrosion. Leaves blow in the shed underthe gate/doorbecause the bottomgap is -6
inches, and is currently being resolved by installing new doors to prevent this water and
debris intrusion.
 Record and update the monthly EMFT meeting minutes and securely save them to my “U” and
“W” drives; this provides oversight for compliance with directives and trouble-free access and
retrieval of reports for later meetings. I author and reply to Outlook emails requesting information
from departments. This information includes, but is not limited to, outstanding incident reports,
ASISTS statistics; inspection reports,management requests,request for travel reimbursement,
supply requests,management correspondence for signature,etc. I schedule inspection dates and
times and collect data to complete the VA offsite Contracted and Non-Contracted Nursing Home
inspections.I scan final reports and file them in a binder and electronically, on my “U” and on the
Safety “W” drive’s CNH Inspections folder. This ensures documentation identifying
compliant/non-compliant CNH programs is available for future reference, thus ensuring the VA
and 38 CFR 61, GPD Final Rule, is complied with. I orchestrate the VANTS line calls and/orV-
Tel meetings by utilizing the proper electronic data systems,send Outlook Meeting Calendar
event invites to attendees with appropriate call-in information as well as the agenda and
correspondence needed for a successfulmeeting. Author emails sent to all Northern California
sites to obtain Fire Drill and Site Safety Meeting minutes. Additionally, I secure the minutes on
my “U” and on the Safety “W” drives for easy access to these reports as needed to maintain our
compliance measure. I ensure that the Safety Specialist are informed of the New Employee
Orientation, and I participate as needed,once I am more familiar with the information presented,I
will be a presenteron behalf of Safety and Occupational Health.
 Provided emergency management support and testing of communication devices, I currently take
the bi-monthly EMFT meeting minutes, update the template and save on my “U” drive , “W”
drive and Emergency Management SharePoint, for easy access and retrieval to these reports as
needed,and to maintain our compliance measure. I was the official Recorder for and participated
in the May 2013 East Bay Earthquake Exercise that was facilitated in the Martinez Command
Center in the CREC. The primary focus was to evaluate our procedures on: communication,
redundancy,staff accountability, and patient evacuation leading to a more efficient emergency
management program.
 Testing of the communication devices at the April 2013 meeting discussed the following:
Communications - Police Radio System & Dispatch Center pending radio install at the Chico
OPC. Amateur Radio communication systems that are still in the process ofbeing built, so more
people can be reached and we don’t have to rely on the public repeater stations. Automated
Notification Systems and the national program office had sent a few systemtests to users and
where a number of issues were discovered. The VA Notification systemis the alerting part of
VAPAS and the VAPAS systemtracks personnellocation and welfare. However, more tests are
expected to come.
 Assisted where needed with the Quarterly Satellite Phone tests at all sites.
Department of Veterans Affairs 9/1 2- 1/13
103 Bodin Circle, Bldg 778 Salary: 59,344.00 USD Annually
Travis AFB, CA 94535 Hours: FT 40 hrs week
Medical Staff Assistant (Credentialing and Privileging)
Duties and Responsibilities:
 Utilize such programs as VistA-Veterans information Security Application (formally DHCP-
Dedicated Health Care Provider), Microsoft Excel, Word, PowerPoint, Outlook and Visio. As a
former ADPAC for 15 years, I understand the ANSI standard M programming language is a
combination of Symbols, Alpha and Numeric characters. When formulated in a certain sequence,
they depict a certain function. This is kept in a database library of information, from which the
database management systemmanipulates the data and interacts with all users. This interactive
dialogue makes it possible for a continuous exchange of information and questions between the
computer and the end user. The VA FileMan is a central package wit the Kernel and is used by
programmers and end-users. It can be used as a stand along or as a set of application utilities.
Each VA FileMan has a data dictionary, which includes parameters by which users drive all input
to and output from these files. The VA FileMan is considered “public domain” software, which
maintained by the VA and is used by clinical and administrative staff. To ensure security and data
management, end-users should be backing up the files to either their “U drive” or “Q drive” for the
public share folder - the “O drive” to archive their Outlook mail. I answer(ed) menu options
requests,log in NOIS, as for remedy tickets, upgraded PC’s, long into an end-users PC to re-
configure, setup or perform data recovery.
 Possessed and gained additional knowledge of credentialing and privileging requirements of
Veterans Health Administrative Headquarters & JC. Was responsible for completing primary
source verification of all active and inactive state medical licenses and DEA certification, for
varying education and training requirements, allegation of malpractice, continuing medical
education, board certification, for current and past privileges at othermedical facilities. Accessing
the National Practitioner Data Bank and Medicaid/Medicare Sanction Report screening prior to
presentation of applications to the Physicians’ Professional Standards Board; interacting with
Human Resources (HR) personnelin areas governed by personnelrequirements (i.e., appointment,
board actions,citizenship, drug screening, etc.); with insurance companies, courts of previous
practices, attorneys,and other institutions in retrieving and verifying malpractice allegation
reported by the applicant and/or the National Practitioner Data Bank. Responsible for preparing
official board action for review by the Physician’s Professional Standards Board, HR, Chief of
Staff and Health Care System Director. This process can and usually does not happen quickly and
can actually take in excess of 30 days,depending on where the provider has been practicing; the
geographical location and the prompt response.
 Proven ability to deal with professional, administrative and technical personnel at all levels,
providing customer service via the phone or in person on a daily basis. Communication is done
via Outlook; Vista; Memo and in person.I clearly communicate orally when talking to all levels of
leadership, when assisting themwith problem solving issues that do arise, between co-workers,
department leaders and medical staff. I try to assist in the understanding ofa problem, how with
positive corrective action, the problem can be resolved with proper documentation; demonstrating
attentiveness with all customers, with the highest level of integrity. I work with veterans who not
necessarily call about Compensation and Pension, but who are trying to get information about
pending appointments, or perhaps one who wants to file a complaint with the Patient
Representative. In the Compensation and Pension area, I provide oral instruction to my
subordinates as well as written instruction and guidelines. I provide written statisticalinformation
to my boss,who reports to his up line. Currently, I’m in the Emerging Leadership Development
program, herein which, the ELDP aligns itself with VHA’s High Performance Development
Model (HPDM), which is built on the premise that customer driven, value added quality patient
care delivery to veterans is VHA’s primary mission. In order to achieve this mission, all
employees must continuously strive for higher levels of performance as reflected in eight core
competencies. These eight core competencies are Personal Mastery,Technical Skills,
Interpersonal Effectiveness, Customer Service, Flexibility/Adaptability, Creative Thinking,
Systems Thinking, and Organizational Stewardship. I‘ve developed a Cardiac Protocol Worksheet
that is being utilized by my Percutaneous Coronary Intervention project manager; a Visio
spreadsheet forboth Ambulance Procedure Protocol PCI Unit and Inpatient wards. On May 12th,
I gave my Emerging Leaders project presentation to a wide variety of professionals that included:
Dr. Cahill, Mr. Mendoza, KC Carlson-Chief, VISN Planning Office, Site managers, classmates
from various position levels, my boss and project mentor
 Demonstrated daily the ability to work independently in the accomplishment of a wide variety of
administrative functions,and to anticipate and identify problems, and through a high degree of
creativity, ingenuity, and initiative, develop appropriate methods of solutions . Currently as the
Lead of Compensation and Pension, working independently is something I do most of the time, as
the Supervisor frequently is out of the office involved in setting up other Outpatient clinic is other
cities. I understand that I will serve as the staff assistant in the Medical Staff office, where I will
be responsible for ensuring compliance with credentialing and privileging (C&P) requirements of
Veterans Affairs Headquarters (VAHQ) and Joint Commission (JC). My routine work is
performed independently and in accordance with the overall program objectives of the Quality
Improvement (QI)/Medical Staff Office and the Director’s Office. I will refer problematic
situations to the Medical Staff Coordinator. Will plan, coordinates,and perform all required
functions in accordance with VHA directives, JC standards and works in direct support of the QI
Office’s Medical Staff functions. Provides credentialing and privileging advisory services to
individual providers as well as clinical service personnelon a wide range of operating situations
and problems related to the substantialnature of the office services provided in support of the
organization, while participates in the planning, development, staffing, and evaluation of the
administrative activities of the installation. Also by thoroughly analysing all documentation
provided by applicants, who were requesting initial medical staff appointment and clinical
privileges or requesting renewal of medical staff appointment and clinical privileges. Then I will
be assist in the coordination of credentialing and privileging matters and work closely with
personnelassigned to the clinical services. I understand that I will serves as a resource person
providing guidance and keeping them informed on the status of each privileged practitioner within
that service. Will perform work involving the collection, compilation, and/ortracking of data in
support of an organization’s credentials and privilege program., while receiving/processing
documents and reports in accordance with established procedures,reviews documents and reports
for completeness and enters pertinent information into an automated tracking system. Also,
perform database file searches of privilege expiration dates as well as time limited credentials,
while being mindful that all these will be in accordance with VHA directives, VAHQ and JC
requirements and works in direct support of the QI Office’s Medical Staff functions.
Department of Veterans Affairs 10/08 - 01/13
5342 Dudley Boulevard Salary: 59,344.00 USD Annually
McClellan Park, CA 95652 Hours: FT 40 hrs week
Lead, Compensation & Pension
Supervisor: Kenneth Fox (925-372-2254)
Contact this supervisor: Yes
Duties and Responsibilities:
 Responsible for ensuring that the workflow in consistent and smooth. Ensure that the Doctors and
their clinics’ are setup with the days and times they have designated,and also create new clinics if
needed.I cancel their clinics when needed and ensuring the proper cancellation form is on file.
The design; implementation and management of program data systems to support the program
objectives and the requirements of quality assurance required by VA Headquarters and The Joint
Commission. I accomplish this by creating spreadsheets fortracking purposes that helps to
determine if additional staff is needed and where the greatest needs are. Reviewing the Regional
Office for VA Disability Claims submitted and was responsible for managing information used to
develop the submission of an annual budget for the C&.P program. Identifies needs for resources,
which are adequate for administrative staff to meet and support all C&P objectives. I also provide
guidance and initiates training of all new staff and employees in the area of VA policies,
guidelines and procedures.I am also involved in allocating office space and troubleshooting
problems, renovations and other issues that may arise in conjunction with, telecommunications,
IRMS and engineering services. I adhere to the regulations outlined in VA manuals and
directives, VANCHCS policies, state,local and federal statutes as they may apply, program
policies and procedures, JCAHO and CARF standards,provide advice, consultation,and
representation related to administrative aspects ofa complex clinical service.
 Ensure before I give them to my scheduling staff, the exam is within our jurisdiction; correct
exams are ordered based on the remarks that explains why the exams are being ordered. If this
information is incorrect, I then cancel the claim in the VistA program underthe Automated
Medical Information Examination (AMIE) menu, giving exact reason back the Regional Office as
to why the claim was cancelled for their correction and resubmission. I indicate on the claim, such
as: 90 minutes, 120 minutes or 240 minutes, giving the appropriate time allotment for the medical
provider to conduct the examination and review the military folder. From there, the claims are
separated by the last two numbers of the social security number and distributed to my scheduling
staff. I am responsible for the payroll of both my fulltime employees and my contracted medical
providers, done on a bi-weekly basis. Create excel spreadsheets that provide a variety of detailed
information for all Compensation and Pension department throughout my eight facilities. These
include – phone listing; contract providers information (title/clinic location/clinic
abbreviation/phone number/email and home address); emergency staff call back list; clinic
location with provider name and days at that clinic and one that tracks trends in provider exams
that warrant hiring additional staff at a location. Conduct 15-20 minute daily meetings that keeps
everyone focused on the days tasks,which may need to change is a special circumstance presents.
Provide a ear for staff who need to talk and if needed,to assist themwith refocusing back to their
job. If this fails, I offer the opportunity for staff counseling. If employee experiences an “on the
job injury”, contact one of medical providers for examination, fill out the appropriated report of
injury form and place this in the employees personnelrecord. Then if needed, redistribute work
with other staff. Responsible for fund control points – increasing/decreasing requested amounts to
cover invoices; and reconciliations. Work closely with FEE Department for Contracted Providers
that include invoice payment close outs; decreasing payment reconciliation. I have also created
the AMIE or 2507 for the BDD/Quick Start/Pre-Discharge program, then scheduled these with the
appropriate providers and updated the Load/Edit information as applicable.
 Daily demonstration of my skills in writing that reflects organization of subject matter and support
for your position and conclusions,which spans overmy 25 years of VA employment, I have been
a Union Stewart / Vice President of the Employees Association. When it comes to the principles
of Federal employment opportunity program, I have a basic knowledge of the principles , concepts,
legal requirements and methodology from those whom I have known that used this program and
from the Presentation at my Emerging Leaders Program that I am currently taking. I have learned
that Mediation is available to all employees to get a type of problem that can’t be resolved without
this. During the Mediation process,the Employee / Union / Management and the Mediator are
the ones involved. Anotherconcept and Methodology is that Mediation is faster, is cheaper for
both those involved and the time it takes. Helps with the communication between the parties
involved and helps them create their own solutions both realistic and mutually satisfactory. I have
had to do this with one of my staff now who had a problem with me and out a positive working
relationship and are kept confidential.
 Compile numerical, statistical and narrative data from a variety of reports that involve, new
insurance company adds,new groups,and new patients to the group. I run reports (like the ones I
mentioned above). This compilation is used to determine if the process is being utilized to the
fullest or if a monitor needs to be executed for a short period of time. I have also done
compilations that I have documented in my OPF from otheremployers where I’ve been employed,
like: Statistical control-where I worked in the lab at Production Plated Plastics in Richland MI,
compiled a variety of stats for Kellogg Company, Plant Training Department. As the senior
insurance person, co-workers, my lead or even Asst MAS Chief/MCCR Coordinator, will asks me
questions to assist themwith problems that we can resolve together. Once I run the various
reports and compile them into a percentage sheet,I have if needed,put them into a power point or
excel spreadsheet. These have been thus forwarded to my Lead, Coordinator and the VISN
Coordinator.
 Identified problems, determining accuracy and relevance of information, at which this includes the
ability to use sound judgment to generate and evaluate alternatives and to make recommendations.
 Learned C&P regulations and procedures pretty quickly and was able to function as the lead,
which most complex situations I resolved. The program was moving from Mare Island to
McClellan and the Lead at that time didn’t want to transfer with the new programs location. Yet,
the reason for this quick learning process was due to the position I held in MCCF, where I was the
Supervisor over 1st Party Patient Accounts and Insurance,where I was comfortable and very
knowledgeable. However, my 10 plus years of success at my former VISN and being designated
by our C&P VISN Coordinator as the VISN Insurance and 3rd Party Patient Accounts Trainer, in
which I was considered an “Expert in Residence, lead me towards wanting to learn something
new. So, in seeking a transfer to anotherdepartment, I was offered this lateral transfer to
Compensation and Pension, where I had little knowledge of the program, but was eager to learn.
Therefore, as we have new staff, some part-time, it is imperative to review the manual for
compliance and changes staff try to interpret in a different manner. These policy’s, rules and
regulations were established and are to be adhered to, as this ensures that the department is
working smoothly and will encounterless errors, when reports and statistics are reported and
monitored by upper management. These rules however, do not apply to non-routine, often
complex assignments that are asked of me outside of the department’s status quo. Statistics and/or
information that is needed by me is compiled and reported. Also,I have reviewed the 2507 to
make sure that all the remarks section explains the reason for the exams ordered; ensure nothing is
left out; is questionable and needs investigation,which will determine how much time is given to
the provider to complete the examination. Then once the examination and the report have been
released, it goes to the rating specialist who will use several types of analysis skills to determine
the percentage rating, such as:Medical terminology, investigation and attorney.
 Created many 2507 from the MSR and the form the service member fills out that accompanies the
MSR in date even order. In creating a 2507, I will ensure that the exams and the appropriated
request by the examiner is supported. This includes using medical terminology and sentence
structure that leads to clear and justifiable instructions and direction. Each file shall be maintained
togetherfrom the creation to the rating decision and the file is returned the originating Regional
Office records room as complete.
 Additionally as the former Lead of Compensation / Pension Coordinator - I was responsible for
variety of Admin duties; staff work-flow; payroll both full-time and contracted medical staff, and
provide support..I compile numerical, statistical and narrative data from a variety of reports that
involve, such as: where higher ration of providers are needed for C&P; what type of provider is
needed (Medical, Mental Health, Audio, etc); work load analysis reports; tracking existing
program(s) for effectiveness and process workflow Review AMIE's from various regional offices -
for correct exams ordered or if canceled in the (AMIE) Automated Medical Information Exchange
menu, giving exact reason to the Regional Office(s), as to why the claim was canceled/reopened;
needs correction/resubmission. My work involving the collection, compilation, and/ortracking of
data in support of an organization’s credentials and privilege program, while receiving/processing
documents and reports in accordance with established procedures,reviews documents and reports
for completeness and enters pertinent information into an automated tracking system. Also,
perform database file searches of privilege expiration dates as well as time limited credentials,
while being mindful that all these will be in accordance with VHA directives, VAHQ and JC
requirements and works in direct support of the QI Office’s Medical Staff functions.
 Outstanding ability to work with customers to assess needs, provide assistance,resolve problems,
and satisfy expectations. As communication is done via Outlook; Vista; Memo and in person. I
clearly communicate orally when talking to all levels of leadership, when assisting themwith
problem solving issues that do arise, between co-workers, department leaders and medical staff. I
try to assist in the understanding of a problem, how with positive corrective action, the problem
can be resolved with proper documentation; demonstrating attentiveness with all customers , with
the highest level of integrity. In the Compensation and Pension area, I provide oral instruction to
my subordinates as well as written instruction and guidelines. I provide written statistical
information to my boss,who reports to his up line. Currently, I’m in the Emerging Leadership
Development program, herein which, the ELDP aligns itself with VHA’s High Performance
Development Model (HPDM), which is built on the premise that customer driven, value added
quality patient care delivery to veterans is VHA’s primary mission. In order to achieve this
mission, all employees must continuously strive for higher levels of performance as reflected in
eight core competencies. These eight core competencies are Personal Mastery,Technical Skills,
Interpersonal Effectiveness, Customer Service, Flexibility/Adaptability, Creative Thinking,
Systems Thinking, and Organizational Stewardship. I‘ve developed a Cardiac Protocol Worksheet
that is being utilized by my Percutaneous Coronary Intervention project manager; a Visio
spreadsheet forboth Ambulance Procedure Protocol PCI Unit and Inpatient wards.
 For example: when I was in the MCCR arena, I have trained new employees and Davenport
College students,helping them to understand what MCCR means, what the function of MCCR
are, and how it plays a big part in the Revenue process. How this helps to maintain a place for our
Veterans, along with the level of services we provide. I do this with enthusiasmand motivation,
also by encouraging everyone to continue the processes they use and by,offering new processes
that will increase and/or correct some problems that are being encountered,for a more positive
resolution. Generally, the numbers of groups and managerial staff I have worked with has totaled
15-25 at one time. I also developed a step-by-step training manual and data collection form for
insurance verification. These tools are what I used when I trained other sites within our VISN, as
the VISN Insurance Trainer.
o Also, for example, when I worked in Psychiatry Service as the Assistant Program
Manager for the Clozaril Drug study and Substance Abuse Treatment Unit, I the
treatment team that sought ways to provide necessary educationaltraining that was not
currently a part of the program. When I worked in the admissions area, I developed a
step-by-step training manual for the Admission, Nursing Home and Respite Care
processes. This includes performing duties as the ADPAC and Narcotics Inspector,
whereby I am answering menu problems, requesting menu options,submitting NOIS
issues. I assist with PC upgrades,logging into and out of the computer with end users,
printer resolution issues. Anotherway I communicate is via Outlook and VistA. This
communication involves a variety of different types of information that may be directly
for one or more of my providers; Department Supervisors; Chief of Staff; ISO’s and so
forth.
 Was responsible for over seven staff members, I facilitate a wide variety of services; I managed
workload and do data analysis for C&P for Northern California Health Care Systems. This
includes reviewing the AMIE (Automated Medical Information Exchange) or numeric 2507
request,ensuring that each provider is allotted the appropriate time to conduct the exams that are
ordered by the Regional Office. This also ensures that the veteran is getting the attention that
he/she is entitled too within the 30 days.My responsibility make sure that the appointment are
being set and divided among the provider amicably, utilizing our permanent staff first, then fee
staff and finally, our contracted providers. Who will then exam the veteran, get their notes entered
into the system,we in turn fix errors if they exist, transcribe the data and release that exam
information back to the Regional Office for the veteran to receive his/herrating to substantiate the
reason for his/her request for compensation / pension for a proposed “Service Connected” related
disability, “Non-Service Connected” disability pension or Increase in disability. Also, striving to
maintain good organizational skills; continue to exemplify my commitment to the organizations
Goal and Visions. One in which include; building strong links between individuals and groups of
individuals that make up a TEAM (Together Everyone Accomplishes Much). Examples of this are
as follows: 1. staying abreast of the organizational changes whereas,there may be changes in work
environment that effect staff. Assist if needed for work flow continuity, to ensure that it processes
are smooth if transition occurs. 3. being mindful of leading by example; to accept accountability
for others,myself, and the organization’s development, which I feel is a very important part of
being a team.
 Possessing and Demonstrating the knowledge of data input methods and procedures and ability to
use multiple computer applications to retrieve information, generate correspondence,and complete
I have and continue to use VistA-Veterans information Security Application (formally DHCP-
Dedicated Health Care Provider), Microsoft Excel, Word, PowerPoint, Outlook and Visio. As a
former ADPAC for 15 years, I understand the ANSI standard M programming language is a
combination of Symbols, Alpha and Numeric characters. When formulated in a certain sequence,
they depict a certain function. This is kept in a database library of information, from which the
database management systemmanipulates the data and interacts with all users. This interactive
dialogue makes it possible for a continuous exchange of information and questions between the
computer and the end user. The VA FileMan is a central package wit the Kernel and is used by
programmers and end-users. It can be used as a stand along or as a set of application utilities.
Each VA FileMan has a data dictionary, which includes parameters by which users drive all input
to and output from these files. The VA FileMan is considered “public domain” software, which
maintained by the VA and is used by clinical and administrative staff. To ensure security and data
management, end-users should be backing up the files to either their “U drive” or “Q drive” for the
public share folder - the “O drive” to archive their Outlook mail. I answer(ed) menu options
requests,log in NOIS, as for remedy tickets, upgraded PC’s, long into an end-users PC to re-
configure, setup or perform data recovery.
 Daily demonstrated ability to gather and analyze informative are on or data and make decisions
and/orrecommendations. Was responsible to ensure I had to learn C&P regulations and
procedures pretty quickly for me to be able to function as the lead, which most complex situations
I resolved. Utilized various electronic data processing (EDP) systems for inputting data related to
claims adjudication, processing,monitoring, and correspondence preparation. Acted as an
advocate for those veterans and their beneficiaries in their dealings with other VA elements and
organizations that affect their claims. Once I received the file and reviewed the contents,making
determinations relative to VA hospitalization, outpatient treatment institutional or domiciliary care
and basic eligibility for vocational rehabilitation was necessary to inform the veteran of potential
multiple appointments. The program was moving from Mare Island to McClellan and the Lead at
that time didn’t want to transfer with the new programs location.
 Yet, the reason for this quick learning process was due to the position I held in MCCF, where I
was the Supervisor over 1st Party Patient Accounts and Insurance,where I was comfortable and
very knowledgeable. However, my 10 plus years of success at my former VISN and being
designated by our C&P VISN Coordinator as the VISN Insurance and 3rd Party Patient Accounts
Trainer, in which I was considered an “Expert in Residence, lead me towards wanting to learn
something new. So, in seeking a transfer to anotherdepartment, I was offered this lateral transfer
to Compensation and Pension, where I had little knowledge of the program, but was eager to learn.
Therefore, as we have new staff, some part-time, it is imperative to review the manual for
compliance and changes staff try to interpret in a different manner. These policy’s, rules and
regulations were established and are to be adhered to, as this ensures that the department is
working smoothly and will encounterless errors, when reports and statistics are reported and
monitored by upper management. These rules however, do not apply to non-routine, often
complex assignments that are asked of me outside of the department’s status quo. Statistics and/or
information that is needed by me is compiled and reported. Also,I have reviewed the 2507 to
make sure that all the remarks section explains the reason for the exams ordered; ensure nothing is
left out; is questionable and needs investigation,which will determine how much time is given to
the provider to complete the examination. Then once the examination and the report has been
released, it goes to the rating specialist who will use several types of analysis skills to determine
the percentage rating, such as:Medical terminology, investigation and attorney.
Dept of Veterans Affairs 10/07 – 10/08
201 Walnut Blvd Salary: 59,344.00 USD Annually
Mare Island, CA 94612 Hours: FT 40 hrs week
Supervisor, MCCR NCHCS / Sierra Pacific
Duties and Responsibilities:
 Supervise two departments-1st party Patient Accounts and Insurance verification.
 Provided support to the Medical Care Cost Fund Revenue Team by providing various statistics;
identifying problems; problem resolution; analyze and evaluate departmental operations and its
function. Follow organizational polices; departmental directives and public laws, where
applicable. Monitor staff performance/productivity; discuss performance objectives; assist them
with departmental and personalgoals; plan and organize departmental work to ensure proper time
management as not waste.
 Conduct monthly staff meeting; attend bi-weekly management meetings where my data is
presented for review; recommendation and potential modification of data and its layout. Resolve
internal complaints and grievances as they arise from Veterans, their families and staff. I have
counseled several of my employees on business integrity and work ethics and trained several new
temporary employees, which are done both verbally and in writing.
 Approve/disapprove leave requests. Monitored the VistA program, for recommendations to
change and/or fix a problem with the software; this is referred to as a “remedy ticket”. My position
requires me to be flexible, understanding there will be frequent, abrupt and unexpected changes in
work assignment,goals, and deadlines, while working underpressure in constantly changing and
unpredictable conditions. Work with minimal supervision,be self-directed, work independently
and use my expertise to improve program functionality.
 Maintained open communication with up-line supervision for changes that may occur, while
adhering to the Privacy Act of 1974 as well as ADP security and HIPPA. Developed three excel
spreadsheets to monitor Insurance staff; Insurance database and 1st party patient account for
trends; averages and percentages and problems, by recommendation on how to increase revenue
collections for Northern California Healthcare Systems and San Francisco VA Medical Center.
 Performed general clerical duties such as typing, filing and records maintenance. I personally
handle Patient complaints either via Microsoft Outlook; Phone calls; Patient submitted letters or
those that come from one of our Congress Personnel known as a “Congressional.” This
Congressional, requires a response within a short period of time, generally three days. P
 Performed account audits,input insurance information into the Patient insurance file, maintain the
master insurance file database and do insurance file database cleanup of multiple address and
groups when necessary. I just finished a 300 insurance banking insurance number (BIN) and
process controlnumber (PCN) electronic pharmacy billing project for the billing supervisor.
 Developed written “Standard Operating Procedures” or SOP’s for both my departments. One
portion of it will be used as an operating procedure and the second will be used as a step-by-step
training tool, with examples.
Dept of Veterans Affairs 01/96 – 10/07
5500 Armstrong Road Salary: 48,051.00 USD Annually
Battle Creek, MI 49015 Hours: FT 40 hrs week
Medical Care Cost Recovery
Insurance Verification Coordinator / Cross trained as Patient Advocate
Supervisor: Kerri Potter (269-966-5600)
Contact this supervisor: Yes
Duties and Responsibilities:
 Accepted a promotion to Program Support Assistant-MCCR. I started out as a Billing Specialist
where a quota of 200 bills was to be done per month was established. This meant making sure the
3rd party reimbursable insurance information was updated and correct before creating a bill for
reimbursement. Assured that 1st party debts were treated as a priority to bill to insurance
companies. Knowledgeable and be able to explain any questions regarding co-pay to veterans as
needed. Possessed and demonstrated the knowledge of current eligibility requirements that
determined Category A from C.
 Demonstrated daily ability to read and follow the ICD-9 code manual, the CPT code manual to
ensure good clean bills for correct reimbursement. Knowledge and ability to follow and interprets
VA rules and Regulations, also procedures,had knowledge to maintain the ability to interpret VA
rules and regulations, directives and any other information governing the administration of Public
Laws, Privacy Act and The Freedom of Information Act, Drug and Alcohol Laws that apply.
 Transferred to the position of Utilization Review Specialist; where I posses and utilize my
knowledge of Medical terminology. I was responsible for reviewing all Inpatient cases involving
3rd party reimbursable insurance and obtaining maximum reimbursement. I obtained signed
consents formedical treatment whether or not the treatment was for a sensitive diagnosis or not. I
then called the insurance company when pre-certification was indicated by the plan within the
specified time of 24hrs after obtaining all necessary information from the patients record; by going
directly to the admitting ward and reviewing the record, documenting the necessary information
from the record and then called the insurance company to obtain a certain number of days
authorized for billing, then performed subsequent reviews and appeals if necessary and where
aggressive but effective debt collection methods sometimes became necessary. This required me
to obtain knowledge of ID and AP packages in DHCP systems in order to facilitate all major
duties of this position. Performed daily effective records keeping skills, and reports in order to
have information available for analysis and study.I was responsible for all the inpatient/sharing
agreement and ambulance billings, and performed the account receivable functions in relationship
with claims received from billing these sources.
 As the Insurance Verification Specialist, I maintained knowledge of Medicare/Medicaid rules
regulations and guidelines. So then I can call the insurance company to obtain the following
information whether or not I have a copy of the card or not. Insurance Name, claims mailing
address,hours of operation, electronic claims payer ID number, will reimburse VA or not and all
phone numbers to verify benefits, get claims questions answered or fax number. I created a
information call sheet to ensure that all the areas of service that we provide to our veterans is
covered, then I call and verify the following information from the insurance company i.e.: Annual
Deductible, Maximum Out of pocket, Overall Lifetime max of plan, No Pre-certification penalty if
applies, Then the criteria regarding days or visits for: Inpatient Medical/is pre-certification
required, Preventative care, Office visits, lab/x-ray’s, Durable medical equipment-home oxygen,
prosthetics,PT/OT/SP, Dental, Vision, Hearing, Prescriptions, Ambulance, Home Health Care-is
pre-certification required, Hospice-is pre-certification required, ER/Urgent Care, Respite
Admission-bill as inpatient or outpatient services, PA, APN, SW, Pool Therapy, Smoking
Cessation, Dietician-Diabetics Only?, Skilled Nursing Facility-is pre-certification required, Music
Therapy-Individual or group billing with proper documentation, Recreational Therapy-Individual
or group billing with proper documentation, Specialty Clinics-Dermatology, Neurology,
Rheumatology, Gastrointerology, Podiatry, IV Therapy, Opt Surgery-is pre-certification required,
Opt/Inpt Mental Health, Opt/Inpt Substance Abuse,IOP-Intensive opt treatment- is pre-
certification required, Detox-is pre-certification required. There are times when a billing clerk or
some else needs me to verify an area of the vet’s policy right away as they maybe right in the
middle of billing- so I must maintain a level of flexibility and good customer service relations. I
am responsible for training new staff on entering insurance information in the buffer file, the
importance of timely entries and the effect it has on our facility. I assist with billing on paper
claims and well as entering claim into the billing assistant that is transmitted to Blue Cross and
Blue Shield. I am responsible for monitoring all CBOC insurance entries into the buffer file and
assist with training and answering questions if needed. Am responsible for totaling up at the end
of the month all the insurance’s that were New Billables, Expired, Medicare/Medicaid,
Prescriptions, Torts, Updates, Sharing Agreements, etc.
 Ability to monitor all these areas requires an intricate knowledge of the IB Insurance package. My
knowledge is at the level of a program support contact,as I have been asked to do training within
our VISN. This has allowed me to network and train otherpersons responsible to complete the
insurance entry into the VISTA system. My expertise has also allowed me to be included in the
network development of enhancements within the insurance package. I will be training, helping
with software development, and contracting. I will also be responsible for Northern Michigan
territory. This is a great opportunity for myself and for the Battle Creek VA.
 Assisted with billing questions afterthe monthly account statements have been sent to all
Category C veterans or any other assistance Ican give to my department.
 As the ADPAC for MCCR and Fee Basis, I provided technical support to those who needed
advice, assistance and training with software and hardware problems. Troubleshoot and repair
computers problems before I log in the VISTA systema “NOIS”, where at that time I must be as
specific as I can for the purpose of assisting and/orpassing on information so the problem can be
resolved as quickly as possible,based on the ADPAC manual and permission I have therein. I
have “Degaussed not only my computer here but also at home. Have also assisted with the
diagnosis of LAN and WAN connections along with installing these local and slave printer setups
on PC’s. .I am responsible for coordinating the moves and assisting in moves of computers and all
there components.Making sure that all the data port and phone lines are operational. I have made
suggestions on software national package to see if the configuration of database could be changed
for consistent manipulation. I have knowledge of what the configuration management means -it
applies technical and administrative direction, surveillance of an item to identify and document
characteristics, control and document configuration changes,record and report the status of
proposed changes,audit configuration items or other contractual requirement.
 As our department was preparing to become a CPAC, I had the opportunity to cross -train in many
positions within VISN 11 for Patient Advocate and observed and assisted her in whatever she
asked of me that would give me experience. Learned how to collaborate and communicate with
staff to identify solutions for Veteran complaints and problems, with an understanding that as a
PA she had the approval to ask for improvement plans that were directly related to those services
that needed her intervention, that would actively address the patients concerns and expect service
recovery in real time, and to direct patients to higher level staff as appropriate. She showed me
how to build a report with clinicians who were directly connected to the decision that are
ultimately made by the Clinician that impacted those veterans / patients that we so proudly
service.
 One thing that I learned and used to have at the bottomof my outlook signature,
“Serving those who served us first” this made so many colleagues stop and rethink why they came
to work for the VA in the first place.
Dept of Veterans Affairs 03/95 – 12/96
3019 Coit Ave NE Salary: Under 40, 000.00 USD Annually
Grand Rapids, MI 49015 Hours: FT 40 hrs week
Admissions Clerk-GROPC /Admissions Clerk
Contact this supervisor: No, all supervisors nowretired
Duties and Responsibilities:
 As Admission Clerk-GROPC I was responsible for scheduling patient appointments via person or
telephone, checking patients in/out of their appointments,running appointment lists for the next
day and posting them up so the records could be filed for the next day. Maintained patient records
with proper ID stamp on each side of the progress notes/doctors’orders/consults. Created new
patient records with proper ID on the backside of the record, put Name and SSN on front of record
and the numerical stickers on the side. If SC, then a SC sticker was places in the left side and
Medical Alert on the right, MCCR sticker on the lower right corner. Worked in the file room
when need and pulled records for next day appointments if necessary. I scheduled doctorreturn
visits/lab/x-rays or other appointments as written by the physician. Was the sole scheduler for Dr.
Vangoor’s Dermatology Clinic.
 Performed Eligibility functions and telephone operator, worked in the mailroom-tracking/sorting
mail/distributing mail and weighing mail.
 Then I transferred to BC as the Admission Entitlement Examiner (Medical Clerk)-Knowledge and
understanding ofeligibility laws and regulations, which applied to veterans. Knowledge and
demonstrated ability to interpret VA rules and regulations, directives and any otherinformation
governing the administration of Public Laws, Privacy Act and The Freedom of Information Act,
Drug and Alcohol Laws that apply. Demonstrated my ability to use DHCP software to register,
disposition,and scheduled patient information. Demonstrated the ability to respond quickly and
adapt to change and the changing needs based on urgent medical and/orpsychiatric conditions of
patients. Whereas, I understood priorities and deadlines exist. Processes applications for care,
determines entitlement using HINQ/BINQ software programs, which I still have and utilize HINQ
today,for treatment on all new applicants, if HINQ in not available, then VA form 10-731 is filled
out and sent to last known location of military folder. Also, I handled all outpatient dentalreferrals
with an extremely high degree of accuracy, sharing agreements and others.
 Completed Means Tests when required, (at one time I completed the means test and forwarded it
to HBA for appropriate action). Obtained 3rd party billing information and required signatures on
all documents. Accurately collecting and loading information into DHCP (now VISTA) in a
timely manner to ensure good customer service. Accurately loaded information into DHCP and
dispositioned patients.Retrieved and edited automated data on encounters,entered CPT codes and
ICD-9 codes from encounterforms. Processed all 10-10 mail-ins applications with one week;
maintained accurate waiting lists for Intermediate Care and Nursing Home Care Unit. I completed
computerized processing of Nursing Home Care Unit patients to and/or from ASIH within
specified time frames. I submitted electronically AMIS 401-420 reports to Austin within specified
time limit, corrected error and rejects.
 Trained new staff and wrote a step-by-step instruction manual for new staff to follow in my
absence. Ordered supplies, made new ID cards for vets,audited records for next day transaction
with patient funds.Daily I used DHCP to request records/return records to file room.
 Performed transfer coordination duties where I logged each transaction in a book, initiated the
Doctor to Doctor conference call and hand wrote the conversation,ordered transportation if
needed,maintained bed control and if patient was a Fee Basis, it was mandated to bring he/she in
within 12 hours of notification. Was trained and performed as backup for Commitment Clerk,
Patient Funds and Details Clerk. I had occasion to work with AOD’s on off shift when I was
working overtime and assist themwith their duties if needed for experience.
Kellogg Cereal Corporation 10/93 – 3/95
Administrative Assistant Salary: 15.00 per hour
Contact Supervisor: Retired, plant training department was dismantled.
Duties and Responsibilities
 Type/edit and publish various letters that were confidential and proprietary for also the Plant
Manager/Personnel Director.
 Maintained inventory control where I computerized supply ordering and maintained budget
control points.
Scheduled conference meetings on and off site where I ordered and prepared manuals for use by
hourly and salaried staff where indicated by the type of training conference being held.
 Use KRONOS payroll computer software for weekly department payroll and submission.
 Updated reference manuals, responsible for accounts payable/receivable,
 Re-organized the Documentation Library, Responsible for all Audio/Visual equipment check
in/out-kept log of purchase date/serial numbers and purchaser. I created staff roster board for
tracking appointments/leave used/sick time/shift changes. Updated Department Catalog/Master
files/course information and projects reports.
 Assisted and attend training sessions where I needed to make blueprints enlarging or downsizing
existing ones; created training manuals-covers/end labels/charts and graphs with written
instructions for assembly/operations/trouble-shooting.
 Distribution of all office correspondence throughout the department and re-routing mail to other
departments that was not our. Responsible for the payroll entry into the KRONOS payroll system
for the Regional Manufacturing Center, Fort Custer and created step-by-step instruction sheet to
enter payroll into KRONOS for the Centers Manager for him to enter in case of my absence.
Responsible for: assigning new project numbers, doing all computer backups and monthly
department reports.
Other Employment:
3/93-7/93 Kalamazoo Gazette - Display Advertising Secretary-temporary, (FT 40 hrs week)
7/92-3/93 TogetherDating Service - District Public Relations Specialist (FT 40 hrs week)
3/87-7/92 VHA - Ward Secretary and Programs Assistant (FT 40 hrs week)
EXPERIENCE:
Management
 Commercial Interior Design - VHA
 Private Interior Design / Decorating
 Analyze staff time, performance and conducted evaluations
 ASIST Incident Reporting System
 CEOSH Safety Inspection website
 Conduct Monthly Safety Environment Rounds
 Conducted training classes on various subjects and job performance skills
 Egro Assessment Assistant
 Ensure minimal errors between VHA/VBA re: 2507’s; claims folder; reports; also jurisdiction
errors, and all are in accordance with the Laws, Rules and Regulations established.
 Established guidelines and procedure for Secretary and Public Relations positions
 Hired, Trained and Terminated a variety of personnel staff
 Dating Service Business Owner
 Lead Program Coordinator, Veterans Compensation and Pension
 Monitor Credentialing of Providers utilizing multiple resources
 Monitor Safety Quality Control / Assurance performed and completed timely
 Planned, Supervised and Coordinated Drug Research Analysis Study Profiles
 Prison Exam Coordinator
 Safety and Occupational Health Claims Resolution Coordinator
 Supervisor, Insurance and 1st Party Billing and Collections
Leadership
 Analyze and Coordinate work flow and monitor processes forcontinuity
 Conducted training classes-1to 1 and in groups to various businesses where employed
 Employer representation with Legal Counsel and Better Business Bureau and special fund
raising events
 Ensure employee training was completed
 Ensure VHA/VBA functions and procedures are followed daily and timely
 Given various presentations to large groups
 Keep high stress environments to a minimum and staff focused on tasks
 Liaison for companies with Employee Relations issue,Customer Service and Problem
resolution
 Organized complete office operating systems
 Project coordination/development, implementation, computerization and follow up
 Quality Control Inspector/ Trainer
 Work independently,with minimal supervision
Writing Skills
 Wrote many step-by step manuals that were used as benchmark for the VA Hospice/Palliative
Care; Drug and Alcohol; Admissions; Insurance Verification, Utilization Review.
 Composed and revised various employer forms and job descriptions
 Computerized Cost Distribution Report for Washington.,Payroll and Drug Study Research
Information
 Computerized Doctor Curriculum Vitae’s
 CTRAPS for travel
 Expert in communication both in orally and in writing with many socio-economic
backgrounds and all levels of management
 Financial Proposals, Marketing Strategies and Speeches
 Typed various correspondences such as:memos, meeting minutes for signatures
SPECIAL TRAINING
Business:
 Private Interior Designer / Decorator:
o Business I did out of my home.
o Went to clients’ homes and show them different accessories,such as: pictures, sconces,
shelves and flowers that could be grouped in such a way to make a room look bigger or
smaller.
o Required color coordination and room and wall size determination.
o I also would help with low budget decorating. Ie.: Changing the look of a chair with an
old sheet,thread and a needle, some old curtain tiebacks. Wallpapering, light fixtures,
linoleum and new bathroomfixtures to compliment new bathroomredesign.
o This is something I have done in everyplace I’ve lived and have done for many others.
 Commercial Assistant and Project Management and Liaison. Furniture Acquisitions.
o Currently working with the VHA Interior Designer on various projects as her Facilities
Design Project Manager / Liaison.
o Doing identification, researching, and creatively solving problems that pertain to the
quality of the interior environment.
o Take measurements of interior space for design analysis and redesign purposes. Utilize
specialized knowledge of interior construction,building systems and components,
building codes,equipment, materials, and furnishings.
o Preparing drawings first on graph paper, then doing them in the AutoCad program, which
I then save to a PDF file, for easier printing until the new Plot machine is ordered and in
working condition. I also take documents relative to the design of interior spaces in order
to enhance and protect the health, safety,and welfare of the public.
o Coordinating and integrating the mechanical, electrical, and structuralengineering
disciplines within the interior context. This takes managing projects, developing cost
estimates, evaluating bid proposals,reviewing construction documents,participating in
on-site construction visits,conducting pre- and post-occupancy.
o When new projects are being started,I coordinate the meeting with the design team, end
users and contracting officer to discuss what is being wanted and if feasible for what the
purpose of the unit is, while keeping up on current trends that are not only pleasing to all,
but meets all the infection control and safety requirements. This required going over
finishes, fabric swatches,carpet samples and paint colors. All of this is found on various
website by manufacture.
o Development of color boards are created with a variety of options that is presented to the
end user,which I did for the new Behavioral Health Unit at Mather.
o A cost estimate is compiled and also presented,to give everyone an idea of what the cost
potentially will be, so the Furniture Acquisition can be complied and sent to the
Contracting Officer, which is put out on the GSA website for solicitation. However, some
of the items can be purchased either from a credit card or 2237 Funding Request is
entered.
OTHER VARIOUS EXPERIENCE / TRAINING:
o Emerging Leadership Program Graduate, Creation/implementation of 2507Automated
Medical Information Exchange (AMIE), Excel spreadsheets, IT-ADPAC, Timekeeper;
Program Assistant,Public Relation, Purchasing, Accounts Receivable/Payable, Budget
Control, Budget Maintenance, Billing/Collections, Assistant Commitment Clerk,
Transfer Coordination (log book tracking), Admissions Clerk/Lead, Inventory Controller,
Switchboard Operator, Administrative Assistant,Controlled Substance Inspector. Office
Manager, Inside Sales, Marketing Strategies, Telemarketing/Trainer, Insurance
verification/biller. Utilization Review Nurse, and various Secretarial duties and
responsibilities.
Factory:
 Quality Control Inspector/Lab Technician-use of calipers, micrometers,
cass/water/oven/freezertesting by monitoring gages,flow charts and chemical solution
levels/make-up, machine operator, Shipping / Receiver, Production line
worker/supervisor. Made QC recommendations to otherdepartment heads for
discrepancy resolution.
COMPUTER PROGRAMS:
 Microsoft Word, Excel, Access,Visio, VistA Systems, Lotus 123, Harvard Graphics,
PageMaker 4.2, Claris-FileMaker, Novell Networking, Checkbook solutions,BASIC,
KAMPS/time care program, KRONOS payroll program, AutoCad 2014 and VATAS
timekeeping system. Maximo.
ABILITIES
Self-starter, team player, researcher, disciplined, organized, follows directions, willing to go the extra mile,
posses excellent communication skills both orally and written. Excellent rapport with people of various
backgrounds.,and also willing to lending an listening ear.
LICENSES
CPT-1 # 762345 exp: 5/2016
BLS # 6153 exp: 5/2016
CERTIFICATES (TMS / OSHA / FEMA websites)
Emergency Management – 4/22/13
Fire & life Safety Management – 4/22/13
VHA 30 HR Construction Safety – 7/25/13
NFPA Life Safety Code Basics Independent Study – 8/8/13
FEMA Emergency Management Preparedness – 8/22/13
Safety: OSHA Duty Course – 8/22/13
OSHA 565 Construction Safety Prevention – 8/29/13
Utility Systems Management – 1/8/14
EDUCATION
9/12-present Ashford University – BA, Major - Psychology / Minor - Health Care Admin, graduation
date: Oct 2015.
4/12 – 9/12 Wm Jessup University – BS Psychology
4/11-7/11 Boston Reed College, Phlebotomy CPT-1
10/07- 7/09 Cornerstone University – BA, Business Management – credit hours
2/84-2/85 Kalamazoo Valley College thru Production Plated Plastics, SPC Certificate
9/76-6/78 Kellogg Community College, LPN License
Extracurricular Activities
Yolo County Habitat for Humanity - Present
Mission Solano Homeless Women Group Leader/Speaker - 2009
Homeless Coalition Board Member-Greater Calhoun County (1994-98)
VA Employees Association Vice President (1989-90)
Battle Creek Michigan Public Schools Room Mother(1981-90)

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Alice's Admin Resume

  • 1. ALICE L. PEREZ 1973 Hackett Dr Woodland, CA 95776 Evening: (530) 406-1159 Daytime: (925-372-2603) Availability: Job Type: Permanent Work Schedule: Full-time Department of Veterans Affairs 150 Muir Road, Martinez, CA 94553 Maintenance Control Manager (GS-1601-7, Step 9) 11/13 – Present Supervisors: Kevin Maxson (916-843-2774) or Salary: 59,334.00 USD Annually Melissa Chelemedos (926-372-2188) Hours: FT 40 per week Okay to contact Supervisor: Yes Duties and Responsibilities:  Assisting the Supervisory Program Analyst with the following: o Utilities: (Will be taking over the responsibility fully come April, 2015). Setting up yearly binders by type vendor. Data from utilities invoices and Fund Control Point (FCP) are recorded daily; quarterly info/reports are recorded in VSSC website and faxing vendors’invoices to our Central Office for payment reported to Fiscal for MCCF Cost-Transfers. Verify all payment have been made through On-Line Certification System(OLCS). Provides update to VISN 21 Energy Manager via excel spreadsheet. o Human Resources (HR): Creates competency folders for each new staff members. Assist with the review of Position Description and update in Microsoft Word to ensure they are accurate. o Suspense: Assist where needed in the review and execution of suspense(s)from Suspense Coordinator. Once received, disseminate to the correct responsible party is notified and completes the suspense prior to the due date. Then let the Program Analyst know so she can add to her tracking spreadsheet and provided weekly update to Chief and Leadership as needed. o Mail, Correspondence and Reports: Processes incoming and outgoing materials such as correspondence,reports,memoranda, report of survey, and other forms of written communication. Provides general clerical mail and correspondence services such as preparing a variety of reports, reviewing outgoing correspondence forproper attachments,or consolidates/coordinates submittals of information. Researches fields and assembles background information on the subject of incoming material prior to referral. o Organization Charts, Cascade List, and Phone List: Creates and maintains cascade list for each section and provides to each section chief and the Police Service on a quarterly basis. Maintain service phone listing. o Staff Meetings: Record, transcribe and disseminate Monday Morning OPS Weekly Leadership minutes to all Service Chiefs and Managers. Record, transcribes and disseminate Engineering and Safety Collaborative Meeting Bi-weekly Committee minutes to all Members. Schedules / Coordinates quarterly staff meeting for East Bay Division. Submit Veterans Canteen Service Promotional Account request for funds. o Equipment Inventory Listing (EIL’s): Ensure EILs assigned to E&FMS are completed prior to the due date and that all equipment is accounted for on an annual basis. Works closely the LMS
  • 2. employees should inventory change are required (excess or new items). o Computer Software: Highly proficient with VistA, IFCAP, Outlook, MS Word, Power Point, Excel, Sharepoint, Visio, Access. Currently, work in a production/processing environment. As the current Maximo Super User and Trainer, I always have multiple computer applications open and working simultaneously such as Outlook VistA Maximo Excel Word Access Internet Explorer Lync Conferencing o Additional Tasks: I develop many Excel Spreadsheets to track and monitor spending and expenses for FCP 6517 for the Chief, Maintenance Operations at our Sacramento Valley Division. The report also serves as a Budget Cost Analysis to analyze where the spending habits are, and to potentially reduce unnecessary spending,and betterutilize our resources ,and organized multiple documents for distribution. Analyze departmental needs to assist with organization, and participate in conference calls; team meetings; constructing design boards for team meeting presentations. Also an active member on the Leadership Committee Team.  Commercial Assistant and Project Management and Liaison, and Furniture Acquisitions. o Completed working with the VHA Interior Designer on various projects as her Facilities Design Project Manager / Liaison. o Doing identification, researching, and creatively solving problems that pertain to the quality of the interior environment. o Take measurements of interior space for design analysis and redesign purposes. Utilize specialized knowledge of interior construction,building systems and components,building codes, equipment, materials, and furnishings. o Preparing drawings first on graph paper, then doing them in the AutoCad program, which I then save to a PDF file, for easier printing until the new Plot machine is ordered and in working condition. I also take documents relative to the design of interior spaces in order to enhance and protect the health, safety, and welfare of the public. o Coordinating and integrating the mechanical, electrical, and structuralengineering disciplines within the interior context. This takes managing projects, developing cost estimates, evaluating bid proposals,reviewing construction documents,participating in on-site construction visits, conducting pre- and post-occupancy. o When new projects are being started,I coordinate the meeting with the design team, end users and contracting officer to discuss what is being wanted and if feasible for what the purpose of the unit is, while keeping up on current trends that are not only pleasing to all, but meets all the infection control and safety requirements. This required going over finishes, fabric swatches,carpet samples and paint colors. All of this is found on various website by manufacture.  Development of color boards are created with a variety of options that is presented to the end user,which I did for the new Behavioral Health Unit at Mather.  A cost estimate is compiled and also presented,to give everyone an idea of what the cost potentially will be, so the Furniture Acquisition can be complied and sent to the Contracting Officer, which is put out on the GSA website for solicitation. However, some
  • 3. of the items can be purchased either from a credit card or 2237 Funding Request is entered.  Also had to take photos of the armoire in the new hospice unit here in Martinez that was sent in error, to the GSA Vendor for replacement. Maintain and monitor the “To Do” list I created for the Interior Designer that assists with project management not only for her, but is transcribed into the Bi-weekly Projects Staff meeting for all to review, along with Attending space design planning and aesthetics meetings.  Finished projects that were given to me in a timely manner with documentation to Chief of Projects. Worked with the Interior Designer on various projects as her Facilities Design Project Manager / Liaison, with doing identification, researching, and creatively solving problems that pertain to the quality of the interior environment. Take measurements of interior space for design analysis and redesign purposes. Utilize specialized knowledge of interior construction,building systems and components, building codes,equipment, medical/prosthetic equipment, materials, and furnishings. Preparing drawings first on graph paper, then doing them in the AutoCad program, which I then save to a PDF file, for easier printing until the new Plot machine is ordered and in working condition. I also take documents relative to the design of interior spaces in order to enhance and protect the health, safety,and welfare of the public. Coordinating and integrating the mechanical, electrical, and structural engineering disciplines within the interior context. This takes managing projects, developing cost estimates, evaluating bid proposals,reviewing construction documents,participating in on-site construction visits, conducting pre- and post-occupancy.When newprojects are being started, I coordinate the meeting with the design team, end users and contracting officer to discuss what is being wanted and if feasible for what the purpose of the unit is, while keeping up on current trends that are not only pleasing to all, but meets all the infection control and safety requirements. This required going over finishes, fabric swatches,carpet samples and paint colors. All of this is found on various website by manufacture. Then color boards are created with a variety of options that is presented to the end user, which I did for the new Behavioral Health Unit at Mather. A cost estimate is compiled and also presented,to give everyone an idea of what the cost potentially will be, so the Furniture Acquisition can be complied and sent to the Contracting Officer, which is put out on the GSA website for solicitation. However, some of the items can be purchased either from a credit card or 2237 Funding Request is entered. o Accomplished the final coordination of the Hospice Suite in the CREC, just took photos ofthe armoire in the new hospice unit here in Martinez that was sent in error, to the GSA Vendor for replacement. Maintain and monitor the “To Do” list I created for the Interior Designer that assists with project management not only for her, but is transcribed into the Bi-weekly Projects Staff meeting for all to review, along with Attending space design planning and aesthetics meetings. Administrative Assistant (GS-0301-7, Step 9) 01/12 - 11/13 Supervisor: Elbert McClain (925-372- 2465) Salary: 59,334.00 USD Annually Okay to contact Supervisor: Yes Hours: FT 40 per week Duties and Responsibilities:  Responsible for a wide variety of office compliance needs,updating directories, maintaining ASISTS online program incidents reports and resolution follow-ups.  Demonstrated knowledge of administrative practices and procedures established for interpreting and applying basic ergonomic standards and operating instructions to specific conditions,and if an ergonomic assessment is needed, an Ergo Self-Assessment form V0806 should be filled out the by the employee and forwarded to Occupational Health for follow-up. A 2162 Incident Report in ASIST should be entered into the program and extracted for evaluation. The workstation is assessed forproper positioning to identify problem areas. This information can also be found on the VANCHCS SharePoint with slides to assist like: “Putting yourworkstation to work for you - the science of fitting workplace conditions and job demands to the capabilities of the working population; Risk Factors; Stressful Postures.” There are many types of positions that are more harmful than others; there are some simple exercises that can be done to relieve discomfort for such things as: Carpel Tunnel, back strain and pressure,neck tension,arm and legs for numbness and tingling, thus the importance of having an organized desk to aid in the discomfort. Also
  • 4. demonstrated knowledge of investigative techniques relative to ergonomic evaluations to identify problem areas involving how an employee interacts with their workspace environment. Assisted with assessing both the workstation and the employee’s environment to see what problems exist, such as: work surface, keyboard positioning, monitor height, computer setup and placement. Then depending on the findings, adjustments will be made to ensure the employee is able to work with minimal discomfort. Such problems might include the following: Carpel Tunnel, back strain and pressure,neck tension,arm and legs for numbness and tingling, thus the importance of having an organized desk to aid in the discomfort. A reassessment may be required as the employee may need additional adjustments as conditions increase or decrease. This can depend on whether there are external medical appliances (wrist guards,neck brace, hand guards,etc) that would need to be worn during working hours.  Applied statistical methods to the collection, computation, analysis,editing and presentation of data, and currently am part of the bi-weekly Environmental Rounds that occur the 2nd and 4th Tuesday of the month. Inspection findings are collected and entered into the WALSH Tracking System for correction.  Worked on ASISTS trend analysis report with Lead Safety Specialist to determine trends of workplace injuries and give general time frames of when incidents occurs,all of which is presented weekly as available. This data assists leaders in proactively reducing injury and illness incidents. I also gather, edit, analyze and present statistical information to the DOL specialist to close any open incidents.I directly work with supervision to express the importance of timely incident reporting and closure; all are according to Section 1904 (OSHA Reporting and Records keeping), VHA Directive 2011-020 and Automated Safety Incident Surveillance and Tracking System requirements. I completed and submitted the yearly “Safety and Sanitation Rounds” for East Bay Division that was conducted in June, and entered this data into the WALSH Integrated Tracking System. These entries will be tracked, edited when necessary,and “resolved” to maintain compliance monitoring. I completed and submitted the yearly “Site Safety Plan” suspense due on July 15, 2013 to the Learning Management System Records Management Programs Specialist.  Maintained safety office budget,records files, supplies,ADP equipment and currently, the budget designated to safety is underFund Control Point 6165. I monitor the 2237’s that are being submitted for approval to cover outstanding project costs orreplenishment of funds for the next fiscal quarter, and to ensure these funds are available when needed. I also identify to management priority purchases needed as well as place online supply orders using Metro Office Supplies’ site. Moreover, I ensure ADP equipment is secured by monitoring employee PC’s to ensure they are not left active leading to HIPPA violations, potential Privacy Officer Intervention, citations and cost to the VA for Identity Theft Protection Coverage. I also keep extension records on my “U” and “W” drives of various records to provide ease of access to uppermanagement if requested.  Responsible to assemble and prepare pertinent information related to correspondence,inquiries, meetings and technical reports. Prepare and at time author documents for signatures as follows: o Memos– Site Designated Safety Officer; Contracted Clinical Nursing Home Programs Overview for 2012 for Chief of Safety, Associate Directors and Director’s signature according to Policy Statement 00-01. I ensure all attachments are properly presented in order of precedence. o Processed Conference/Travel Request Approval Process (CTAPS) requests as needed. o Monthly, I route the SF 1164 (Claim for Reimbursement for Expenditures on office Business)for the Chief of Safety that goes to the Fiscal Travel Office for payment. o Recorder for the monthly EOCC meeting and author/submit minutes according to policy guidance.  Record, transcribe and disseminate the Bi-weekly Engineering and Safety Collaborative Meeting minutes, update the information, restrict document access and upload it to the Engineering SharePoint under Agenda and Minutes; committee members utilize the minutes to mitigate action items. o Example: For instance, the current conversation is about the proper storage of hazardous wastes and DECONC entry-level in regards to the Compressed Gas Cylinder Storage Shed at Mather. Where the exterior compress hazardous gas shed that near Bldg 700 Ed
  • 5. collects Mather on the floor. The gas cylinder stands in the water which causes corrosion. Leaves blow in the shed underthe gate/doorbecause the bottomgap is -6 inches, and is currently being resolved by installing new doors to prevent this water and debris intrusion.  Record and update the monthly EMFT meeting minutes and securely save them to my “U” and “W” drives; this provides oversight for compliance with directives and trouble-free access and retrieval of reports for later meetings. I author and reply to Outlook emails requesting information from departments. This information includes, but is not limited to, outstanding incident reports, ASISTS statistics; inspection reports,management requests,request for travel reimbursement, supply requests,management correspondence for signature,etc. I schedule inspection dates and times and collect data to complete the VA offsite Contracted and Non-Contracted Nursing Home inspections.I scan final reports and file them in a binder and electronically, on my “U” and on the Safety “W” drive’s CNH Inspections folder. This ensures documentation identifying compliant/non-compliant CNH programs is available for future reference, thus ensuring the VA and 38 CFR 61, GPD Final Rule, is complied with. I orchestrate the VANTS line calls and/orV- Tel meetings by utilizing the proper electronic data systems,send Outlook Meeting Calendar event invites to attendees with appropriate call-in information as well as the agenda and correspondence needed for a successfulmeeting. Author emails sent to all Northern California sites to obtain Fire Drill and Site Safety Meeting minutes. Additionally, I secure the minutes on my “U” and on the Safety “W” drives for easy access to these reports as needed to maintain our compliance measure. I ensure that the Safety Specialist are informed of the New Employee Orientation, and I participate as needed,once I am more familiar with the information presented,I will be a presenteron behalf of Safety and Occupational Health.  Provided emergency management support and testing of communication devices, I currently take the bi-monthly EMFT meeting minutes, update the template and save on my “U” drive , “W” drive and Emergency Management SharePoint, for easy access and retrieval to these reports as needed,and to maintain our compliance measure. I was the official Recorder for and participated in the May 2013 East Bay Earthquake Exercise that was facilitated in the Martinez Command Center in the CREC. The primary focus was to evaluate our procedures on: communication, redundancy,staff accountability, and patient evacuation leading to a more efficient emergency management program.  Testing of the communication devices at the April 2013 meeting discussed the following: Communications - Police Radio System & Dispatch Center pending radio install at the Chico OPC. Amateur Radio communication systems that are still in the process ofbeing built, so more people can be reached and we don’t have to rely on the public repeater stations. Automated Notification Systems and the national program office had sent a few systemtests to users and where a number of issues were discovered. The VA Notification systemis the alerting part of VAPAS and the VAPAS systemtracks personnellocation and welfare. However, more tests are expected to come.  Assisted where needed with the Quarterly Satellite Phone tests at all sites. Department of Veterans Affairs 9/1 2- 1/13 103 Bodin Circle, Bldg 778 Salary: 59,344.00 USD Annually Travis AFB, CA 94535 Hours: FT 40 hrs week Medical Staff Assistant (Credentialing and Privileging) Duties and Responsibilities:  Utilize such programs as VistA-Veterans information Security Application (formally DHCP- Dedicated Health Care Provider), Microsoft Excel, Word, PowerPoint, Outlook and Visio. As a former ADPAC for 15 years, I understand the ANSI standard M programming language is a combination of Symbols, Alpha and Numeric characters. When formulated in a certain sequence, they depict a certain function. This is kept in a database library of information, from which the database management systemmanipulates the data and interacts with all users. This interactive dialogue makes it possible for a continuous exchange of information and questions between the
  • 6. computer and the end user. The VA FileMan is a central package wit the Kernel and is used by programmers and end-users. It can be used as a stand along or as a set of application utilities. Each VA FileMan has a data dictionary, which includes parameters by which users drive all input to and output from these files. The VA FileMan is considered “public domain” software, which maintained by the VA and is used by clinical and administrative staff. To ensure security and data management, end-users should be backing up the files to either their “U drive” or “Q drive” for the public share folder - the “O drive” to archive their Outlook mail. I answer(ed) menu options requests,log in NOIS, as for remedy tickets, upgraded PC’s, long into an end-users PC to re- configure, setup or perform data recovery.  Possessed and gained additional knowledge of credentialing and privileging requirements of Veterans Health Administrative Headquarters & JC. Was responsible for completing primary source verification of all active and inactive state medical licenses and DEA certification, for varying education and training requirements, allegation of malpractice, continuing medical education, board certification, for current and past privileges at othermedical facilities. Accessing the National Practitioner Data Bank and Medicaid/Medicare Sanction Report screening prior to presentation of applications to the Physicians’ Professional Standards Board; interacting with Human Resources (HR) personnelin areas governed by personnelrequirements (i.e., appointment, board actions,citizenship, drug screening, etc.); with insurance companies, courts of previous practices, attorneys,and other institutions in retrieving and verifying malpractice allegation reported by the applicant and/or the National Practitioner Data Bank. Responsible for preparing official board action for review by the Physician’s Professional Standards Board, HR, Chief of Staff and Health Care System Director. This process can and usually does not happen quickly and can actually take in excess of 30 days,depending on where the provider has been practicing; the geographical location and the prompt response.  Proven ability to deal with professional, administrative and technical personnel at all levels, providing customer service via the phone or in person on a daily basis. Communication is done via Outlook; Vista; Memo and in person.I clearly communicate orally when talking to all levels of leadership, when assisting themwith problem solving issues that do arise, between co-workers, department leaders and medical staff. I try to assist in the understanding ofa problem, how with positive corrective action, the problem can be resolved with proper documentation; demonstrating attentiveness with all customers, with the highest level of integrity. I work with veterans who not necessarily call about Compensation and Pension, but who are trying to get information about pending appointments, or perhaps one who wants to file a complaint with the Patient Representative. In the Compensation and Pension area, I provide oral instruction to my subordinates as well as written instruction and guidelines. I provide written statisticalinformation to my boss,who reports to his up line. Currently, I’m in the Emerging Leadership Development program, herein which, the ELDP aligns itself with VHA’s High Performance Development Model (HPDM), which is built on the premise that customer driven, value added quality patient care delivery to veterans is VHA’s primary mission. In order to achieve this mission, all employees must continuously strive for higher levels of performance as reflected in eight core competencies. These eight core competencies are Personal Mastery,Technical Skills, Interpersonal Effectiveness, Customer Service, Flexibility/Adaptability, Creative Thinking, Systems Thinking, and Organizational Stewardship. I‘ve developed a Cardiac Protocol Worksheet that is being utilized by my Percutaneous Coronary Intervention project manager; a Visio spreadsheet forboth Ambulance Procedure Protocol PCI Unit and Inpatient wards. On May 12th, I gave my Emerging Leaders project presentation to a wide variety of professionals that included: Dr. Cahill, Mr. Mendoza, KC Carlson-Chief, VISN Planning Office, Site managers, classmates from various position levels, my boss and project mentor  Demonstrated daily the ability to work independently in the accomplishment of a wide variety of administrative functions,and to anticipate and identify problems, and through a high degree of creativity, ingenuity, and initiative, develop appropriate methods of solutions . Currently as the Lead of Compensation and Pension, working independently is something I do most of the time, as the Supervisor frequently is out of the office involved in setting up other Outpatient clinic is other cities. I understand that I will serve as the staff assistant in the Medical Staff office, where I will
  • 7. be responsible for ensuring compliance with credentialing and privileging (C&P) requirements of Veterans Affairs Headquarters (VAHQ) and Joint Commission (JC). My routine work is performed independently and in accordance with the overall program objectives of the Quality Improvement (QI)/Medical Staff Office and the Director’s Office. I will refer problematic situations to the Medical Staff Coordinator. Will plan, coordinates,and perform all required functions in accordance with VHA directives, JC standards and works in direct support of the QI Office’s Medical Staff functions. Provides credentialing and privileging advisory services to individual providers as well as clinical service personnelon a wide range of operating situations and problems related to the substantialnature of the office services provided in support of the organization, while participates in the planning, development, staffing, and evaluation of the administrative activities of the installation. Also by thoroughly analysing all documentation provided by applicants, who were requesting initial medical staff appointment and clinical privileges or requesting renewal of medical staff appointment and clinical privileges. Then I will be assist in the coordination of credentialing and privileging matters and work closely with personnelassigned to the clinical services. I understand that I will serves as a resource person providing guidance and keeping them informed on the status of each privileged practitioner within that service. Will perform work involving the collection, compilation, and/ortracking of data in support of an organization’s credentials and privilege program., while receiving/processing documents and reports in accordance with established procedures,reviews documents and reports for completeness and enters pertinent information into an automated tracking system. Also, perform database file searches of privilege expiration dates as well as time limited credentials, while being mindful that all these will be in accordance with VHA directives, VAHQ and JC requirements and works in direct support of the QI Office’s Medical Staff functions. Department of Veterans Affairs 10/08 - 01/13 5342 Dudley Boulevard Salary: 59,344.00 USD Annually McClellan Park, CA 95652 Hours: FT 40 hrs week Lead, Compensation & Pension Supervisor: Kenneth Fox (925-372-2254) Contact this supervisor: Yes Duties and Responsibilities:  Responsible for ensuring that the workflow in consistent and smooth. Ensure that the Doctors and their clinics’ are setup with the days and times they have designated,and also create new clinics if needed.I cancel their clinics when needed and ensuring the proper cancellation form is on file. The design; implementation and management of program data systems to support the program objectives and the requirements of quality assurance required by VA Headquarters and The Joint Commission. I accomplish this by creating spreadsheets fortracking purposes that helps to determine if additional staff is needed and where the greatest needs are. Reviewing the Regional Office for VA Disability Claims submitted and was responsible for managing information used to develop the submission of an annual budget for the C&.P program. Identifies needs for resources, which are adequate for administrative staff to meet and support all C&P objectives. I also provide guidance and initiates training of all new staff and employees in the area of VA policies, guidelines and procedures.I am also involved in allocating office space and troubleshooting problems, renovations and other issues that may arise in conjunction with, telecommunications, IRMS and engineering services. I adhere to the regulations outlined in VA manuals and directives, VANCHCS policies, state,local and federal statutes as they may apply, program policies and procedures, JCAHO and CARF standards,provide advice, consultation,and representation related to administrative aspects ofa complex clinical service.  Ensure before I give them to my scheduling staff, the exam is within our jurisdiction; correct exams are ordered based on the remarks that explains why the exams are being ordered. If this information is incorrect, I then cancel the claim in the VistA program underthe Automated Medical Information Examination (AMIE) menu, giving exact reason back the Regional Office as to why the claim was cancelled for their correction and resubmission. I indicate on the claim, such as: 90 minutes, 120 minutes or 240 minutes, giving the appropriate time allotment for the medical provider to conduct the examination and review the military folder. From there, the claims are
  • 8. separated by the last two numbers of the social security number and distributed to my scheduling staff. I am responsible for the payroll of both my fulltime employees and my contracted medical providers, done on a bi-weekly basis. Create excel spreadsheets that provide a variety of detailed information for all Compensation and Pension department throughout my eight facilities. These include – phone listing; contract providers information (title/clinic location/clinic abbreviation/phone number/email and home address); emergency staff call back list; clinic location with provider name and days at that clinic and one that tracks trends in provider exams that warrant hiring additional staff at a location. Conduct 15-20 minute daily meetings that keeps everyone focused on the days tasks,which may need to change is a special circumstance presents. Provide a ear for staff who need to talk and if needed,to assist themwith refocusing back to their job. If this fails, I offer the opportunity for staff counseling. If employee experiences an “on the job injury”, contact one of medical providers for examination, fill out the appropriated report of injury form and place this in the employees personnelrecord. Then if needed, redistribute work with other staff. Responsible for fund control points – increasing/decreasing requested amounts to cover invoices; and reconciliations. Work closely with FEE Department for Contracted Providers that include invoice payment close outs; decreasing payment reconciliation. I have also created the AMIE or 2507 for the BDD/Quick Start/Pre-Discharge program, then scheduled these with the appropriate providers and updated the Load/Edit information as applicable.  Daily demonstration of my skills in writing that reflects organization of subject matter and support for your position and conclusions,which spans overmy 25 years of VA employment, I have been a Union Stewart / Vice President of the Employees Association. When it comes to the principles of Federal employment opportunity program, I have a basic knowledge of the principles , concepts, legal requirements and methodology from those whom I have known that used this program and from the Presentation at my Emerging Leaders Program that I am currently taking. I have learned that Mediation is available to all employees to get a type of problem that can’t be resolved without this. During the Mediation process,the Employee / Union / Management and the Mediator are the ones involved. Anotherconcept and Methodology is that Mediation is faster, is cheaper for both those involved and the time it takes. Helps with the communication between the parties involved and helps them create their own solutions both realistic and mutually satisfactory. I have had to do this with one of my staff now who had a problem with me and out a positive working relationship and are kept confidential.  Compile numerical, statistical and narrative data from a variety of reports that involve, new insurance company adds,new groups,and new patients to the group. I run reports (like the ones I mentioned above). This compilation is used to determine if the process is being utilized to the fullest or if a monitor needs to be executed for a short period of time. I have also done compilations that I have documented in my OPF from otheremployers where I’ve been employed, like: Statistical control-where I worked in the lab at Production Plated Plastics in Richland MI, compiled a variety of stats for Kellogg Company, Plant Training Department. As the senior insurance person, co-workers, my lead or even Asst MAS Chief/MCCR Coordinator, will asks me questions to assist themwith problems that we can resolve together. Once I run the various reports and compile them into a percentage sheet,I have if needed,put them into a power point or excel spreadsheet. These have been thus forwarded to my Lead, Coordinator and the VISN Coordinator.  Identified problems, determining accuracy and relevance of information, at which this includes the ability to use sound judgment to generate and evaluate alternatives and to make recommendations.  Learned C&P regulations and procedures pretty quickly and was able to function as the lead, which most complex situations I resolved. The program was moving from Mare Island to McClellan and the Lead at that time didn’t want to transfer with the new programs location. Yet, the reason for this quick learning process was due to the position I held in MCCF, where I was the Supervisor over 1st Party Patient Accounts and Insurance,where I was comfortable and very knowledgeable. However, my 10 plus years of success at my former VISN and being designated by our C&P VISN Coordinator as the VISN Insurance and 3rd Party Patient Accounts Trainer, in which I was considered an “Expert in Residence, lead me towards wanting to learn something new. So, in seeking a transfer to anotherdepartment, I was offered this lateral transfer to Compensation and Pension, where I had little knowledge of the program, but was eager to learn. Therefore, as we have new staff, some part-time, it is imperative to review the manual for compliance and changes staff try to interpret in a different manner. These policy’s, rules and
  • 9. regulations were established and are to be adhered to, as this ensures that the department is working smoothly and will encounterless errors, when reports and statistics are reported and monitored by upper management. These rules however, do not apply to non-routine, often complex assignments that are asked of me outside of the department’s status quo. Statistics and/or information that is needed by me is compiled and reported. Also,I have reviewed the 2507 to make sure that all the remarks section explains the reason for the exams ordered; ensure nothing is left out; is questionable and needs investigation,which will determine how much time is given to the provider to complete the examination. Then once the examination and the report have been released, it goes to the rating specialist who will use several types of analysis skills to determine the percentage rating, such as:Medical terminology, investigation and attorney.  Created many 2507 from the MSR and the form the service member fills out that accompanies the MSR in date even order. In creating a 2507, I will ensure that the exams and the appropriated request by the examiner is supported. This includes using medical terminology and sentence structure that leads to clear and justifiable instructions and direction. Each file shall be maintained togetherfrom the creation to the rating decision and the file is returned the originating Regional Office records room as complete.  Additionally as the former Lead of Compensation / Pension Coordinator - I was responsible for variety of Admin duties; staff work-flow; payroll both full-time and contracted medical staff, and provide support..I compile numerical, statistical and narrative data from a variety of reports that involve, such as: where higher ration of providers are needed for C&P; what type of provider is needed (Medical, Mental Health, Audio, etc); work load analysis reports; tracking existing program(s) for effectiveness and process workflow Review AMIE's from various regional offices - for correct exams ordered or if canceled in the (AMIE) Automated Medical Information Exchange menu, giving exact reason to the Regional Office(s), as to why the claim was canceled/reopened; needs correction/resubmission. My work involving the collection, compilation, and/ortracking of data in support of an organization’s credentials and privilege program, while receiving/processing documents and reports in accordance with established procedures,reviews documents and reports for completeness and enters pertinent information into an automated tracking system. Also, perform database file searches of privilege expiration dates as well as time limited credentials, while being mindful that all these will be in accordance with VHA directives, VAHQ and JC requirements and works in direct support of the QI Office’s Medical Staff functions.  Outstanding ability to work with customers to assess needs, provide assistance,resolve problems, and satisfy expectations. As communication is done via Outlook; Vista; Memo and in person. I clearly communicate orally when talking to all levels of leadership, when assisting themwith problem solving issues that do arise, between co-workers, department leaders and medical staff. I try to assist in the understanding of a problem, how with positive corrective action, the problem can be resolved with proper documentation; demonstrating attentiveness with all customers , with the highest level of integrity. In the Compensation and Pension area, I provide oral instruction to my subordinates as well as written instruction and guidelines. I provide written statistical information to my boss,who reports to his up line. Currently, I’m in the Emerging Leadership Development program, herein which, the ELDP aligns itself with VHA’s High Performance Development Model (HPDM), which is built on the premise that customer driven, value added quality patient care delivery to veterans is VHA’s primary mission. In order to achieve this mission, all employees must continuously strive for higher levels of performance as reflected in eight core competencies. These eight core competencies are Personal Mastery,Technical Skills, Interpersonal Effectiveness, Customer Service, Flexibility/Adaptability, Creative Thinking, Systems Thinking, and Organizational Stewardship. I‘ve developed a Cardiac Protocol Worksheet that is being utilized by my Percutaneous Coronary Intervention project manager; a Visio spreadsheet forboth Ambulance Procedure Protocol PCI Unit and Inpatient wards.  For example: when I was in the MCCR arena, I have trained new employees and Davenport College students,helping them to understand what MCCR means, what the function of MCCR are, and how it plays a big part in the Revenue process. How this helps to maintain a place for our Veterans, along with the level of services we provide. I do this with enthusiasmand motivation, also by encouraging everyone to continue the processes they use and by,offering new processes that will increase and/or correct some problems that are being encountered,for a more positive resolution. Generally, the numbers of groups and managerial staff I have worked with has totaled 15-25 at one time. I also developed a step-by-step training manual and data collection form for
  • 10. insurance verification. These tools are what I used when I trained other sites within our VISN, as the VISN Insurance Trainer. o Also, for example, when I worked in Psychiatry Service as the Assistant Program Manager for the Clozaril Drug study and Substance Abuse Treatment Unit, I the treatment team that sought ways to provide necessary educationaltraining that was not currently a part of the program. When I worked in the admissions area, I developed a step-by-step training manual for the Admission, Nursing Home and Respite Care processes. This includes performing duties as the ADPAC and Narcotics Inspector, whereby I am answering menu problems, requesting menu options,submitting NOIS issues. I assist with PC upgrades,logging into and out of the computer with end users, printer resolution issues. Anotherway I communicate is via Outlook and VistA. This communication involves a variety of different types of information that may be directly for one or more of my providers; Department Supervisors; Chief of Staff; ISO’s and so forth.  Was responsible for over seven staff members, I facilitate a wide variety of services; I managed workload and do data analysis for C&P for Northern California Health Care Systems. This includes reviewing the AMIE (Automated Medical Information Exchange) or numeric 2507 request,ensuring that each provider is allotted the appropriate time to conduct the exams that are ordered by the Regional Office. This also ensures that the veteran is getting the attention that he/she is entitled too within the 30 days.My responsibility make sure that the appointment are being set and divided among the provider amicably, utilizing our permanent staff first, then fee staff and finally, our contracted providers. Who will then exam the veteran, get their notes entered into the system,we in turn fix errors if they exist, transcribe the data and release that exam information back to the Regional Office for the veteran to receive his/herrating to substantiate the reason for his/her request for compensation / pension for a proposed “Service Connected” related disability, “Non-Service Connected” disability pension or Increase in disability. Also, striving to maintain good organizational skills; continue to exemplify my commitment to the organizations Goal and Visions. One in which include; building strong links between individuals and groups of individuals that make up a TEAM (Together Everyone Accomplishes Much). Examples of this are as follows: 1. staying abreast of the organizational changes whereas,there may be changes in work environment that effect staff. Assist if needed for work flow continuity, to ensure that it processes are smooth if transition occurs. 3. being mindful of leading by example; to accept accountability for others,myself, and the organization’s development, which I feel is a very important part of being a team.  Possessing and Demonstrating the knowledge of data input methods and procedures and ability to use multiple computer applications to retrieve information, generate correspondence,and complete I have and continue to use VistA-Veterans information Security Application (formally DHCP- Dedicated Health Care Provider), Microsoft Excel, Word, PowerPoint, Outlook and Visio. As a former ADPAC for 15 years, I understand the ANSI standard M programming language is a combination of Symbols, Alpha and Numeric characters. When formulated in a certain sequence, they depict a certain function. This is kept in a database library of information, from which the database management systemmanipulates the data and interacts with all users. This interactive dialogue makes it possible for a continuous exchange of information and questions between the computer and the end user. The VA FileMan is a central package wit the Kernel and is used by programmers and end-users. It can be used as a stand along or as a set of application utilities. Each VA FileMan has a data dictionary, which includes parameters by which users drive all input to and output from these files. The VA FileMan is considered “public domain” software, which maintained by the VA and is used by clinical and administrative staff. To ensure security and data management, end-users should be backing up the files to either their “U drive” or “Q drive” for the public share folder - the “O drive” to archive their Outlook mail. I answer(ed) menu options requests,log in NOIS, as for remedy tickets, upgraded PC’s, long into an end-users PC to re- configure, setup or perform data recovery.  Daily demonstrated ability to gather and analyze informative are on or data and make decisions and/orrecommendations. Was responsible to ensure I had to learn C&P regulations and procedures pretty quickly for me to be able to function as the lead, which most complex situations I resolved. Utilized various electronic data processing (EDP) systems for inputting data related to claims adjudication, processing,monitoring, and correspondence preparation. Acted as an
  • 11. advocate for those veterans and their beneficiaries in their dealings with other VA elements and organizations that affect their claims. Once I received the file and reviewed the contents,making determinations relative to VA hospitalization, outpatient treatment institutional or domiciliary care and basic eligibility for vocational rehabilitation was necessary to inform the veteran of potential multiple appointments. The program was moving from Mare Island to McClellan and the Lead at that time didn’t want to transfer with the new programs location.  Yet, the reason for this quick learning process was due to the position I held in MCCF, where I was the Supervisor over 1st Party Patient Accounts and Insurance,where I was comfortable and very knowledgeable. However, my 10 plus years of success at my former VISN and being designated by our C&P VISN Coordinator as the VISN Insurance and 3rd Party Patient Accounts Trainer, in which I was considered an “Expert in Residence, lead me towards wanting to learn something new. So, in seeking a transfer to anotherdepartment, I was offered this lateral transfer to Compensation and Pension, where I had little knowledge of the program, but was eager to learn. Therefore, as we have new staff, some part-time, it is imperative to review the manual for compliance and changes staff try to interpret in a different manner. These policy’s, rules and regulations were established and are to be adhered to, as this ensures that the department is working smoothly and will encounterless errors, when reports and statistics are reported and monitored by upper management. These rules however, do not apply to non-routine, often complex assignments that are asked of me outside of the department’s status quo. Statistics and/or information that is needed by me is compiled and reported. Also,I have reviewed the 2507 to make sure that all the remarks section explains the reason for the exams ordered; ensure nothing is left out; is questionable and needs investigation,which will determine how much time is given to the provider to complete the examination. Then once the examination and the report has been released, it goes to the rating specialist who will use several types of analysis skills to determine the percentage rating, such as:Medical terminology, investigation and attorney. Dept of Veterans Affairs 10/07 – 10/08 201 Walnut Blvd Salary: 59,344.00 USD Annually Mare Island, CA 94612 Hours: FT 40 hrs week Supervisor, MCCR NCHCS / Sierra Pacific Duties and Responsibilities:  Supervise two departments-1st party Patient Accounts and Insurance verification.  Provided support to the Medical Care Cost Fund Revenue Team by providing various statistics; identifying problems; problem resolution; analyze and evaluate departmental operations and its function. Follow organizational polices; departmental directives and public laws, where applicable. Monitor staff performance/productivity; discuss performance objectives; assist them with departmental and personalgoals; plan and organize departmental work to ensure proper time management as not waste.  Conduct monthly staff meeting; attend bi-weekly management meetings where my data is presented for review; recommendation and potential modification of data and its layout. Resolve internal complaints and grievances as they arise from Veterans, their families and staff. I have counseled several of my employees on business integrity and work ethics and trained several new temporary employees, which are done both verbally and in writing.  Approve/disapprove leave requests. Monitored the VistA program, for recommendations to change and/or fix a problem with the software; this is referred to as a “remedy ticket”. My position requires me to be flexible, understanding there will be frequent, abrupt and unexpected changes in work assignment,goals, and deadlines, while working underpressure in constantly changing and unpredictable conditions. Work with minimal supervision,be self-directed, work independently and use my expertise to improve program functionality.  Maintained open communication with up-line supervision for changes that may occur, while adhering to the Privacy Act of 1974 as well as ADP security and HIPPA. Developed three excel spreadsheets to monitor Insurance staff; Insurance database and 1st party patient account for
  • 12. trends; averages and percentages and problems, by recommendation on how to increase revenue collections for Northern California Healthcare Systems and San Francisco VA Medical Center.  Performed general clerical duties such as typing, filing and records maintenance. I personally handle Patient complaints either via Microsoft Outlook; Phone calls; Patient submitted letters or those that come from one of our Congress Personnel known as a “Congressional.” This Congressional, requires a response within a short period of time, generally three days. P  Performed account audits,input insurance information into the Patient insurance file, maintain the master insurance file database and do insurance file database cleanup of multiple address and groups when necessary. I just finished a 300 insurance banking insurance number (BIN) and process controlnumber (PCN) electronic pharmacy billing project for the billing supervisor.  Developed written “Standard Operating Procedures” or SOP’s for both my departments. One portion of it will be used as an operating procedure and the second will be used as a step-by-step training tool, with examples. Dept of Veterans Affairs 01/96 – 10/07 5500 Armstrong Road Salary: 48,051.00 USD Annually Battle Creek, MI 49015 Hours: FT 40 hrs week Medical Care Cost Recovery Insurance Verification Coordinator / Cross trained as Patient Advocate Supervisor: Kerri Potter (269-966-5600) Contact this supervisor: Yes Duties and Responsibilities:  Accepted a promotion to Program Support Assistant-MCCR. I started out as a Billing Specialist where a quota of 200 bills was to be done per month was established. This meant making sure the 3rd party reimbursable insurance information was updated and correct before creating a bill for reimbursement. Assured that 1st party debts were treated as a priority to bill to insurance companies. Knowledgeable and be able to explain any questions regarding co-pay to veterans as needed. Possessed and demonstrated the knowledge of current eligibility requirements that determined Category A from C.  Demonstrated daily ability to read and follow the ICD-9 code manual, the CPT code manual to ensure good clean bills for correct reimbursement. Knowledge and ability to follow and interprets VA rules and Regulations, also procedures,had knowledge to maintain the ability to interpret VA rules and regulations, directives and any other information governing the administration of Public Laws, Privacy Act and The Freedom of Information Act, Drug and Alcohol Laws that apply.  Transferred to the position of Utilization Review Specialist; where I posses and utilize my knowledge of Medical terminology. I was responsible for reviewing all Inpatient cases involving 3rd party reimbursable insurance and obtaining maximum reimbursement. I obtained signed consents formedical treatment whether or not the treatment was for a sensitive diagnosis or not. I then called the insurance company when pre-certification was indicated by the plan within the specified time of 24hrs after obtaining all necessary information from the patients record; by going directly to the admitting ward and reviewing the record, documenting the necessary information from the record and then called the insurance company to obtain a certain number of days authorized for billing, then performed subsequent reviews and appeals if necessary and where aggressive but effective debt collection methods sometimes became necessary. This required me to obtain knowledge of ID and AP packages in DHCP systems in order to facilitate all major duties of this position. Performed daily effective records keeping skills, and reports in order to have information available for analysis and study.I was responsible for all the inpatient/sharing agreement and ambulance billings, and performed the account receivable functions in relationship with claims received from billing these sources.
  • 13.  As the Insurance Verification Specialist, I maintained knowledge of Medicare/Medicaid rules regulations and guidelines. So then I can call the insurance company to obtain the following information whether or not I have a copy of the card or not. Insurance Name, claims mailing address,hours of operation, electronic claims payer ID number, will reimburse VA or not and all phone numbers to verify benefits, get claims questions answered or fax number. I created a information call sheet to ensure that all the areas of service that we provide to our veterans is covered, then I call and verify the following information from the insurance company i.e.: Annual Deductible, Maximum Out of pocket, Overall Lifetime max of plan, No Pre-certification penalty if applies, Then the criteria regarding days or visits for: Inpatient Medical/is pre-certification required, Preventative care, Office visits, lab/x-ray’s, Durable medical equipment-home oxygen, prosthetics,PT/OT/SP, Dental, Vision, Hearing, Prescriptions, Ambulance, Home Health Care-is pre-certification required, Hospice-is pre-certification required, ER/Urgent Care, Respite Admission-bill as inpatient or outpatient services, PA, APN, SW, Pool Therapy, Smoking Cessation, Dietician-Diabetics Only?, Skilled Nursing Facility-is pre-certification required, Music Therapy-Individual or group billing with proper documentation, Recreational Therapy-Individual or group billing with proper documentation, Specialty Clinics-Dermatology, Neurology, Rheumatology, Gastrointerology, Podiatry, IV Therapy, Opt Surgery-is pre-certification required, Opt/Inpt Mental Health, Opt/Inpt Substance Abuse,IOP-Intensive opt treatment- is pre- certification required, Detox-is pre-certification required. There are times when a billing clerk or some else needs me to verify an area of the vet’s policy right away as they maybe right in the middle of billing- so I must maintain a level of flexibility and good customer service relations. I am responsible for training new staff on entering insurance information in the buffer file, the importance of timely entries and the effect it has on our facility. I assist with billing on paper claims and well as entering claim into the billing assistant that is transmitted to Blue Cross and Blue Shield. I am responsible for monitoring all CBOC insurance entries into the buffer file and assist with training and answering questions if needed. Am responsible for totaling up at the end of the month all the insurance’s that were New Billables, Expired, Medicare/Medicaid, Prescriptions, Torts, Updates, Sharing Agreements, etc.  Ability to monitor all these areas requires an intricate knowledge of the IB Insurance package. My knowledge is at the level of a program support contact,as I have been asked to do training within our VISN. This has allowed me to network and train otherpersons responsible to complete the insurance entry into the VISTA system. My expertise has also allowed me to be included in the network development of enhancements within the insurance package. I will be training, helping with software development, and contracting. I will also be responsible for Northern Michigan territory. This is a great opportunity for myself and for the Battle Creek VA.  Assisted with billing questions afterthe monthly account statements have been sent to all Category C veterans or any other assistance Ican give to my department.  As the ADPAC for MCCR and Fee Basis, I provided technical support to those who needed advice, assistance and training with software and hardware problems. Troubleshoot and repair computers problems before I log in the VISTA systema “NOIS”, where at that time I must be as specific as I can for the purpose of assisting and/orpassing on information so the problem can be resolved as quickly as possible,based on the ADPAC manual and permission I have therein. I have “Degaussed not only my computer here but also at home. Have also assisted with the diagnosis of LAN and WAN connections along with installing these local and slave printer setups on PC’s. .I am responsible for coordinating the moves and assisting in moves of computers and all there components.Making sure that all the data port and phone lines are operational. I have made suggestions on software national package to see if the configuration of database could be changed for consistent manipulation. I have knowledge of what the configuration management means -it applies technical and administrative direction, surveillance of an item to identify and document characteristics, control and document configuration changes,record and report the status of proposed changes,audit configuration items or other contractual requirement.  As our department was preparing to become a CPAC, I had the opportunity to cross -train in many positions within VISN 11 for Patient Advocate and observed and assisted her in whatever she asked of me that would give me experience. Learned how to collaborate and communicate with staff to identify solutions for Veteran complaints and problems, with an understanding that as a PA she had the approval to ask for improvement plans that were directly related to those services that needed her intervention, that would actively address the patients concerns and expect service
  • 14. recovery in real time, and to direct patients to higher level staff as appropriate. She showed me how to build a report with clinicians who were directly connected to the decision that are ultimately made by the Clinician that impacted those veterans / patients that we so proudly service.  One thing that I learned and used to have at the bottomof my outlook signature, “Serving those who served us first” this made so many colleagues stop and rethink why they came to work for the VA in the first place. Dept of Veterans Affairs 03/95 – 12/96 3019 Coit Ave NE Salary: Under 40, 000.00 USD Annually Grand Rapids, MI 49015 Hours: FT 40 hrs week Admissions Clerk-GROPC /Admissions Clerk Contact this supervisor: No, all supervisors nowretired Duties and Responsibilities:  As Admission Clerk-GROPC I was responsible for scheduling patient appointments via person or telephone, checking patients in/out of their appointments,running appointment lists for the next day and posting them up so the records could be filed for the next day. Maintained patient records with proper ID stamp on each side of the progress notes/doctors’orders/consults. Created new patient records with proper ID on the backside of the record, put Name and SSN on front of record and the numerical stickers on the side. If SC, then a SC sticker was places in the left side and Medical Alert on the right, MCCR sticker on the lower right corner. Worked in the file room when need and pulled records for next day appointments if necessary. I scheduled doctorreturn visits/lab/x-rays or other appointments as written by the physician. Was the sole scheduler for Dr. Vangoor’s Dermatology Clinic.  Performed Eligibility functions and telephone operator, worked in the mailroom-tracking/sorting mail/distributing mail and weighing mail.  Then I transferred to BC as the Admission Entitlement Examiner (Medical Clerk)-Knowledge and understanding ofeligibility laws and regulations, which applied to veterans. Knowledge and demonstrated ability to interpret VA rules and regulations, directives and any otherinformation governing the administration of Public Laws, Privacy Act and The Freedom of Information Act, Drug and Alcohol Laws that apply. Demonstrated my ability to use DHCP software to register, disposition,and scheduled patient information. Demonstrated the ability to respond quickly and adapt to change and the changing needs based on urgent medical and/orpsychiatric conditions of patients. Whereas, I understood priorities and deadlines exist. Processes applications for care, determines entitlement using HINQ/BINQ software programs, which I still have and utilize HINQ today,for treatment on all new applicants, if HINQ in not available, then VA form 10-731 is filled out and sent to last known location of military folder. Also, I handled all outpatient dentalreferrals with an extremely high degree of accuracy, sharing agreements and others.  Completed Means Tests when required, (at one time I completed the means test and forwarded it to HBA for appropriate action). Obtained 3rd party billing information and required signatures on all documents. Accurately collecting and loading information into DHCP (now VISTA) in a timely manner to ensure good customer service. Accurately loaded information into DHCP and dispositioned patients.Retrieved and edited automated data on encounters,entered CPT codes and ICD-9 codes from encounterforms. Processed all 10-10 mail-ins applications with one week; maintained accurate waiting lists for Intermediate Care and Nursing Home Care Unit. I completed computerized processing of Nursing Home Care Unit patients to and/or from ASIH within specified time frames. I submitted electronically AMIS 401-420 reports to Austin within specified time limit, corrected error and rejects.  Trained new staff and wrote a step-by-step instruction manual for new staff to follow in my absence. Ordered supplies, made new ID cards for vets,audited records for next day transaction with patient funds.Daily I used DHCP to request records/return records to file room.
  • 15.  Performed transfer coordination duties where I logged each transaction in a book, initiated the Doctor to Doctor conference call and hand wrote the conversation,ordered transportation if needed,maintained bed control and if patient was a Fee Basis, it was mandated to bring he/she in within 12 hours of notification. Was trained and performed as backup for Commitment Clerk, Patient Funds and Details Clerk. I had occasion to work with AOD’s on off shift when I was working overtime and assist themwith their duties if needed for experience. Kellogg Cereal Corporation 10/93 – 3/95 Administrative Assistant Salary: 15.00 per hour Contact Supervisor: Retired, plant training department was dismantled. Duties and Responsibilities  Type/edit and publish various letters that were confidential and proprietary for also the Plant Manager/Personnel Director.  Maintained inventory control where I computerized supply ordering and maintained budget control points. Scheduled conference meetings on and off site where I ordered and prepared manuals for use by hourly and salaried staff where indicated by the type of training conference being held.  Use KRONOS payroll computer software for weekly department payroll and submission.  Updated reference manuals, responsible for accounts payable/receivable,  Re-organized the Documentation Library, Responsible for all Audio/Visual equipment check in/out-kept log of purchase date/serial numbers and purchaser. I created staff roster board for tracking appointments/leave used/sick time/shift changes. Updated Department Catalog/Master files/course information and projects reports.  Assisted and attend training sessions where I needed to make blueprints enlarging or downsizing existing ones; created training manuals-covers/end labels/charts and graphs with written instructions for assembly/operations/trouble-shooting.  Distribution of all office correspondence throughout the department and re-routing mail to other departments that was not our. Responsible for the payroll entry into the KRONOS payroll system for the Regional Manufacturing Center, Fort Custer and created step-by-step instruction sheet to enter payroll into KRONOS for the Centers Manager for him to enter in case of my absence. Responsible for: assigning new project numbers, doing all computer backups and monthly department reports. Other Employment: 3/93-7/93 Kalamazoo Gazette - Display Advertising Secretary-temporary, (FT 40 hrs week) 7/92-3/93 TogetherDating Service - District Public Relations Specialist (FT 40 hrs week) 3/87-7/92 VHA - Ward Secretary and Programs Assistant (FT 40 hrs week) EXPERIENCE: Management  Commercial Interior Design - VHA  Private Interior Design / Decorating  Analyze staff time, performance and conducted evaluations  ASIST Incident Reporting System  CEOSH Safety Inspection website
  • 16.  Conduct Monthly Safety Environment Rounds  Conducted training classes on various subjects and job performance skills  Egro Assessment Assistant  Ensure minimal errors between VHA/VBA re: 2507’s; claims folder; reports; also jurisdiction errors, and all are in accordance with the Laws, Rules and Regulations established.  Established guidelines and procedure for Secretary and Public Relations positions  Hired, Trained and Terminated a variety of personnel staff  Dating Service Business Owner  Lead Program Coordinator, Veterans Compensation and Pension  Monitor Credentialing of Providers utilizing multiple resources  Monitor Safety Quality Control / Assurance performed and completed timely  Planned, Supervised and Coordinated Drug Research Analysis Study Profiles  Prison Exam Coordinator  Safety and Occupational Health Claims Resolution Coordinator  Supervisor, Insurance and 1st Party Billing and Collections Leadership  Analyze and Coordinate work flow and monitor processes forcontinuity  Conducted training classes-1to 1 and in groups to various businesses where employed  Employer representation with Legal Counsel and Better Business Bureau and special fund raising events  Ensure employee training was completed  Ensure VHA/VBA functions and procedures are followed daily and timely  Given various presentations to large groups  Keep high stress environments to a minimum and staff focused on tasks  Liaison for companies with Employee Relations issue,Customer Service and Problem resolution  Organized complete office operating systems  Project coordination/development, implementation, computerization and follow up  Quality Control Inspector/ Trainer  Work independently,with minimal supervision Writing Skills  Wrote many step-by step manuals that were used as benchmark for the VA Hospice/Palliative Care; Drug and Alcohol; Admissions; Insurance Verification, Utilization Review.  Composed and revised various employer forms and job descriptions  Computerized Cost Distribution Report for Washington.,Payroll and Drug Study Research Information  Computerized Doctor Curriculum Vitae’s  CTRAPS for travel  Expert in communication both in orally and in writing with many socio-economic backgrounds and all levels of management  Financial Proposals, Marketing Strategies and Speeches  Typed various correspondences such as:memos, meeting minutes for signatures SPECIAL TRAINING Business:  Private Interior Designer / Decorator: o Business I did out of my home. o Went to clients’ homes and show them different accessories,such as: pictures, sconces, shelves and flowers that could be grouped in such a way to make a room look bigger or smaller. o Required color coordination and room and wall size determination.
  • 17. o I also would help with low budget decorating. Ie.: Changing the look of a chair with an old sheet,thread and a needle, some old curtain tiebacks. Wallpapering, light fixtures, linoleum and new bathroomfixtures to compliment new bathroomredesign. o This is something I have done in everyplace I’ve lived and have done for many others.  Commercial Assistant and Project Management and Liaison. Furniture Acquisitions. o Currently working with the VHA Interior Designer on various projects as her Facilities Design Project Manager / Liaison. o Doing identification, researching, and creatively solving problems that pertain to the quality of the interior environment. o Take measurements of interior space for design analysis and redesign purposes. Utilize specialized knowledge of interior construction,building systems and components, building codes,equipment, materials, and furnishings. o Preparing drawings first on graph paper, then doing them in the AutoCad program, which I then save to a PDF file, for easier printing until the new Plot machine is ordered and in working condition. I also take documents relative to the design of interior spaces in order to enhance and protect the health, safety,and welfare of the public. o Coordinating and integrating the mechanical, electrical, and structuralengineering disciplines within the interior context. This takes managing projects, developing cost estimates, evaluating bid proposals,reviewing construction documents,participating in on-site construction visits,conducting pre- and post-occupancy. o When new projects are being started,I coordinate the meeting with the design team, end users and contracting officer to discuss what is being wanted and if feasible for what the purpose of the unit is, while keeping up on current trends that are not only pleasing to all, but meets all the infection control and safety requirements. This required going over finishes, fabric swatches,carpet samples and paint colors. All of this is found on various website by manufacture. o Development of color boards are created with a variety of options that is presented to the end user,which I did for the new Behavioral Health Unit at Mather. o A cost estimate is compiled and also presented,to give everyone an idea of what the cost potentially will be, so the Furniture Acquisition can be complied and sent to the Contracting Officer, which is put out on the GSA website for solicitation. However, some of the items can be purchased either from a credit card or 2237 Funding Request is entered. OTHER VARIOUS EXPERIENCE / TRAINING: o Emerging Leadership Program Graduate, Creation/implementation of 2507Automated Medical Information Exchange (AMIE), Excel spreadsheets, IT-ADPAC, Timekeeper; Program Assistant,Public Relation, Purchasing, Accounts Receivable/Payable, Budget Control, Budget Maintenance, Billing/Collections, Assistant Commitment Clerk, Transfer Coordination (log book tracking), Admissions Clerk/Lead, Inventory Controller, Switchboard Operator, Administrative Assistant,Controlled Substance Inspector. Office Manager, Inside Sales, Marketing Strategies, Telemarketing/Trainer, Insurance verification/biller. Utilization Review Nurse, and various Secretarial duties and responsibilities. Factory:  Quality Control Inspector/Lab Technician-use of calipers, micrometers, cass/water/oven/freezertesting by monitoring gages,flow charts and chemical solution levels/make-up, machine operator, Shipping / Receiver, Production line worker/supervisor. Made QC recommendations to otherdepartment heads for discrepancy resolution. COMPUTER PROGRAMS:  Microsoft Word, Excel, Access,Visio, VistA Systems, Lotus 123, Harvard Graphics, PageMaker 4.2, Claris-FileMaker, Novell Networking, Checkbook solutions,BASIC,
  • 18. KAMPS/time care program, KRONOS payroll program, AutoCad 2014 and VATAS timekeeping system. Maximo. ABILITIES Self-starter, team player, researcher, disciplined, organized, follows directions, willing to go the extra mile, posses excellent communication skills both orally and written. Excellent rapport with people of various backgrounds.,and also willing to lending an listening ear. LICENSES CPT-1 # 762345 exp: 5/2016 BLS # 6153 exp: 5/2016 CERTIFICATES (TMS / OSHA / FEMA websites) Emergency Management – 4/22/13 Fire & life Safety Management – 4/22/13 VHA 30 HR Construction Safety – 7/25/13 NFPA Life Safety Code Basics Independent Study – 8/8/13 FEMA Emergency Management Preparedness – 8/22/13 Safety: OSHA Duty Course – 8/22/13 OSHA 565 Construction Safety Prevention – 8/29/13 Utility Systems Management – 1/8/14 EDUCATION 9/12-present Ashford University – BA, Major - Psychology / Minor - Health Care Admin, graduation date: Oct 2015. 4/12 – 9/12 Wm Jessup University – BS Psychology 4/11-7/11 Boston Reed College, Phlebotomy CPT-1 10/07- 7/09 Cornerstone University – BA, Business Management – credit hours 2/84-2/85 Kalamazoo Valley College thru Production Plated Plastics, SPC Certificate 9/76-6/78 Kellogg Community College, LPN License Extracurricular Activities Yolo County Habitat for Humanity - Present Mission Solano Homeless Women Group Leader/Speaker - 2009 Homeless Coalition Board Member-Greater Calhoun County (1994-98) VA Employees Association Vice President (1989-90) Battle Creek Michigan Public Schools Room Mother(1981-90)