Joseph L.

Andujo
302 Wray Court
Fort Collins, CO 80525
(970) 207-1425
Health Administration
SUMMARY OF QUALIFICATIONS
* 10+ years of experience in military/civilian health setting managing systems/
personnel
* Five years experience in insurance authorization, pre-authorization, and refe
rral services
* Excellent oral/written communication skills to correspond with internal/exter
nal contacts
* Strong interpersonal organizational, training, supervisory, and problem-solvi
ng skills
* Proficient in Microsoft(r) Office suite (Word, Access, Excel, PowerPoint, Out
look, SQL)
* Strong knowledge of root cause and failure mode effect analysis
* Possess current military security clearance (secret)
* Bilingual: Fluent in Spanish and English
EXPERIENCE/ACCOMPLISHMENTS
Management
* Seven years of experience managing formulation of scope/objectives of divisio
n projects
* Successfully planned, programmed and executed $20M annual operating budget th
rough the use of detailed Excel spreadsheets; tracked expenditures and receivabl
es accurately
* Managed the major reorganization of three divisions within Health Services Di
rectorate; created flow charts/timetables to show milestones - project completed
ahead of schedule
* Led process to prepare for JCAHO inspection; received highest rating on all p
rograms
* Created database to automate the Medical Release of Information program; redu
ced turn-around time for requests of information from 8.5 days to 1.4 days; cust
omers raved results
* Developed Access database to track medical training and certification of 2,00
0 medical professionals. Converted to 100% electronic personnel record eliminati
ng duplicate files
Insurance and Benefits
* Corresponded with worker's compensation commissions and claimants in various
states
* Assisted claimants; ensured timely claims filings/provided information for ap
peals process
* Reviewed contracts to identify appropriate coverage levels and specific liabi
lity factors
* Performed duties to review authorization and determine patient benefits/eligi
bility for care
* Coordinated care between referring/accepting physician/hospital to ensure con
tinued care
* Coordinated transfer of patients to in-/out-of-network health care providers
and facilities
* Performed data entry/coding duties to ensure proper billing to insurance carr
iers/patients
Communication Skills
 * Presented at annual Military Surgeons of the U.S. conference as stand-in feat
ured speaker
* Authored article on Managed Care for the Spring 1994 Air Force Medical Servic
e Digest
Data Analysis/Computer Support
* Extracted data from various systems (personnel, finance, third party insuranc
e carrier, others) and created detailed reports using pivot tables for safety ma
nagers to use
* Developed, tested, implemented technical solutions for improving information
access, data retrieval/interpretation from various automated quality of care and
personnel systems
* Performed consistency checks on outpatient visits reported in three different
automated data systems; improved cost effectiveness in clinic workflow and fina
ncial resources
* Managed two databases containing claims with various line types (general, pro
fessional, auto, worker's comp); tracked claims, injury types and associated fin
ancial information
* Provided training on new computer systems to staff of 400; supported over 60K
patients
* Performed administrative functions on systems; resolved user ID and passwords
issues
* Performed routine as well as specific systems checks to ensure proper systems
function
* Performed upgrades, back-ups, maintenance, and security procedures on all app
lications
* Managed application projects with other IST staff, end-users, vendors, and co
nsultants to include running meetings, acquiring resources and meeting project r
equirements on time
* Created/maintained website; web administrator for various work centers - week
ly updates
EMPLOYMENT HISTORY
Risk and Safety Analyst, Emergency Medical Svcs, Corp, Greenwood Village, CO (20
10 - 2010)
Transitioning from military service to civilian life (11/2009 - 1/2010)
Deputy Program Manager, Readiness Management Group, U.S. Air Force, GA (2001 - 2
009)
Office Manager Assistant, 10th Medical Group, U.S. Air Force Academy, CO (1998 -
2001)
Insurance/Investment Agent, Ozark National Life, Kansas City, MO (1997 - 2002)
EDUCATION
Bachelor of Science May 2008, 3.76 GPA
Health Administration
University of Phoenix, Phoenix Arizona
Masters in Health Administration Estimated completion: January 2011
Emphasis in Informatics
University of Phoenix, Phoenix Arizona
Microsoft Access Training (VBA) Certificate (120-Hours), 2008
Scofield Business Services, Denver, Colorado