Carolynlee Quiterio

Effective Project Communication:Established clear communication channels among team members to foster collaboration and ensure project success.
Mentorship in Project Management:Mentored junior team members in project management best practices, enhancing their skills and contributing to team performance.
Progress Monitoring and Adjustment:Monitored project progress closely, adjusting schedules and resources as needed to maintain project timelines and goals.
Stakeholder Management:Developed strong relationships with stakeholders through regular updates and effective communication, ensuring alignment with project objectives.
Budget Planning and Management:Created accurate project budgets and managed resources efficiently to optimize project costs and outcomes.
Customer Satisfaction and Quality Assurance:Delivered exceptional customer satisfaction by proactively addressing client concerns and ensuring high-quality project deliverables.
Continuous Improvement Initiatives:Implemented continuous improvement strategies to enhance project efficiency and effectiveness, driving ongoing success and innovation.
Multitasking and Prioritization:Successfully managed multiple projects concurrently by prioritizing tasks based on strategic importance and resource availability.
Vendor and Contract Negotiation:Negotiated contracts with vendors and suppliers to secure competitive pricing and quality materials, supporting project goals and budget objectives.
Adherence to Deadlines and Standards:Met project deadlines consistently while maintaining high standards of workmanship and safety protocols.
Technical and Operational Leadership:Provided detailed technical and operational guidance, resolving challenges and ensuring project milestones were achieved according to plan.

Epic Credentialed in Ambulatory Setting

• Epic Ambulatory Credentialed
  Transitioned Training Programs: Successfully shifted face-to-face training programs to virtual formats during pandemic restrictions, maintaining quality and participant satisfaction.
  Acquisition Participation: Contributed to three of the largest acquisitions in the west region of AdventHealth Medical Group, each involving over 50 employees and up to 40 providers.
  Workshop Facilitation: Conducted workshops on communication skills, leadership development, and conflict resolution, contributing to a positive work environment.
  Content Collaboration: Collaborated with subject matter experts to ensure accuracy and relevance of training content.
  Stakeholder Relationships: Built strong relationships with key stakeholders across the organization, fostering collaboration on talent development initiatives.
  Learning Facilitation: Facilitated virtual, in-person, and blended learning sessions, implementing a blended approach for optimal knowledge retention.
  Leadership and Motivation: Demonstrated leadership by motivating and inspiring others, cultivating strong interpersonal relationships and teamwork.
  Epic EMR Training: Selected to initiate Epic EMR credentialing trainer process, preparing for transition across AdventHealth from Cerner and Athena systems.
  Training Administration: Managed new employee classes and provider training sessions, including Go Live training for EMR adoption.
  Workflow Optimization: Assisted providers with optimizing EMR documentation through text macros, order sets, and other accelerators.
  Project Contributions: Contributed to new training agendas and enhancements, presenting changes to stakeholders in meetings.
  Compliance and Reporting: Managed Termed Employee Reporting for Risk/Compliance, and conducted EMR and User Audit Reports for security and HIPAA compliance.
  Access Management: Managed Termed Employee Reporting for Risk/Compliance by coordinating with practice managers or the Director of Operations in main Active Directory through ServiceNow to terminate access to EMR and other software products.
  EPCS Enrollment Support: Assisted providers with EPCS (Electronic Prescribed Controlled Substances) enrollment and troubleshooting EPCS errors/issues.

• Practice Management: Managed a multi-specialty physician practice including Family Practice and Neurology physicians.
  Staff Coordination: Communicated roles, responsibilities, and scheduled staff for adequate coverage.
  Training and Development: Trained new and existing staff on updates and software enhancements.
  Reporting and Coordination: Reported to Directors of Operations and Revenue Cycle Management for practice reimbursement.
  HR Management: Managed recruitment, selection, orientation, evaluation, and dismissal of staff (excluding physicians).
  Coaching and Counseling: Provided progressive coaching and counseling to develop or discipline employees as necessary.
  Operational Efficiency: Coordinated with Physicians and staff to maximize schedules for efficiency and productivity.
  Risk Management and Compliance: Reported to Risk Management to ensure secure medical records and compliance with HIPAA guidelines.
  Financial Oversight: Managed payments, charges, billing processes, and ensured timely deposits and transmissions to insurers.
  Patient and Provider Relations: Communicated closely with patients to ensure privacy of medical information and developed strong relationships.
  Policy Development: Defined testing protocols, quality assurance initiatives, clinic policies, and procedures.
  Supply Chain Management: Ordered office supplies, managed inventory levels, and ordered pharmacy supplies.
  Team Leadership: Provided supervision and management to a team of support personnel, boosting staff morale and fostering a collaborative work environment.
  Regulatory Compliance: Ensured compliance with OSHA, HIPAA regulations, benefits administration, and general liability guidelines.

• Revenue Cycle Management Training: Conducted monthly to semi-monthly training sessions on all Revenue Cycle Management classes.
  Insurance and Billing Education: Provided training on RealMed, Availity, participating insurance education, collections, and front office processes through one-on-one sessions in the west region practices.
  Orientation Contributions: Presented RCM portions during bi-monthly orientations for new hires.
  Insurance Coordination: Monitored and updated provider effective dates for participating insurance plans across three markets.
  Managed Care Liaison: Acted as a liaison to Corporate Manage Care in Orlando, handling insurance updates and inquiries from west region practices.
  Provider Support: Assisted new providers with Hospital Privilege and Risk applications during onboarding and recertification processes.
  Credentialing and Licensing: Managed renewal, updates, and Florida Medical License and DEA for new and established providers. Handled Managed Care and Government Credentialing and recertification.
  Charge Entry and Accounts Receivables: Handled Pioneer/Hospitalists Charge entry and served as a team liaison to the Central Business Office for accounts receivables across the west region.
  Financial Reports and Advocacy: Processed Collection and Charity reports from hospitals involving patients from the medical group. Advocated for staff members and helped resolve conflicts.
  Training and Workflow Optimization: Collaborated with global business leaders to deploy new training strategies and optimize workflow efficiency through process evaluations and best practice implementations.
  Credentialing and Compliance: Conducted primary source verifications, enrolled providers in Medicaid, Medicare, and private insurance plans, and enhanced credentialing processes.
  Data Privacy and HR Training: Safeguarded confidential provider information, conducted audits of provider files, and delivered HR training sessions to staff, managers, and executives.
  Customer Service and Team Collaboration: Provided exceptional customer service, collaborated with healthcare providers, and mentored team members to promote productivity, accuracy, and friendly service.

• Training Coordination and Delivery: Coordinated and delivered comprehensive training sessions on Revenue Cycle Management (RCM) classes, RealMed/Availity platforms, insurance education, collections, and front office processes.
  Orientation Facilitation: Led RCM segments during bi-monthly orientations for new hires, ensuring thorough understanding of billing processes and systems.
  Credentialing and Compliance Training: Provided training on primary source verifications, Medicaid/Medicare enrollment, and HIPAA compliance to streamline credentialing processes.
  Software and System Training: Conducted training on Medical Manager software for daily closes, NextGen and Centricity for claims preparation, and RealMed/Availity for claims billing and transmission.
  Support Services Collaboration: Assisted Support Services with CBO projects, addressing system errors, user access conflicts, and printer issues to optimize operational efficiency.
  Claims Management and Auditing: Managed claim logging, monitored claim status, audited EDI logs, and resolved claim rejections for EMDEON and RealMed platforms.
  Remote Software Management: Managed patient statement transmissions using Mysis software from home on weekends, ensuring timely and accurate delivery to Baylor management.
  Resource Allocation Optimization: Analyzed team member skills and project requirements to strategically allocate resources, resulting in improved efficiency and project outcomes.
  Workplace Culture Development: Implemented team-building activities, encouraged open communication channels, and initiated employee recognition programs to foster a collaborative and positive work environment.
  Performance Communication: Conducted regular meetings to communicate Key Performance Indicators (KPIs) from annual plans, ensuring clear expectations and aligning team efforts with organizational goals.
  Collaborative Workflow Streamlining: Worked closely with department leads to identify bottlenecks, streamline workflows, and enhance coordination between teams, achieving smoother operations and improved project outcomes.
  Continuous Improvement Initiatives: Led brainstorming sessions with team members to identify operational inefficiencies, devised action plans, and conducted targeted training sessions to enhance productivity and service quality.
  Mentorship Approach: Implemented a mentorship program where team members were paired with experienced staff, providing hands-on guidance and fostering skill development through regular feedback and coaching sessions.
  Strategic Leadership Impact: Applied strategic thinking and innovative solutions to overcome challenges, leading to positive organizational changes and improved team performance.
  Data-Driven Decision Making: Utilized database systems to track operational metrics, analyzed data to identify trends and areas for improvement, and developed data-driven strategies to optimize performance.
  Stakeholder Relationship Management: Cultivated strong relationships with key stakeholders, actively listening to their needs, and collaborating on solutions that aligned with their expectations, thereby enhancing overall satisfaction and support.
  Adaptation to Technological Advancements: Proactively learned new technologies and software applications, integrating them into daily operations to improve efficiency and stay ahead of industry trends.

• Coding and Billing Responsibilities:
  ICD-9 Coding of Claims: Applied accurate ICD-9 codes to claims to reflect diagnoses and procedures, ensuring compliance with coding guidelines and regulatory standards.
  Charge Entry: Entered charges accurately into billing systems to document all services provided for billing purposes.
  Cash Posting and Accounts Receivables: Posted payments and reconciled accounts receivable to maintain accurate financial records and ensure timely processing.
  Billing and Claims Transmission: Prepared and transmitted claims for billing, incorporating ICD-9 coding to optimize reimbursement and comply with payer requirements.
• Training Responsibilities:
  Revenue Cycle Management (RCM) Training: Conducted comprehensive training sessions for employees on Revenue Cycle Management practices, ensuring proficiency in billing, claims processing, and accounts receivables management.
  Billing Staff Training: Trained new billing employees on coding practices, charge entry, cash posting, and claims transmission processes to facilitate accurate billing and reimbursement.
  EMR Training for Providers: Led training sessions for 20 providers across four locations on Intergy EMR system, ensuring they were proficient in electronic medical records management and documentation.
  
• Other Responsibilities:
  Credentialing and Recertification of Physicians: Managed the credentialing and recertification processes for physicians, ensuring compliance with regulatory requirements and timely updates.
  
• Customer Service:
  Provided exceptional customer service to internal and external stakeholders, addressing inquiries and resolving issues promptly and professionally.
  Implementation Leadership: Led the implementation of Intergy EMR and other software systems across multiple locations, overseeing training sessions to ensure staff readiness and operational success.