Excellent communicator and collaborator, fostering relationships with healthcare providers, patients, and external partners. Dedicated to leveraging technology and data-driven insights to streamline operations and improve patient care. Ready to bring compassion and efficiency to a patient centered healthcare setting.
Overview
13
13
years of professional experience
Work History
Director of Operations
Transitions Healthcare
02.2024 - Current
Oversaw daily operations across multiple departments, ensuring seamless coordination and efficient execution of tasks.
Oversee the use of technology, such as electronic health records (eClinicalWorks) and Smartsheets to streamline operations and improve patient care.
Analyze data to identify trends and opportunities for improvement.
Identify opportunities for growth and expansion of services in new geographic areas throughout the state of Florida in 7 new regions.
Conducted regular performance reviews with patient care coordinators, marketing team, case managers and clinical managers to assess team progress, providing constructive feedback and guidance for continuous improvement.
Monitored office workflow and administrative processes to keep operations running smoothly.
Established and fostered strong partnerships with vendors, suppliers, and key stakeholders to improve collaboration and ensure alignment with business requirements.
Lead Patient Care Coordinator
Transitions Healthcare
08.2023 - 02.2024
Establish effective patient communication channels, manage incoming referrals, address inquiries, and provide information on mobile primary care services and wound care treatment
Efficiently manage patient appointments for 10 providers in 8 counties
Facilitate seamless communication among mobile healthcare providers, integrated healthcare team, patients, and family members to ensure comprehensive patient care
Actively advocate for patient needs, guiding them through the healthcare system and ensuring a positive experience
Conduct post-appointment follow-ups to monitor patient progress for an over 400 patient roster, coordinate necessary care plans and referrals
Leverage electronic health records (eClinicalWorks) and educate team members on technology to aid in streamlined processes and effective communication
Managed team of 19 care support assistants as team lead, overseeing performance and team morale
Conducted and interpreted Health Risk Assessments for special needs program members
Identified areas of need and provide appropriate community and agency resources and education regarding management of social determinant of health
Received STAR employee award for exceeding predicted annual metrics each year with Humana
Actively engaged in ongoing research and development for member experience.
Care Management Support Assistant
Humana
04.2021 - 08.2023
Managed and performed intake process on referrals including fielding new client inquiries
Scheduled care consultations with new clients and care managers
Supervised and facilitated the sales pipeline
Increased lead-to-client conversion by 30%
Performed inspections and internal audits for Home Instead Home Health
Responsible for reviewing and interpreting claims data.
Lead Management Specialist
Home Instead Senior Care
06.2019 - 04.2020
Customer Care Representative/ Aetna
Assist Coordination of Benefits and Senior Consultants on tasks and Med D Coordinator
Managed and performed intake process on referrals including fielding new client inquiries
Scheduled care consultations with new clients and care managers
Supervised and facilitated the sales pipeline
Increased lead-to-client conversion by 30%
Performed inspections and internal audits for Home Instead Home Health
Responsible for reviewing and interpreting claims data.
Administrative Assistant
Chanfrau and Chanfrau Law
01.2011 - 01.2016
Protect and disclose patient's protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) standards
Office of Chanfrau and Chanfrau, Established personal relationships with clients and adjusters to achieve maximum settlement possible outside of litigation
Served as the main contact with all clients
Oversaw medical treatment and medical expenses of all clients
Prepared and drafted demand packages including summarization of medical records, compilation of facts surrounding incident in question and determination of value of the claim
Maintain and improve online databases of client accounts and medical providers, including updating information when necessary.
Education
Bachelor of Science in Health Services Administration -
St. Petersburg College
Clearwater, FL
12.2023
Skills
Insurance eligibility verification
HIPAA
New business development
Patient Advocacy
Senior Care
Sales Support
Scheduling and calendar management
Strategic planning and execution
Operations Oversight
Operational Efficiency
Timeline
Director of Operations
Transitions Healthcare
02.2024 - Current
Lead Patient Care Coordinator
Transitions Healthcare
08.2023 - 02.2024
Care Management Support Assistant
Humana
04.2021 - 08.2023
Lead Management Specialist
Home Instead Senior Care
06.2019 - 04.2020
Administrative Assistant
Chanfrau and Chanfrau Law
01.2011 - 01.2016
Bachelor of Science in Health Services Administration -
St. Petersburg College
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