Crystal Fleming
Brooklyn,New York
Summary
Healthcare manager with extensive experience in implementing complex programs, championing quality initiatives and leading performance improvement projects in service delivery, analytics, communications and customer satisfaction. Strong decision maker with a passion for leading teams to successful outcomes and the use of data to deliver desired outcomes.
Overview
23
23
years of professional experience
Work History
Senior Medical Secretary
NYU Langone Orthopedic Center
09.2023 - Current
- Advised delegation oversight management on the development of contractual language focusing on the delegation of Medicaid care coordination services
- Assisted in accurate diagnostic coding for billing purposes, collaborating closely with medical providers to ensure proper documentation.
- Contributed to the overall success of the practice by consistently exceeding performance expectations in terms of productivity, accuracy, and professionalism.
- Acted as an advocate for patients seeking assistance with navigating complex health insurance requirements or obtaining medication prior authorizations.
- Ensured continuity of care for patients transitioning between providers or facilities by effectively coordinating required referrals.
- Decreased wait times for patients, effectively prioritizing urgent cases and managing physician schedules accordingly.
- Streamlined office operations for increased efficiency, organizing medical records and maintaining patient confidentiality.
- Assisted clinicians in the development of effective care plans by gathering relevant patient history information upon intake and .
- Facilitated patient flow in the department by coordinating appointments and preparing examination room utilization with necessary space and time management.
- Supported practice growth initiatives through conducting team meetings and review of monthly department productivity
- Reduce administrative errors by creating comprehensive training materials for new medical secretary staff members.
- Manage master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Improve interdepartmental communication by serving as a liaison between physicians, nurses, and other healthcare professionals.
Medical Administrative Secretary
NYU Langone Orthopedic Center
05.2012 - 09.2023
- Special Projects Manager leading enterprise project teams in large and small quality improvement projects to address administrative, operational and performance initiatives. Project sites included the Department's Federally Qualified Health Centers across King County
- EPIC Practice Management/Electronic Health Record System implementation team responsible for enterprise's Health Information Technology needs
- Contributed to smooth daily clinic operations by managing telephone lines, directing calls appropriately and taking detailed messages when needed.
- Ensured continuity of care for incoming patients through thorough documentation in electronic health record system during transitions between appointments.
- Served as liaison between healthcare providers and patients'' families, ensuring clear communication regarding treatment plans and progress updates.
- Coordinated multidisciplinary team meetings, facilitating effective communication among healthcare providers for optimal patient care.
- Improved office efficiency by implementing electronic health record system, reducing paperwork and streamlining workflows.
- Reduced errors in medical coding by implementing thorough review process before submitting claims to insurance providers.
- Trained new administrative staff members in proper procedures and protocols, ensuring consistent quality of service for patients.
Patient Care Coordinator
NYU Hospital for Joint Disease
07.2001 - 05.2013
- Performance/compliance audits: billing office, member services, provider services, enrollment
- Annual contract renewals for our three private practice affiliated providers
- Orthopedics Assessment Team member, responsible for making service authorization determinations
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Conducted regular audits of documentation accuracy within the practice management software, addressing discrepancies promptly for better data integrity.
- Assisted in the development of care plans tailored to individual patient needs, improving overall health outcomes.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Evaluated and optimized office workflows for peak efficiency, identifying areas of improvement and implementing necessary changes to better serve patients and staff alike.
- Improved overall organization within the office by implementing electronic filing systems for patient records, reducing time-consuming paperwork processes.
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Ensured regulatory compliance by staying up-to-date on industry standards and best practices related to patient care coordination.
Education
Master of Science - Business Management And Leadership
CUNY School For Professional Studies-Grad Center
New York, NY12.2017
Bachelor of Arts - Public Administration And Services
CUNY City College of New York-CCNY
New York, NY 02.2013
Skills
- Comprehensive Care Management
- Project management
- Interaction with all Insurance plans
- Staff training and development
- Policy development and implementation
- Care Coordination and Health Promotion
- Use of Health Information Technology (HIT) to link services
- set and carry out policies, goals, and procedures for many departments or facilities
Timeline
Senior Medical Secretary
NYU Langone Orthopedic Center
09.2023 - Current
Medical Administrative Secretary
NYU Langone Orthopedic Center
05.2012 - 09.2023
Patient Care Coordinator
NYU Hospital for Joint Disease
07.2001 - 05.2013
Master of Science - Business Management And Leadership
CUNY School For Professional Studies-Grad Center
Bachelor of Arts - Public Administration And Services
CUNY City College of New York-CCNY
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