Alexandra Gomez Email & Phone Number

Seattle, Washington, United States

Provider Enrollment Specialist in the largest growing provider of primary medical, dental and behavioral health care services in the Seattle area. - Creating structure and processes to make enrollment for new providers more efficient; responsible for documentation of the processes and creating documentation process on how to enroll providers with each payer.- Maintaining and managing the credentialing statuses for providers; responsible of enrolling new providers to insurance, submitting new enrollment applications and re-credentialing applications to insurance, obtaining and providing compliance items from providers to insurance.- Overseeing and maintaining credentialing databases CAQH and Provider Source (One Health Port); responsible for providers to re-attest every 120-180 days on the databases, ensuring the providers licensures are not expired and updating expired compliance items.- Overseeing and maintaining CMS (centers of Medicare & Medicaid Services) connections and NPPES.

Administrative Project Manager to a growing mental health group as a Freelancer. I led and grew the practice from early steps into creating it as a mental health group.- Oversaw the groups employees team of 8 and the company operations; responsible for overseeing payroll, inventory, training and growing employees, and tracking metrics of day to day tasks. - Created and Implementation new structure to policies and procedures for the front desk staff and billing department. - Oversaw and maintained compliance for the providers and the group. - Piloted, integrated, and implementation of the EMR System for the group to manage their schedules, billing to insurance, clients, and their clients records. - Creating and obtaining the new groups TIN and NPI type 2 for the organization.- Training and coaching the office manager of the group to continue to maintain and hold responsibilities to take over.ACCOMPLISHMENTS:- Created and recruited the companies billing team- Created the credentialing team for the company.- Contracted with insurance payers to have the group to be in network.- Integrated and Implemented a new system for payroll to maintain, track, and distribute employee's pay in a more efficient way.- Certified to maintain and provide TMS (Transcranial Magnetic Simulation) treatments.

Mountlake Terrace, Washington, United States

Telehealth Assistant Manager in a growing Mental Health company. I was the first Telehealth Coordinator to start in the Telehealth department during the Pandemic. I grew into Management and led the first small cohort of Telehealth coordinators from tender first steps into growing the Telehealth Department & continued scaling the company with successful strides. - Oversaw Telehealth Coordinators team of 8. Overseeing additional front desk Coordinators within the organization, Nurse Practitioners Liaisons, Records request department; responsible for overseeing the metrics & needs of the Liaisons, training and developing the coordinators and Liaisons, ensured day to day tasks were completed & maintained based on the company’s needs.- Integrator and implementation for the Records Department flow, managed and created processes for Patients & Providers requesting records. Oversaw metrics, trained and grew the coordinators, processes, and troubleshooting with the operations team to make a more efficient process for all parties. - Piloted, Integrated, & implementation of the Portal in the company's EMR system (AdvancedMD); I was the main person for learning and troubleshooting the portal. Oversaw the functionalities, regulated and tightening the portal, trained staff and providers. Continued to create guides and videos for clients, staff, & providers to reference.- Collaborated with different departments and all office managers on developing and creating better processes based on the business needs.WORK ACCOMPLISHMENTS:- Piloted, integrator, and implementation of the Portal in the EMR system within the company.- Created and developed the Records Request flow and team.- Created and trained the Nurse Practitioner Liaisons for Telehealth and branched out to providers that were location based. - Led and developed 4 of my Telehealth Coordinators into leads and management. 2 became Leads, 1 became a AR Assistant manager, and 1 became an AR Manager.

Mountlake Terrace, Washington, United States

Provider Account Manager to Behavioral Health Providers in a growing mental health company. I led the first team of provider account managers into growing and managing a cohort of providers across the organization while maintaining and growing my own cohort of providers into having successful individual practices. - Oversaw the provider account managers team of 4 and metrics of new client placements for providers; responsible for training, growing, and providing feed back to the account managers to support their providers practices, auditing provider schedules, ensuring providers were receiving the type of clients that fit their specialties, trained the account managers on how to create business coaching data and leading business coaching meetings, trained/coached the account managers on how to navigate healthy conflict conversations with providers. - Oversaw a cohort of providers 40+, most being Nurse Practitioners and their individual business data; responsible for overseeing the providers schedules, guiding providers to have successful practices, providing tools and support on how to keep a full healthy schedule, tracked metrics on retention and revenue of their practices, held quarterly business coaching meetings with the providers surrounding their practice to provide tools and resources on retention with clients and how to maintain and grow their revenue.- Regulated and led most of the training orientations for providers surrounding the EMR system; responsible for training providers on note taking, submit billing slips, utilization of the portal with clients and staff, troubleshooting their appointment links, and trained additional staff to maintain and lead orientations.- Ongoing Collaboration with the onboarding team with updating processes to ensure a smooth transition for providers from onboarding to the account managers. - Integrated and implementation Orientations to providers surrounding the EMR System; created processes and guides.