John T.

Velez, BS, HCA

23740 Sea Breeze Lane
Laguna Niguel, CA 92677
Home: (949) 249-3847
E-mail: jv36e0ae@westpost.net
EDUCATION AND TRAINING
California State University, Long Beach, Long Beach, C 2004-2007
Degree: Bachelor of Science, Health Care Administration
Internship: Credentialing, Training and Education
Membership: Health Care Administration Student Forum.
Coursework:
Biology / Chemistry / Microbiology / Pharmacology / Anatomy & Physiology / Medic
al Terminology / Parenting / Philosophy / Basic Skills Healthcare Provider / Hea
lth Care System / Perspectives on Gerontology / International Health / Global Is
sues Health Services / Legal Aspects of Health Admin / Elem. Financial Accountin
g / Health Personnel Management / Intro. Computer System & Appl. / Introduction
to Statistics / Health Mgmt Organization / Mgmt & Information Systems / Financia
l Health Care / Medical Group Practice Mgmt / Marketing Health Service Org. / Mi
croeconomics / CQI in Health Services / Operation Mgmt Health Admin / Analysis a
nd Evaluation
Cerritos Community College, Norwalk, CA 2004
Long Beach City College, Long Beach, CA 2004
Community College of the Air Force, Maxwell A.F.B., AL 1999-2004
Associate of Science, Alliance Health Sciences
NASA/DOD Space Operations Medical Support, Edwards A.F.B., CA 2001 & 20
03
AFFTC Space Shuttle Recovery Team Training Course
Aeromedical Education Division Military/Federal Region, Edwards A.F.B., CA
2002
FAA Aviation Medical Certification Standards & Procedures Training
School of Aerospace Medicine, Brooks A.F.B., San Antonio, TX 1999
Aeromedical Apprentice Course
Moorpark Community College, Moorpark, CA 1993-2000
Associate of Arts Degree, Liberal Studies
Simi Valley High School, Simi Valley, CA 1985-1988
SPECIALIZED SKILLS
Technical: Type maximum 75 WPM, computer skills on ACT, Adobe Creative Suite, AS
-400, Alpha/Lan, Ascender HCC Audit Tool, Astea, ChartKeeper, COMPASS, Corel Gra
phics, dBase, GroupWise, DOEHRS-HC, EPIC, FutureVision, Ingenix EncoderPro, Inte
rnet, Lotus Notes & SmartSuite, MACESS, MedOccur, MS Office 95/97/2000/2003/X/XP
, QMACS/QNXT, SPSS, Troubleshoot Printer Escape Codes, Raintree, Ridgemark, UNIX
, Visual Cactus, WinStrat, WordPerfect operating in Windows 3.1-7 & Macintosh OS
8-X environments.
Significant experience and expertise in several multitudes and aspects of the he
alth care industry.
Proven success in motivating, mentoring colleagues and staff, as well as promoti
ng teamwork.
WORK EXPERIENCE
Inpatient Utilization Coordinator
Talbert Medical Group @ OCMMC, Fountain Valley, CA 01/2008 to P
resent
Provided clerical and utilization management support to Talbert Medical Group Ho
spitalist Physicians based out of Orange Coast Memorial Medical Center. Entered
and updated bed days and processed continuing care referrals into system accura
tely and on a timely basis. Cross-trained as Utilization Management Specialist f
or skilled nursing facilities in Orange County processing last covered days, aut
horizations and denial letters.
Medical Claims Examiner II
Molina Healthcare, Inc., Long Beach, CA 11/2005 to 01/2008
Kelly Services @ Molina Healthcare, Long Beach, CA 08/2005 to
11/2005
Process, adjudicate, and research claims for outpatient, emergency, and skilled
nursing facilities for the states of TX & WA. Ensured that the correct CPT, ICD9
coding & applicable documentation were used. Maintained call tracking log throu
gh QNXT regarding claims and utilization management issues.
Credentialing Examiner Apprentice (Internship)
HealthCare Partners, Pacific Gateway, Torrance, CA 02/2007 to 05/2007
Gathered, consolidated and verified accuracy of all provider information regardi
ng NPI numbers, DEA certifications, state licenses and malpractice insurance. C
ompiled guidelines for the credentialing sections into a training manual, mainta
ined open communication with providers and staff members.
Contract/Credentialing/Digital Imaging Manager
Med-Billing Corporation, San Pedro, CA 01/20
05 to 02/2005
Prepared, mailed, routed and scanned provider contracts. Managed the document co
ntrol and maintenance of the database, ensured quality assurance of scanned file
s, bookmarked text and pages to assist billing to expedite processing. Gathered,
consolidated and verified accuracy of all provider information. Coordinated pro
vider contracts through credentialing.
Contract Coordinator II (Temporary)
HealthCare Partners, Pacific Gateway, Torrance, CA 07/2004 to 12/2004
Prepared, mailed, routed and scanned provider contracts. Managed the data entry
, maintenance, and reported capabilities of the provider contract data in the ci
rculation log. Gathered, consolidated and verified accuracy of all provider inf
ormation. Coordinated provider contracts through credentialing.
Medical Support Assistant (Office Automation)
Flight Medicine, Department of Defense, Edwards A.F,B., CA 09/2002 to 09/2
003
Managed Flight Medicine Medical Administration in support of the Primary Care Ma
nager to include scheduled appointments, answered telephones, received, processe
d & out-processed patients, disposition, retirement, auditing and records review
. Accomplished administrative & clerical work. Maintained and reviewed account
s for 1500 outpatient medical records.
Technical Support Representative
Vantage Med Corporation, Van Nuys, CA 04/2000 to 01
/2001
Troubleshoot, processed and researched help desk/service calls, answered phones
offering 1st level assistance for Healthcare Information Systems/Medical Billing
Software.
MILITARY EXPERIENCE
Aeromedical Journeyman
United States Air Force Reserves, Edwards AFB & March AFB, CA 03/2001 to 02/200
5
California Air National Guard, Channel Islands ANGB, CA 01/1999 to 03/200
1
Assisted Flight Surgeon with diagnostic, minor surgical procedures, care for med
ical equipment, performed physical examinations, obtained and maintained medical
records for all flying personnel, trained and supervised staff in Flight Medici
ne as the NCOIC. Performed as a member of the NASA/AFFTC Space Shuttle Recovery
Team, supported in-flight Emergencies & the Air Transportable Hospital.
Airfield Management Technician
California Air National Guard, Channel Islands ANGB,CA 05/1993 to 03/1995
United States Air Force, Andrews AFB, Washington, D.C. 05/1989 to 05/1993
Provided direct support to the President, Vice President, foreign & domestic off
icials. Developed and formatted flight plans, trained, supervised and inspected
ramp.
AFFILIATIONS
California State University, Long Beach Alumni Association Member since 2004
American College of Healthcare Executives (ACHE) Member since 2007
Laguna Niguel Presbyterian Church, Laguna Niguel, CA Member since 20
08
COMMUNITY SERVICE
Flight Medicine, Malcolm Grow Medical Center, Andrews AFB, MD 1990 to 19
93
Volunteered as an Aeromedical Apprentice.
Columbia/Los Robles Medical Center, Thousand Oaks, CA 1997
Volunteered as a Floater.
LYS: Lakewood Youth Sports Program, Lakewood, CA 2001 to 2007
Volunteered as an Athletics Coach for Parks and Recreation.
INTERESTS
Music appreciation (from Classical to Modern Rock); piano; violin; performing ar
ts; surrealistic and contemporary art; sailing; baseball; hockey; fishing; golfi
ng; hiking; physical fitness.
REFERENCES UPON REQUEST