Summary
Work History
Education
Skills
Timeline
Generic

Crystal Quinones

Yonkers,NY

Summary

Experienced, self-sufficient, and determined Logical Compliance Auditor adept at ensuring adherence to regulatory guidelines. Skilled at monitoring and ensuring compliance with regulations while maintaining a professional attitude and demeanor.

Work History

Compliance Team Leader

Premier Home Health Care Services
White Plains, NY
2018 - 08.2024
  • Ensured that all documents/files were maintained and HIPAA regulations were adhered to.
  • Conducted compliance audits of branch offices to ensure that the branches were adhering to the organization's policies and procedures, Joint Commission standards, and state regulations.
  • Prepared written reports that summarized review findings for CCO review.
  • Provided in-services and educational materials on subjects pertinent to audits conducted
  • Developed and implemented assessment/audit tools according to required regulations and practices.
  • Assisted in the development and revision of compliance and privacy training materials
  • Developed and maintained audit review schedules for all offices
  • Make recommendations and develop tools to support program improvement
  • Participate in agency-wide quality improvement initiatives
  • Participated in the implementation of compliance policies throughout the organization.

Receptionist / Data Entry

Premier Home Health Care Services
Brooklyn, NY
07.2001 - 2002
  • Entered applicant and new hire data into software, ensuring accuracy and compliance.
  • Greeted and announced all visitors, managing both scheduled and unscheduled appointments.
  • Handled multi-line phone systems, directing calls efficiently to appropriate departments.
  • Processed and distributed a high volume of daily mail, ensuring timely delivery.
  • Acted as a liaison between departments, facilitating smooth communication and workflow.

Personnel Auditor

Premier Home Health Care Services
White Plains, NY
2008 - 2017
  • Conducted internal audits for 25+ branches ensuring compliance with policies and regulations.
  • Reviewed clinical charts for adherence to company standards and state regulations.
  • Developed detailed audit reports with findings and corrective action recommendations.
  • Trained new employees on compliance responsibilities, enhancing team efficiency.
  • Traveled to support branch audits, ensuring consistent compliance across locations.

Compliance, Staffing and Payroll Coordinator

Premier Home Health Care Services
Yonkers, NY
2002 - 2008
  • Participated in general office administrative operations to ensure business continuity.
  • Maintained client schedules efficiently and appropriately.
  • Managed client/contract satisfaction with appropriate customer service, communication, and follow-ups.
  • Supervised and overseen all branch field paraprofessional personnel charts.
  • Assisted with the preparation of the office's operational plan and participated in its implementation.
  • Supported operations manager with intake coordination tasks from all referral sources.
  • identified and assisted with any issues that may arise with regard to the payroll process workflow.
  • Reviewed and edited field time sheets for accuracy and completeness.
  • Performed payroll verification for approved timesheets.
  • Followed up with any errors and omissions on timesheets in order to correct and process in the current week.
  • Scanned timesheets.
  • Assisted with general office duties, i.e., answering the phones, copying, and filing.
  • Performed other duties as assigned.

Education

GED -

Drake Business School
The Bronx, NY
11-2000

Some College (No Degree) - Business Administration

Phoenix University
Tempe, AZ

Skills

  • Strong writing, assessment, planning and analytical skills
  • Ability to facilitate trainings
  • Exemplary attention to details
  • Ability to use computer systems (Word, Excel, etc)
  • Knowledgeable of required Federal and State regulations, including billing standards
  • Knowledge of compliance regulatory standards and laws: Mandatory Compliance Regulations, Federal False Claims Act, Healthcare Fraud Statute

Timeline

Receptionist / Data Entry

Premier Home Health Care Services
07.2001 - 2002

Compliance Team Leader

Premier Home Health Care Services
2018 - 08.2024

Personnel Auditor

Premier Home Health Care Services
2008 - 2017

Compliance, Staffing and Payroll Coordinator

Premier Home Health Care Services
2002 - 2008

GED -

Drake Business School

Some College (No Degree) - Business Administration

Phoenix University

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Crystal Quinones