CLAUDIA FRANCOIS
Healthcare Administration
Baldwin ,NY
Summary
An experienced healthcare administrator with expertise in medical data input and extractions over 10 years within patient care. My experience includes utilization of electronic medical records EMR/EHR data entry, ICD-9/10 and CPT codes, proficient in clinical record analysis, medical charting, coordinating, and providing inpatient/outpatient clinical care services to patients. I have exposure in responding to Department of Health (DOH) inquiries regarding regulatory and compliance matters and quality services.
I have clinical experience working in major university teaching and specialty hospitals, fast-paced reputable free standing radiology facilities, and community-based healthcare centers and programs. My hospital base clinical experience includes working with nurses and other healthcare/ medical providers on a busy medical-surgical unit, a cardiovascular-telemetry care unit, obstetrics and antepartum unit, and a physical medicine rehabilitation service unit.
Overview
13
13
years of professional experience
5
5
years of post-secondary education
Work History
Patient Access Coordinator
Weil Cornell Medicine
New York, NY
01.2023 - Current
- Collaborated with Providers and their team members to stay current on new policies, orders, and referrals.
- Participated in team meetings and training sessions to stay informed about policy updates and changes.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing patient needs and resolving concerns.
- Actively listened to patients, handled concerns quickly and escalated major issues to supervisor.
- Collaborated with staff members to enhance customer service experience and exceed team goals through effective patient satisfaction rates.
- Responded to patient requests for appointments, services, and company information.
- Offered advice and assistance to patients, paying attention to special requests and needs.
- Handled customer inquiries and suggestions courteously and professionally.
- Updated account information to maintain customer records.
- Filed and maintained patient records in accordance with HIPAA regulations.
Healthcare Administrator
ST FRANCIS DIAGNOSTICS
East Hills, NY
06.2021 - 01.2023
- Manage insurance inquiries, authorization of medical services, medical billing audits, and verified authorizations through insurance companies
- Conduct data analysis to support clinical services, quality improvement reviews and clinical services investigations
- Participate in interdisciplinary care team meetings and team huddles
- Schedule appointments and prep patients on following guidelines for Cat scans, Pet scans, MRI and ultrasound tests
- Develop and implement performance improvement strategies and plans to promote continuous improvement
- Knowledge of medical terminology
- Built relationships with primary care and specialty physicians, pharmacists and nurses to have proper exams given
- Identify issues, analyzed information and provided solutions to problems
- Respond to patient concerns with friendly and knowledgeable service and remedied issues promptly and effectively.
- Coordinate and manage patient files and databases.
- Maintain productivity and quality standards at all times.
- Kept patient satisfaction with forward-thinking strategies focused on addressing patient needs and resolving concerns.
- Work within applicable standards, policies and regulatory guidelines to promote safe working environment
- Help large volume of patients every day with positive attitude and focus on patient satisfaction.
Scheduler Specialist
ZWANGER-PESIRI RADIOOLGY
Farmingdale, NY
06.2019 - 04.2020
- Optimized organizational processes by effectively managing patient schedules while adhering to contractual restrictions.
- Coordinated schedules with surgeons, nurses, and other healthcare professionals
- Scheduled and booked appointments for consultations, surgeries, and follow up visits
- Conducted follow up care with patient's post-appointment
- Knowledge of healthcare terminology highly desired to read prescriptions of Healthcare providers
- Entered daily data in computer systems and documented office activities.
- Advanced communication and organization skills
- Addressed client inquiries and updated database information
- Acted as first point of contact and set appointments for prospective clients.
- Handled complaints and questions, and re-directed calls to other team members.
- Balanced employee availability, patient schedules and maximum load levels when scheduling appointments.
- Routed incoming mail and messages to relevant personnel without delay.
Unit Receptionist
NORTHWELL HEALTH
New Hyde Park, NY
05.2012 - 12.2018
- Developed and maintained current and efficient program system within unit distinguishing patient's medical condition
- Knowledge of medical terminology
- Answered inquiries and resolved or escalated issues to management personnel for problem resolution.
- Assisted internal staff with clerical and administrative needs to maximize efficiency and team productivity.
- Prepared variety of different written communications, reports and documents.
- Welcomed patients with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
- Interviewed patients
- Input data of newborn information into New York City department of Health
- Confirmed appointments, communicated with clients and updated client records.
- Monitored and screened visitors to verify accessibility to inter-office personnel.
- Maintained sufficient inventory of office supplies
Volunteer
MERCY MEDICAL CENTER
Rockville Centre, NY
02.2018 - 04.2018
- Rehabilitation
- Observing and assisting and helping patients alongside an Occupational and Physical Therapist
Education
Master of Science - Public Health Education
Suny Downstate Health Sciences University
Brooklyn, NY 06.2024 - Current
Certification of Professional Heathcare Quality - Certification
NAHQ
Illinois City, IL 12.2024 - Current
Bachelors of Science Degree - Health Promotion Management
YORK COLLEGE, Queens Comprehensive Perinatal Council
09.2010 - 01.2013
Associate of Arts Degree - Liberal Arts And General Studies
NASSAU COMMUNITY COLLEGE/SUNY Empire
Garden City, NY 09.2006 - 06.2008
Skills
Administrative support
Timeline
Certification of Professional Heathcare Quality - Certification
NAHQ
12.2024 - Current
Master of Science - Public Health Education
Suny Downstate Health Sciences University
06.2024 - Current
Patient Access Coordinator
Weil Cornell Medicine
01.2023 - Current
Healthcare Administrator
ST FRANCIS DIAGNOSTICS
06.2021 - 01.2023
Scheduler Specialist
ZWANGER-PESIRI RADIOOLGY
06.2019 - 04.2020
Volunteer
MERCY MEDICAL CENTER
02.2018 - 04.2018
Unit Receptionist
NORTHWELL HEALTH
05.2012 - 12.2018
Bachelors of Science Degree - Health Promotion Management
YORK COLLEGE, Queens Comprehensive Perinatal Council
09.2010 - 01.2013
Associate of Arts Degree - Liberal Arts And General Studies
NASSAU COMMUNITY COLLEGE/SUNY Empire
09.2006 - 06.2008
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