Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

EDALSE RIVERA

Summary

Healthcare business professional with seven years of administrative, customer service, compliance, performance improvement, diversity and inclusion, supervisory and managerial experience. With the years of experience in addition to my education, training and certifications, I have the experience, knowledge, and skill set to fulfill a leadership role within the industry. I have exceptional verbal and written communication skills both in English and Spanish allowing me to service a significant patient population as well as team members. Possess conceptual knowledge and continued interest in healthcare administration. Efficient Office Assistant with seven years of experience exceling in telephone support and in-person inquiries. Diligent, respectful attitude to dealing with clients and colleagues. Flexible and hardworking approach to streamlining internal processes.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Clerical Associate Level IV

NYC Health + Hospitals
08.2022 - Current
  • Provide professional and quality customer service to patients by following the Mandatory Script and policy and procedures utilizing the EPIC system/ICARE
  • Fulfill assigned tasks as including new and existing patient registration
  • Displayed strong telephone etiquette, effectively handling difficult calls
  • Dispersed incoming mail to correct recipients throughout office
  • Answered telephones, directed calls, to the appropriate departments
  • Assisted with customer requests and answered questions to improve satisfaction
  • Greeted visitors or callers to handle questions or direct to appropriate staff
  • Scanned documents into digital format for storage purposes
  • Document and follow-up with reminder calls, no-show, cycle time TNNA, using EPIC
  • Assist in the proper handling of patients' protected health information to ensure HIPAA compliance; maintain tidy work area, provide clerical coverage as needed
  • Assist the patients with bi-lingual services by using the Cyracom Interpreter Services when needed.

Assistant Office Manager - Clerical Department

New York Psychotherapy and Counseling Center
05.2017 - 08.2022
  • Assistant to Office Management of 35+ Front Desk Receptionist (FDR) front line staff to ensure customer service driven Front Line coverage and operations, ensuring responsiveness to a daily average of 1400+ clients & 600 + average calls center wide
  • Collaborate with agency Senior Leadership, site Administration, Departmental Managers and Supervisors, as well as Therapists and Psychiatrist to ensure compliance and exceptional care for all clients reinforcing Patient Rights
  • Overseeing front line employee relations matters including and not limited staff schedules, conflict resolution, team building, and mediation as needed
  • Overseeing daily distribution and management of front-line operational project management, assignments/tasks, and ensuring Prior Authorization and Lab Requisitions training and development.

Senior Clerical - Clerical Department

New York Psychotherapy and Counseling Center
05.2019 - 05.2021
  • Site Key Holder responsible for opening and closing the clinic ensuring staff safety protocols
  • Providing assistance to FDR clerical duties, task assignments and clerical procedures
  • Completing Prior Authorizations medication approval & Lab Requisitions
  • Provide assistance with the supervision of clerical staff on a daily basics, including with any client relations matters.

Front Desk Receptionist (FDR) - Clerical Department

New York Psychotherapy and Counseling Center
05.2017 - 01.2019
  • Fulfill assigned tasks as including new patient registration, Insurance verification, prior authorizations
  • Greeting all incoming clients, conducting check-ins, schedule follow up appointments, and providing metro cards to clients meeting requirements
  • Practice HIPAA and exceptional customer service through all in-person and phone interactions
  • Processing client requests including medical records requests, forms, letters, and sending to appropriate departments.

Frontend Manager / Bookkeeper

Gristedes / Sloan's
02.2003 - 01.2018
  • Managed and organized all merchandise inventory and data entry
  • Supervised the Frontend operations of the store overseeing all transactions & Cash Deposits
  • Supervised Customer Service Representatives including and not limited to shift coverage and Different
  • Designated Key Holder for the store responsible for safe opening and closing protocols.

Education

BBA - Health Administration Business Management

Berkeley College
New York, NY
2025

Healthcare Office Administration (H.O.A.) - Health Administration

ASA College
New York, NY
02.2017

Skills

  • Report Preparation
  • Expense Reporting
  • Document Management
  • Faxing Documents
  • Microsoft Office
  • Scheduling appointments
  • Scanning Documents
  • Proofreading
  • Mail Sorting
  • Office Administration
  • Customer Service
  • Positive Attitude

Certification

  • Performance Improvement, Information Management, Patient Rights
  • Organizational Work Ethics and Safety and Patient Safety Goals
  • HIPAA: Privacy and Security Awareness
  • Regulatory compliance, continuous quality improvement
  • Computer Skills: EMR - IMA Scheduling & Ring Central
  • Microsoft Office 365 & Microsoft SharePoint
  • Staff supervisory experience including performance evaluation.
  • Excellent organizational and multi-tasking skills; attention to detail, and follow-through; strong research and analytical skills, time management and problem-solving skills, ability to take initiative on projects
  • Bilingual (Spanish) Speaking and Writing
  • Medical Billing, ICD-10 and CPT coding classification system
  • Medical Reimbursement methodologies, Medical Records Management.
  • CPR Certification
  • HIPAA Certification
  • Medical Assistant Certificate (MA)
  • Home Health Aide (HHA)
  • Personal Care Aide (PPA)
  • Phlebotomist Certificate (PBT)

Timeline

Clerical Associate Level IV

NYC Health + Hospitals
08.2022 - Current

Senior Clerical - Clerical Department

New York Psychotherapy and Counseling Center
05.2019 - 05.2021

Assistant Office Manager - Clerical Department

New York Psychotherapy and Counseling Center
05.2017 - 08.2022

Front Desk Receptionist (FDR) - Clerical Department

New York Psychotherapy and Counseling Center
05.2017 - 01.2019

Frontend Manager / Bookkeeper

Gristedes / Sloan's
02.2003 - 01.2018

BBA - Health Administration Business Management

Berkeley College

Healthcare Office Administration (H.O.A.) - Health Administration

ASA College
EDALSE RIVERA