Guadalupe Rivera
Sacramento
Summary
Dynamic Staff Services Analyst with expertise in documentation and compliance from California
Experienced with administering and interpreting sleep studies to diagnose and treat sleep disorders. Utilizes advanced diagnostic equipment and techniques to ensure accurate and reliable results. Knowledge of patient care protocols and collaboration with multidisciplinary teams to enhance patient health outcomes.
Overview
5
5
years of professional experience
Work History
Staff Services Analyst
California Correctional Health Care Services
11.2021 - Current
- Reviews, verifies, and adjudicates the less complex healthcare registry/temporary relief or manually processed invoices for the payment of services provided to patients, and registry staff coverage.
- Ensures invoices are processed in accordance with contractual agreements, policy, procedures, regulations, and applicable laws, including the California Prompt Payment Act and the State Accounting Manual.
- Maintains the integrity of all necessary databases and systems.
- Assists in performing quality assurance on invoice adjudication and entry into the CMD. Resolves any data issues and/or errors.
- When needed, acts as liaison between institutions and providers to ensure timely and accurate payments, and resolution of any timekeeping errors.
- Collaborates closely with the Registry Network contractor to resolve timekeeping and/or invoice payment issues, including: refund requests, notifications of adjustments, payment memos. Collaborates with institutions to validate services were rendered appropriately.
- Participates in and facilitates meetings and conference calls with supervisors, managers, and other internal and external stakeholders regarding the manual invoice payment process.
- Participates in activities to implement new programs as needed. Reviews and edits training materials, policies and procedures. Participates on special projects as needed. Provides assistance to other HIS teams as necessary.
- Communicates and maintains positive relationships with healthcare providers, correctional institution staff, contractors, headquarters invoice staff, and the Accounting Office regarding the less complex invoice payment inquiries, invoice adjustments, and dispute notification letters.
- Ensures confidentiality of information, via phone, fax, mail, and email, in accordance with the Healthcare Insurance Portability and Accountability Act.
- Collaborates with the Direct Care Contracts Section to obtain contract rate updates, and provides education regarding payment rules and guidelines.
Sleep Technician
California Sleep Solutions
07.2021 - 07.2023
- Perform overnight polysomnography (PSG) and home sleep apnea testing (HSAT) on patients to monitor and record physiological data during sleep.
- Prepare patients for sleep studies by explaining procedures, attaching sensors and electrodes, and ensuring their comfort and safety throughout the process.
- Continuously monitor patients' sleep patterns, vital signs, and responses to interventions during the sleep study, making real-time adjustments as necessary.
- Accurately record and document data, including EEG, EKG, EOG, EMG, and respiratory parameters, to assist in the diagnosis and treatment of sleep disorders.
- Ensure proper maintenance and calibration of sleep monitoring equipment, troubleshoot technical issues, and report any malfunctions for repair.
- Educate patients about sleep disorders, treatment options, and the use of prescribed devices, such as continuous positive airway pressure (CPAP) machines.
- Analyze sleep study results, generate reports, and assist healthcare providers in making diagnosis and treatment recommendations.
- Compliance and Quality Assurance: Ensure that sleep studies adhere to relevant regulations and standards, such as those established by the American Academy of Sleep Medicine (AASM).
- Patient Follow-up: Maintain ongoing communication with patients to monitor their progress, provide support, and address any concerns or issues related to sleep therapy.
- Maintain accurate and organized patient records, including study documentation, consent forms, and patient history.
Staff Services Analyst
Housing & Community Development
02.2020 - 11.2021
- Read and interpret regulations to create and develop forms and processes for public stakeholders as well as inner office system use.
- Help establish a structure for newly forming program Collaborate with team collages as well as the Information Technology team on creating a step-by-step process for inner office database systems.
- Reading new regulations and creating program-wide letters along with forms for public stakeholder and internal use.
- Scheduling and hosting meetings with coworkers as well as with management to present new metrics and breakdown proposals.
- Request information from Information Technology to create reports for management.
- Research and solicit services from legal services that fall within state guidelines.
- Review and process applications act as a liaison between stakeholders and legal services to process applications to determine if they met program criteria.
Education
Sheldon High School
Elk Grove05-2010
Skills
- Documentation skills
- Document preparation
- Administrative leadership
- Research and analysis
- Oxygen therapy administration
- HIPAA compliance
- Teamwork orientation
- Sleep disorders
- Respiratory event scoring
- BiPAP titration
- Sleep study documentation
Timeline
Staff Services Analyst
California Correctional Health Care Services
11.2021 - Current
Sleep Technician
California Sleep Solutions
07.2021 - 07.2023
Staff Services Analyst
Housing & Community Development
02.2020 - 11.2021
Sheldon High School
Similar Profiles
Alyssa VenturelliAlyssa Venturelli
Office Technician (Typing) at California Correctional Health Care ServicesOffice Technician (Typing) at California Correctional Health Care Services
Sheba VargheseSheba Varghese
Supervising Registered Nurse II at California Correctional Health Care Services, CCHCSSupervising Registered Nurse II at California Correctional Health Care Services, CCHCS
Uzoma okorieUzoma okorie
Licensed Practical Nurse at California Correctional Health Care ServicesLicensed Practical Nurse at California Correctional Health Care Services
George Mims IVGeorge Mims IV
Warehouse Associate at AmazonWarehouse Associate at Amazon
Connor ClarkConnor Clark
Repair Technician at Tim's MusicRepair Technician at Tim's Music