Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
Languages
References
Timeline
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Naomi E. Dalida

Naomi E. Dalida

Gonzales

Summary

Dynamic Mental Health Practice Manager at Turning Point Psychology Center INC, skilled in program development and financial management. Successfully implemented policies that enhanced compliance and improved operational efficiency. Adept at data analysis and staff training, fostering a collaborative environment that drives strategic growth and optimizes resource management.

Overview

23
23
years of professional experience

Work History

Mental Health Practice Manager/Senior Analyst

Turning Point Psychology Center INC
Sacramento
09.2019 - Current
  • Developed and implemented mental health program policies and procedures.
  • Prepared reports detailing program data, including participant numbers and outcomes.
  • Maintained accurate documentation of services provided and outcomes achieved.
  • Coordinated referrals to other providers, ensuring comprehensive client support.
  • Served as liaison among families, schools, courts, agencies, and insurance companies.
  • Conducted performance reviews to provide feedback on employee job performance.
  • Collaborated with IT personnel to enhance workflow processes through new software implementation.
  • Automated office operations to optimize accounts payable, receivable, and data communications.
  • Maintained financial records, including billing and accounts receivable and payable.
  • Reviewed monthly financial statements for accuracy and completeness before submitting them for audit purposes.
  • Analyzed data from various sources to identify trends or opportunities for improvement within the practice.
  • Performed administrative tasks such as creating budgets and forecasts, preparing invoices and contracts, ordering supplies and equipment.
  • Implemented policies and procedures related to patient care delivery in accordance with organizational standards.
  • Participated in strategic planning initiatives aimed at developing long-term goals for the practice's growth and success.
  • Coordinated staff recruitment, training, and scheduling activities.
  • Ensured compliance with relevant state laws governing healthcare practices.
  • Managed vendor relationships for supplies and services related to the practice.
  • Created and maintained electronic record management (EMR) systems to store data and develop reports.
  • Maintained awareness of government regulations, health insurance changes and financing options.
  • Prepared monthly, quarterly and yearly reports on billing activities.
  • Developed new procedures for accurate and timely billing processes.
  • Created periodic audit reports to ensure compliance with company policies.
  • Analyzed billing data to identify discrepancies and errors.
  • Reviewed contracts between vendors and customers for accuracy.
  • Reduced financial discrepancies, resolving billing issues while processing service applications and cancellations.
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Conducted research on industry best practices to inform decision-making processes.
  • Collaborated with stakeholders across departments to develop innovative solutions for addressing challenges in the health care sector.
  • Developed training materials to educate staff on new technologies and protocols used in the healthcare field.
  • Created reports on health care costs, utilization patterns, and quality metrics.
  • Analyzed data to identify trends, discrepancies, and areas for improvement in the healthcare system.

Office Technician

CDCR - Correctional Training Facility
Soledad
09.2019 - Current
  • Trained new employees on company policies and job-specific procedures.
  • Provided administrative support by preparing documents, maintaining records, and managing filing systems.
  • Organized office operations, including meeting scheduling, supply ordering, and mail sorting.
  • Set up audio-visual equipment for meetings and resolved technical issues during presentations.
  • Maintained confidential personnel records in accordance with applicable laws and regulations.
  • Conducted analysis, auditing, and reporting of data from CCHCS Lifeline Dashboard for non-compliant DME.
  • Collaborated with Health Care Compliance Analyst to manage compliance logs for inmate patients under ADA guidelines.
  • Prepared reports from patient records for weekly Reasonable Accommodation Panel (RAP) discussions.
  • Compose RAP responses for ADAC review and signature
  • Provided support and guidance to colleagues to maintain a collaborative work environment.
  • Conducted comprehensive research and data analysis to support strategic planning and informed decision-making when responding to the state-mandated Armstrong Remedial Plan reports

Mental Health - Office Technician

CDCR Salinas Valley State Prison
Soledad
05.2019 - 09.2019
  • Maintained accurate records of all tasks completed by the team.
  • Worked closely with project managers to prioritize tasks according to importance and urgency levels.
  • Provided support in identifying critical path activities to ensure deadlines are met.
  • Analyzed resource requirements for each project and identified potential conflicts or delays.
  • Performed data entry into computer systems for tracking purposes.
  • Created, updated, and monitored project schedules for multiple departments.
  • Coordinated with other departments regarding resources needed for specific projects.
  • Scheduled and confirmed appointments.
  • Group scheduling for the Enhanced Outpatient Program (EOP) in Mental Health (MH) in CERNER
  • Document Meeting Minutes/Assist in meeting presentation for the MH Suicide Prevention and Response Focused Improvement Team (SPR FIT)
  • Prepare Morning Huddle documents & reports /forward and scan to appropriate locations
  • Process Office Supply Orders, Work Orders, Key Requests, I.T. Requests, Price Checks & BIS Purchase Requisitions

Medical Claims Analyst

PracticeMax
Brewster
04.2016 - 02.2019
  • Assessed medical records for coverage eligibility and benefit accuracy.
  • Ensured compliance with federal and state regulations governing insurance industry operations.
  • Reviewed customer claims, identified discrepancies and determined appropriate course of action.
  • Maintained accurate records of all claim activities in accordance with company policies.
  • Verified documents to ensure accuracy of information provided by customers.
  • Followed all company procedures to keep data confidential.
  • Gathered proper documentation and data to prepare claims for submission.
  • Assisted in the development and implementation of claims procedures to improve efficiency.
  • Utilized claims processing software to update and maintain accurate claim files.
  • Managed workload effectively to ensure timely processing of claims within designated deadlines.
  • Communicated with policyholders to explain claims processes, coverage, and decisions.
  • Participated in claims audit processes to ensure compliance with internal and external standards.
  • Operate Client software (USMON) in billing & charge posting for claims
  • Obtain patient documents for claim submission including clinical documentation, financial agreements, authorizations, insurance documentation, hospital records, physician progress notes, etc.
  • Verify insurance eligibility and ensure accurate billing, documentation required for each insurance carrier, including Workers Comp and No Fault claims
  • Strict adherence to coding rules as applied for each physician, facility, insurance carrier and State as mandated (Medicare, Medicaid, Commercial, Private, Health Exchange, Workers Comp/No Fault/MVA)
  • Perform coding compliance check on applicable claims ensuring accurate billing per CPT/CMS guidelines
  • ICD-10 coding: Review coding to ensure accuracy.
  • Supervision and training over a remote billing team in Cebu Philippines.

Front Desk Manager

Sunrise Family Dental Care
Waterbury
04.2014 - 04.2016
  • Collected payments from patients in accordance with established policies and procedures.
  • Answered incoming calls, scheduled appointments, and confirmed patient visits.
  • Greeted patients, provided them with necessary paperwork, and verified insurance information.
  • Processed referrals to specialists when required by the dentist.
  • Prepared correspondence letters for insurance companies related to claims processing.
  • Performed administrative tasks such as filing documents, preparing reports, ordering supplies.
  • Verified patient's eligibility for benefits under various insurance plans.
  • Provided assistance to dentists during dental treatments and procedures as needed.
  • Coordinated with other healthcare professionals to ensure efficient office operations.
  • Educated patients on proper oral health care instructions and preventive measures.
  • Organized patient charts prior to each appointment in order to save time during check-in process.
  • Managed front desk operations including scheduling appointments, collecting payments.
  • Scheduled cleanings and dental appointments for patients using appointment software.
  • Gathered medical information, dental health history and vitals from patients.
  • Developed strategies to reduce costs while maintaining quality of products, services provided by vendors, suppliers.
  • Provided support for special projects as required by management team.
  • Participated in vendor selection process by researching prospective contractors' qualifications, references, financial stability and past performance history.
  • Participated in meetings with stakeholders regarding budgetary issues.
  • Analyzed budget reports to identify discrepancies and recommend corrective actions.
  • Reviewed financial documents such as contracts, invoices, requisitions. for accuracy and completeness.
  • Analyzed budgets and implemented action plans to rectify issues.
  • Checked postings and documents for correctness, accuracy and proper coding.
  • Managed RX program.

Technical Lab Assistant Lead/Compliance Analyst

InterMed PA
South Portland
06.2007 - 03.2014
  • Performed laboratory experiments, including setting up and operating laboratory equipment.
  • Performed routine maintenance tasks such as cleaning glassware and other lab equipment.
  • Compiled reports summarizing experimental results for review by senior staff members.
  • Participated in meetings to discuss project progress, findings, and recommendations.
  • Prepared samples for analysis by following standard laboratory procedures.
  • Maintained lab inventory and ordered supplies as needed.
  • Ensured that laboratory procedures are followed correctly at all times.
  • Conducted quality control checks on products to ensure accuracy of results.
  • Assisted in the development of new products or processes in the lab environment.
  • Assisted in training new personnel on proper use of laboratory equipment or techniques.
  • Consulted with technicians and researchers to analyze atypical results.
  • Implemented lab procedures to prevent errors and protect staff.
  • Collected, labeled and stored lab samples according to laboratory specifications.
  • Ensured compliance with regulatory requirements and accreditation standards, contributing to successful laboratory audits.
  • Attended lab meetings to participate in research discussions.
  • Utilized Laboratory Information Management Systems (LIMS) for tracking, documenting, and reporting laboratory activities.
  • Assisted in the development and maintenance of laboratory SOPs, improving process efficiency and consistency.
  • Prepared documents for submission to regulatory agencies as required by law.
  • Developed and implemented compliance policies and procedures.
  • Participated in meetings with external auditors regarding audit results related to compliance matters.
  • Maintained an up-to-date knowledge base of all relevant laws, regulations, guidelines, and industry standards.
  • Analyzed potential areas of risk and developed strategies to mitigate such risks.
  • Developed training materials for personnel regarding compliance standards and procedures.
  • Tracked progress towards meeting established goals related to organizational compliance objectives.

Phlebotomist III/Lead Processing Technician

Central Maine Medical Center
Lewiston
06.2002 - 05.2007
  • Demonstrated knowledge of infection control practices during specimen collection processes.
  • Developed policies and procedures to ensure compliance with regulatory agencies.
  • Resolved customer complaints in a timely fashion while maintaining confidentiality.
  • Performed maintenance on lab equipment such as centrifuges, pipettes.
  • Performed clerical duties such as filing documents, answering phones.
  • Assisted in the training, orientation, and development of new employees.
  • Managed workflow of the Phlebotomy Department by assigning tasks to staff members accordingly.
  • Monitored inventory levels for laboratory supplies and equipment.
  • Inspected phlebotomy areas for safety compliance and quality assurance standards.
  • Prepared reports summarizing laboratory activities as required by management.
  • Assisted medical personnel with other tasks as needed including drawing blood cultures.
  • Provided direction to staff members regarding daily operations and patient care.
  • Counseled patients about pre-testing requirements before performing venipunctures or capillary punctures.
  • Participated in continuing education programs related to phlebotomy techniques.
  • Ensured that specimens were collected, labeled, stored, and transported properly.
  • Facilitated communication between physicians, nurses, lab technicians, and other healthcare professionals.
  • Maintained accurate records of patient information and specimen collection data.
  • Performed evaluations of lab personnel and implemented corrective action where necessary.
  • Directed activities of phlebotomy department.
  • Trained and supervised phlebotomists and lab assistants.

Education

Phlebotomy Certificate

Southern Maine Technical College
South Portland, ME
10-2001

High School Diploma -

American School
Lansing, IL
04-1999

Public Speaking
Local Volunteer

Skills

  • Program development
  • Policy implementation
  • Financial management
  • Data analysis
  • Compliance management
  • Staff training
  • Strategic planning
  • Financial operations oversight
  • Employee recruitment and hiring
  • Resource management

Affiliations

* Actively volunteering 25+ years in the Community in Bible Education, Building of Place of Worship, and Disaster Relief

* Worked as a volunteer in the Spanish-speaking community for over 12 years; lived in Peru and Paraguay for a year as a volunteer

* Photographer/Videographer- work with husband a few weekends a year doing family portraits, weddings, and real estate property

* I love cooking, hiking, and spending time with my husband Sean and our 3 year old English Golden Retrieve, Winnie

Accomplishments

Spot Recognition Award from InteMed PA 2011 and Bonus-Excellence in Training program.

Supervised the three laboratory sites, responsibly for all training, quality control reports, HIPPA/policy procedures

Spot Recognition Award from InterMed PA 2013 and Bonus–Excellence in Organizing IDEXX lab.

Supervised setting up a of new outpatient laboratory in partnership with IDEXX Laboratories. Supervised OSHA/CLIA documentation, and offered Clinical support to nursing staff

Languages

Spanish
Professional

References

  • Nicholas Gonzalez; Associate Warden CDCR, Correctional Training Facility, Soledad CA PH 831.445.6349; Nicolas.Gonzalez@cdcr.ca.gov
  • Richard Linde, CAMU CDCR, Correctional Training Facility, Soledad CA PH 805.835.5355; Richard.Linde@cdcr.ca.gov
  • Melissa Stolsig; MS, MA, PSY D, CEO Turning Point Psychology Center INC: PH 805.910.7455; dr. stolsig@turningpointpc.com

Timeline

Mental Health Practice Manager/Senior Analyst

Turning Point Psychology Center INC
09.2019 - Current

Office Technician

CDCR - Correctional Training Facility
09.2019 - Current

Mental Health - Office Technician

CDCR Salinas Valley State Prison
05.2019 - 09.2019

Medical Claims Analyst

PracticeMax
04.2016 - 02.2019

Front Desk Manager

Sunrise Family Dental Care
04.2014 - 04.2016

Technical Lab Assistant Lead/Compliance Analyst

InterMed PA
06.2007 - 03.2014

Phlebotomist III/Lead Processing Technician

Central Maine Medical Center
06.2002 - 05.2007

Phlebotomy Certificate

Southern Maine Technical College

High School Diploma -

American School

Public Speaking

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Naomi E. Dalida