Vanessa Mendiola Email & Phone Number

Rancho Cucamonga, California, United States

- Facilitated physicians groups in implementation of performance improvement initiatives. - Prepared and presented regulatory and committee, and/or various reports summarizing QI initiatives progress.- Identified patient care gaps through data mining and scrubbing.- Translated data into meaningful information to draw conclusions and relate findings to industry standards. - Provided recommendations regarding performance gaps and outcomes in order to maintain an effective QI Program.

Redlands, California, United States

- Coordinated compliance activities with contracted health plans and regulatory entities.- Ensured timely and accurate data is collected, validated, and submitted to clients, providers and health plans.- Initiated new quality measurements for internal staff audits. - Upheld up to date policy revisions and reporting requirements.

Redlands, California, United States

- Posted both insurance and patient payments with accuracy and attention to detail. - Identified any and all trends including but not limited to payments, denials, and takebacks.- Communicated with Patient Account Representatives timely to ensure proper reimbursement of claims.

Redlands, California, United States

- Entered accurate medical charges in a timely manner meeting monthly deadlines. - Accurately distributed appropriate payments to patients’ accounts. - Demonstrated ability to multitask while aiding different roles in the department.

Bachelor Of Science - Bs, Health/Health Care Administration/Management

Activities and Societies: Upsilon Phi Delta

Master Of Healthcare Administration, Health/Health Care Administration/Management