Dedicated and loyal person who strives for excellence. I possess extensive experience in Healthcare Management and supporting individuals with intellectual disabilities. I am team-oriented and can complete desired assignments promptly. Moreover, I have experience in payroll, office management, human resources, billing, and finance. My professional flexibility lends itself to be multifaceted in today's ever-expanding business world
Overview
19
19
years of professional experience
1
1
Certification
Work History
Residential Administrator
ACLD
08.2023 - Current
Ensure the needs of all individuals are met through daily communications with Managers and the interdisciplinary team including families, social workers, behavior specialists, nurses, and program administrators
Ensure that standard operating procedures are followed by all staff, and all staff receive professional development support and supervision
Ensure oversight of four residences’ program planning, staffing, and ensures compliance with all policies, procedures, and regulations under the direction of the Associate Director
Completing purchase orders and check request forms for resident needs
Providing training to Residential Managers on how to effectively work with direct care staff, how to manage challenging employees, how to write an effective and accurate performance review and how to interview and screen potential employees
Daily review and approval of Medisked notes and monthly summaries
Ensuring proper staffing for houses to always maintain staffing ratios continuously
Attending annual/semi-annual meetings for people supported
Approved employee timesheets and requests for time off in ADP
Create Staff Action Plans in Medisked
Review and approve all residential habilitation goals in MEDISKED
Fill in as Residential Manager when there is a vacancy
Assistant Director of Residential Services
AHRC-Suffolk
02.2022 - 07.2023
Ensuring the needs of all individuals are met through daily communications with Managers and the interdisciplinary team including families, social workers, behavior specialists, nurses, and program administrators
Completing purchase orders and advance payment forms for resident needs
Providing training to House Managers on how to effectively work with direct care staff, how to manage challenging employees, how to write an effective and accurate performance review and how to interview and screen potential employees
Daily review of medical notes and psychiatric summaries
Ensuring proper staffing for houses to always maintain staffing ratios continuously
Attending annual/semi-annual meetings for residents
Approved employee timesheets and requests for time off in Kronos
Review and approve all residential habilitation goals in MEDISKED
ICF Assistant Director
RISE Life Services, An Aid to The Developmentally Disabled Company
11.2020 - 02.2022
Ensures that standard operating procedures are followed by all staff, and all staff receive professional development support and supervision
Develops, implements, and evaluates client policies, practices, and procedures in conjunction with the Operations Director
Ensures oversight of each residences’ program planning, staffing, and ensures compliance with all policies, procedures, and regulations under the direction of the Operations Director
Participated in recruiting, conducted interviews, and makes determination to hire staff
Responsible for onboarding, supervising, and evaluating staff
Oversaw the development and implementation of resident’s support/recovery plans, goals, and objectives
Ensured the maintenance of all training records to meet compliance
Complies with all regulatory standards set forth by OPWDD, DOH, Medicaid and Mental Hygiene Laws
Reviewed, and approved all weekly and monthly billing, in Precision Care
Approved employee timesheets and requests for time off in Paycom
Communicates effectively, professionally and with a person-centered approach with residents, service providers, and other involved parties including family members and advocates on behalf of both the individuals and the agency
Serve on committees as required- i.e., Internal Review Committee; Human Rights Committee; Strategic Planning committee
Program Coordinator
RISE Life Services, An Aid to The Developmentally Disabled Company
01.2020 - 11.2020
Function as a QIDP (Qualified Intellectual Disability Professional) for assigned Sites
Ensure adequate supervision and staffing of each assigned location based on minimum staffing
Oversee and provide supportive direction to Residential Managers, Assistant Managers, and staff
Actively participate in all team meetings (CFA/IDT/OTHER)
Supervise and approve employee hours including timecards, requests for time off and overtime
Oversee completion of critical billing documentation
Review/audit documentation of Individuals’ progress, records, and site-based documents during unannounced visits (fire evac plans, logs, etc.)
Adhere to mandate policy regarding reporting of incidents as outlined in OPWDD Justice Center reporting
Approved employee timesheets and requests for time off in Paycom
Assist in the development of agenda items to be presented to staff in monthly meetings
Invest in and retain valuable team members
Participate in internal QI support visits, as well as external surveys/audits
Resident Manager
RISE Life Services, An Aid to The Developmentally Disabled Company
10.2019 - 01.2020
Provided supervision to Assistant Manager and Direct Support Professionals including, training, supervising, regular staff meetings, weekly schedules, on-going development, and performance evaluations
Participate in all CFA/IDT meetings
Develops Plans of Protective Oversight for the residence and everyone we support
Review, goals and plans on a regular basis for accuracy
Maintain accounts for the individuals living in the residence, personal allowance
Review Assistant Manager Checklist on a weekly basis, verifying that information is accurate
Review all documentation on at least a monthly basis, making recommendations to Assistant Manager for any deficiencies
Report all incidents to immediate supervisor verbally
Review all incident reports for accuracy prior to submission
Provide all follow-up documentation to Program Coordinator
Submit required documentation to the Human Rights Committee on an annual or as needed basis
Maintain site in safe, clean, and working order
Submit Work Order requests for all physical plant issues, as well as purchase requests for supplies needed
Manage petty cash
Submitted weekly billing
Approved employee timesheets and requests for time off in Paycom
Provide direct training and supervision to staff in all areas of Daily Living Skills, but not limited to self-care skills, meal preparation, household chores, money management
Ensured staff attend all scheduled training on time and when scheduled
Expenditure Specialist III
Patient Advocate Foundation
11.2017 - 09.2019
Respond to and process patients’ request for assistance
Facilitate the claim process to insure accurate and prompt payment of claims
Thoroughly explain intent of program to patients
Educate approved callers on program guidelines including verification of diagnosis requirement, claims submission process and, when applicable, income verification process
Process all assigned expenditure requests in a timely manner that is consistent with established program guidelines
Prepare required proof of expenditures and ensure requested expenses comply with program guidelines and submit to finance for processing
Screen new calls to identify the patients who are within the scope of services
Inform applicants of eligibility for assistance after completion of the application
Make appropriate referrals to alternative resources when program is unable to assist using referral lists
Ninety-five percent established quality, data collection and production performance benchmarks with a score of 95% and higher
Communicate with Floor Supervisor when situations arise that require additional guidance or supervisory assistance
Effectively Research and resolve challenging patients accounts for all disease silos
Follow Patient Advocate Foundation’s policies, procedures, and departmental Standard Operating Procedures
Medicare Patient Account Representative
Bayview Physicians
06.2015 - 11.2017
Verified Medicare eligibility and updated accounts, as necessary
Completed all smart edits and forwarded to other personnel if necessary
Researched hospitalist denials made proper adjustments and rebilled claims
Appealed claims for underpayment and/or no pre-certificates and authorizations
Completed all related requests and correspondences from insurance companies
Assisted Self Pay team members in resolving patient's account balances
Researched and responded to all insurance inquiries received by telephone
Updated patient's insurance information and initiated account adjustments
Submitted documentation for overpayment and/or claims billed incorrectly
Billed skilled nursing facilities when appropriate
Notified patients with Coordination of Benefits issues
Billing Clerk
All About Kids
09.2013 - 06.2015
Processed daily treatment logs received from therapists and transfer data onto CLAIMS and Early Intervention System
Maintained required session log notes and billing forms to ensure State compliance
Maintained quality assurance and implemented solutions to outstanding problems related to therapist billing
Submitted all ABA Early Intervention Program billing for Brooklyn and the Bronx
Completed all Service Coordination Units for Queens, Brooklyn, and Bronx
Verified correct ICD-9 and CPT Codes for billing purposes
Created daily vouchers in CLAIMS and Peachtree, tracked payments received
Collected data for finance department
Office Manager
PDS Mental Health Agency
05.2010 - 09.2012
Answer telephones
Verify Medicaid eligibility
Complete bi-weekly payroll process using ADP system
Processed employee wage withholdings/garnishments
Entered new hires, terminations, information changes
Maintain payroll reports
Screen applicants/conduct background checks
Generate offer letters for new hires
Maintained current Accounts Payable and Accounts receivables
Maintained vendor invoices
Maintained monthly receipts/purchases for business charge card
Collected weekly client notes, signature sheets and time sheets
Maintained all patient information to complete Medicaid billing process
Coordinate monthly staff meetings
Complete payroll process, tax deductions
Business Office Manager
Morningside Assisted Living
04.2006 - 04.2010
Ensure appropriate screening of applicants/conduct background checks
Manage all pre-employment paperwork
Coordinate and conducted new hire orientation
Maintained employee and residential patient files
Processed wage withholdings, garnishments
Supervised Receptionists/housekeepers
Conducted exit interviews
Increased patient ancillary charges by 100 percent
Reduced patient collection balances
Enrolled employee in benefits programs, FMLA/personal/medical leave
Served as Worker’s Compensation Coordinator
Maintained OSHA safety logs
Complete bi-weekly payroll process in Kronos system, maintain payroll reports
Submitted Long Term Care Insurance claims
Entered Daily/Monthly Census Reports
Reconciled Petty Cash, A/R, A/P/Created purchase orders in electronic system
Completed unemployment hearings and provided proper information
Responded to resident/vendor inquiries regarding billing invoices