Employee Portfolio Shalini Williams University of Phoenix Online HCS 449: Health Administration Capstone Class Group No: BSCS0BERP7 Instructor: Renee Gorby, RN, MSN, MBA
SHALINI WILLIAMS 1364 E Natasha Drive Casa Grande AZ 85222 (520)876-4362 firstname.lastname@example.org EXPERIENCE Casa Grande Regional Medical Center – May 2005 to Present Patient Business Office Representative Responsible for understanding payer contracts and billing claims accordingly Bill primary and secondary Medicare, AHCCCS and commercial electronic and paper claims Medicare follow up Maintain and balance financial spreadsheets and SSI billing tables Assist auditors Work with IT to identify system issues and formulate solutions Kaiser Permanente (CSSO) - March 2004 to April 2005 Benefits Configuration Analyst II Responsible for understanding the member benefits offered in each region and configuring rules to allow for proper claims adjudication and benefit administration. Determined the most efficient configuration to ensure successful processing of claims Created new rules as needed and assessed the impact of the new rules prior to implementation Loaded benefit plans into Diamond and conducted various tests of the logic Documented user intended application and testing results Wrote desk level policies and procedures Documented problems identified during testing and assisted in formulating solutions Carday Associates - April 2001 to February 2004 Claims Processor Responsible for processing medical, dental, vision and prescription claims Assisted in training new processors Communicated with members and providers to verify benefits and resolve issues Requested and processed refunds Helped to conduct internal audits Suburban Hospital - October 1999 to April 2001 Billing Representative Responsible for electronic and paper billing primary and secondary insurance companies for services rendered at hospital facilities Communicated with various insurance companies to resolve issues of non-payment Helped patients with billing issues and formulated appropriate payment agreements Worked with internal auditors
EDUCATION University of Phoenix, Phoenix AZ Hood College, Frederick MD Albert Einstein High School, Kensington MD
Ms. Connie Grijalva Accounts Payable Casa Grande Regional Medical Center
To Whom It May Concern: I have known Shalini Williams for several years as a coworker in the Patient Accounts and Finance departments at Casa Grande Regional Medical Center. Shalini is a very positive and pleasant person to work with. She is definitely an excellent team player with a great attitude. She conquers and completes all given assignments and additional duties with flying colors, works well under pressure and continues to wear a smile all the while. In conclusion, I would highly recommend Ms. Williams. If her performance and attitude at work are any indication of how she would perform on the job, Shalini would be a positive addition to your facility. Sincerely, Connie Grijalva (520)381-6946
Hope Hernandez Patient Business Services Casa Grande Regional Medical Center
To Whom It May Concern: I am very pleased to write this letter of recommendation for Shalini Williams. She currently works as a medical biller/collector/IT liaison for Casa Grande Regional Medical Center. Shaliniâ€™s daily tasks include cash reports, unbilled reports, billing in SSI and DDE for all insurance companies. She understands the billing software and is a team player when needed to explain and work through some of the problems that occur. Mailing out paper claims and doing secondary billing are also part of her daily tasks. Shalini is a creative and original thinker. She has native intelligence, great curiosity about people and ideas and plenty of common sense that she has applied to solving many problems at CGRMC. In addition, she has demonstrated excellent powers of observation and an ability to communicate and suggest change in effective but non-threatening ways. Shalini is a very likeable and ambitious person. I have no doubt someday she will be a successful senior level manager and I am happy to recommend her to you. Sincerely,
Hope Hernandez (520)381-6904
Gayle Hughes Patient Business Services Casa Grande Regional Medical Center To Whom It May Concern: It is my honor to write this strong letter of recommendation for Shalini Williams, who has been a highly respected and wildly popular employee at Casa Grande Regional Medical Center since May, 2005. During her tenure at our hospital she has held various positions in her quest for learning all the different facets of our Patient Business Services department. She has exceeded expectations in all of these positions. She currently holds the position of Billing Specialist where she has again exceeded expectations in learning all aspects of billing for all payers. It has been my privilege to work with and watch Shalini as she has taken on all the challenges associated with the positions she has held. Shalini has an above average ability to take what she has learned in staff development sessions and readily apply the concepts to her daily work. Becoming the best and most efficient worker has been a goal that Shalini strives to accomplish. She is always open to learning new ways of doing things which is vital in our constantly changing world of health care. The ability to build strong interpersonal relationships and connections with colleagues and the community as a whole is an important trait which Shalini possesses. Shalini quickly established herself with the staff upon her arrival five years ago and her extensive background in health care helped her develop a team approach. In terms of colleagues, Shalini has proven to be a team player who is always willing to pitch in and help out wherever needed. She is a well liked and respected member of our staff. In summary, Shalini is an outstanding employee whom any organization would be proud to have on staff. I find it difficult in one short letter of recommendation to touch on her many qualities and attributes. I highly recommend her without reservation. Sincerely, Gayle Hughes (520)381-6926
Schedule and Grades The following information is unofficial and intended to provide convenient information on your student record. Course HCS/449 HEALTH ADMINISTRATION CAPSTONE
Instructor RENEE 3.00 08/10/2010 09/13/2010 GORBY
Completed Courses Course GEN/300 SKILLS FOR PROFESSIONAL DEVELOPMENT MGT/331 ORGANIZATIONAL BEHAVIOR HCS/435 ETHICS: HEALTH CARE AND SOCIAL RESPONSIBILITY HCS/310 HEALTH CARE DELIVERY IN THE UNITED STATES HCS/320 HEALTH CARE COMMUNICATION STRATEGIES COMM/215 ESSENTIALS OF COLLEGE WRITING MTH/208 COLLEGE MATHEMATICS I HCS/330 INTRODUCTION TO HEALTH AND DISEASE HCS/413 HEALTH CARE MANAGEMENT STRATEGIES HCS/427 HUMAN RESOURCE PRINCIPLES AND PRACTICES IN HEALTH CARE HCS/438 STATISTICAL APPLICATIONS HCS/430 LEGAL ISSUES IN
Instructor THOMAS 3.00 06/17/2008 07/21/2008 KENFIELD
3.00 08/12/2008 09/15/2008 JOEY MARTIN
3.00 09/16/2008 10/20/2008
3.00 10/21/2008 11/24/2008 EMILIE SMITH LEANNE PRENOVOST MICHELE 3.00 01/13/2009 02/16/2009 WATSON MICHAEL 3.00 02/17/2009 03/23/2009 WALLS KELLEY 3.00 03/24/2009 04/27/2009 WAUGH 3.00 11/25/2008 01/12/2009
AA B+ A BC-
3.00 04/28/2009 06/01/2009 LOUIS GUARINO B+ 3.00 06/02/2009 07/06/2009
3.00 07/07/2009 08/10/2009 GARY GRUBB
3.00 08/11/2009 09/14/2009 JOANN WILCOX A-
Course HEALTH CARE: REGULATION AND COMPLIANCE HCS/451 HEALTH CARE QUALITY MANAGEMENT AND OUTCOMES ANALYSIS HCS/457 PUBLIC AND COMMUNITY HEALTH HCS/405 HEALTH CARE FINANCIAL ACCOUNTING HCS/440 ECONOMICS: THE FINANCING OF HEALTH CARE HCS/483 HEALTH CARE INFORMATION SYSTEMS HCS/490 HEALTH CARE CONSUMER - TRENDS AND MARKETING HCS/475 LEADERSHIP AND PERFORMANCE DEVELOPMENT HCS/455 HEALTH CARE POLICY: THE PAST AND THE FUTURE HCS/446 FACILITY PLANNING
3.00 09/15/2009 10/19/2009
3.00 10/20/2009 11/23/2009
3.00 11/24/2009 01/11/2010 AMY ROUKIE GEOFFREY SUSZKOWSKI KRISTOPHER 3.00 02/16/2010 03/22/2010 KERN 3.00 01/12/2010 02/15/2010
A A A
3.00 03/23/2010 04/26/2010
3.00 04/27/2010 05/31/2010
3.00 06/01/2010 07/05/2010 JAY LITTLETON B3.00 07/06/2010 08/09/2010 BETTY JOUBERT A-
Work Related Skills 1. Proficient in several medical and other software programs a. AS400 b. SMS c. DDE d. Medical Manager e. Diamond f. MACESS g. Microsoft Office
2. Strengths a. Strong team player b. Superb organizational skills c. Willingness to undertake additional tasks d. Excellent liaison between management and several departments such as IT, Finance, Registration e. Exceed established department production standards i. Help to review claims issues presented by billers ii. Analyze unbilled and cash reports for management iii. Assist in formulation of policies and procedures iv. Work with IT to identify system issues and create solutions v. Work with auditors
Samples of Academic Work Design of ED Floor Plan
Letter to US Representative Shalini Williams 1364 E. Natasha Drive Casa Grande AZ 85122 July 5, 2010 US Representative Rick Renzi 418 Cannon House Office Building Washington, DC 20515
Dear Representative Renzi, My name is Shalini Williams and I am a health care administrator at Casa Grande Regional Medical Center. My reason for writing to you is the proposed removal of marijuana from Schedule I of the Controlled Substances Act. I do hope you will support this removal and subsequent legalization of marijuana.
Legalizing marijuana would have both health and economic benefits. Marijuana is extremely effective in the treatment of nausea and vomiting caused by chemotherapy drugs, anorexia, movement disorders, pain management, glaucoma, epilepsy, asthma and some autoimmune diseases. Marijuana is very easy and inexpensive to grow, ensuring affordable availability to all who need it. Focusing on the legalization and taxation of marijuana instead of prohibition would save the federal government $7.7 billion per year and could result in a profit of $6.2 billion annually if it were taxed like cigarettes. As an administrator in a hospital in a border state, I would greatly appreciate some of that funding being sent to us to cover our expenses for treating undocumented and uninsured patients.
Thank you for your attention to my letter, and I would be happy to meet with you to review documentation of the benefits listed above.
Leadership Style Paper Introduction Elaine B. Agather, chairman and CEO of JPMorgan Chase, said, “The leadership instinct you are born with is the backbone. You develop the funny bone and the wishbone that go with it.” This, to me, is the epitome of great leadership: the instinct tempered with desire to excel and most importantly, a sense of humor. These qualities are personified by my employer’s CEO, Rona Curphy. This paper compares my leadership style to that of Rona and also reviews the results of my Leadership and Team Self-Management Assessment (separate attachment). Conclusion My score on the Leadership and Team Self-Management Assessment was 55 and that indicates I have excellent team leadership skills according to Decker et al. I try to model my team leading methods after Rona but find that sometimes I have to work exceedingly hard to do things that come naturally to her. I like to be aware of issues in the whole department so I can anticipate any difficulties my team will have to handle later. Rona has great faith in all her employees and trusts that any issues will be resolved. My department is not very big and my team is smaller still. This allows me to be very aware of each person’s strengths and weaknesses and this can be both positive and negative. If any team member has an issue, I am
able to step in and do whatever needs to be done because like Rona, I worked my way up through several hospitals. There are some similarities between my leadership style and Ronaâ€™s and that is very heartening. It tells me that in spite of the pressures of the job, I am able to maintain a level of humanness and this allows my coworkers to relate to and find me approachable, compassionate and helpful.
Summary My portfolio has provided a concise picture of my experience, abilities and potential. The resume demonstrates that I have held various positions in healthcare and shows longevity in several of them, attesting to my stability and reliability. The unofficial transcript shows that I can be a quick learner, able to adapt to different team members quickly and produce quality work, some of which is evidenced by enclosed samples. I do appreciate your consideration and look forward to discussing how I can contribute to your organization.