Elena Colon
Youngstown,OH
Summary
Organized, detail-oriented, efficient and resourceful individual with 10 years' management experience for a large healthcare organization supporting 7 locations, 4 outpatient addiction treatment centers, 100K+ patients, and nearly 300
employees with a successful record of increasing department efficiency, reducing errors and eliminating bottlenecks.
Diligent commitment to improving and streamlining processes for maximum productivity. In-depth knowledge of HIPAA constraints, enchant management protocols.
Overview
15
15
years of professional experience
Work History
Triage Team Lead
Personify Health
09.2023 - Current
- Lead and mentor a team of triage specialists, overseeing intake assessments, case creation, stop loss, and appropriate case assignments.
- Conduct one-on-one meetings with staff who are not meeting performance metrics to provide support, address concerns, and guide improvement toward organizational standards.
- Monitor team workloads to identify potential bottlenecks and proactively redistribute assignments to ensure balanced productivity.
- Independently conduct COC reviews and make determinations based on clinical necessity, plan provisions, and member-specific circumstances.
- Collaborate with clinical and non-clinical teams to improve workflow efficiency.
- Increased customer satisfaction by ensuring timely completion of projects, reporting, and adherence to high-quality standards.
- Maintained database systems to track and analyze operational data.
- Coordinated team setup in organizational systems and led training sessions to ensure smooth onboarding and effective system use for south region.
- Oversee daily operations of two shared organizational email boxes, ensuring timely review and distribution of messages to relevant departments or staff.
Medical Records Coordinator/Health Information Manager
ONE Health Ohio
Youngstown, OH
04.2015 - 09.2023
- Supervised performance of all medical records operations by overseeing department reports, reviewing data for trends, and identifying department needs.
- Supervised and processed the release of all medical, mental health, and substance abuse records requests from outside entities according to facility, state and federal laws.
- Performed and supervised Payor and governing body chart audits including HEDIS, the State medical Board, legal entities and others as mandated by law.
- Identified new methods to optimize medical records management.
- Responsible for training and supervising clinical, clerical, and professional staff regarding the contents, confidentiality, and security of records.
- Responsible for organizing the storage, archiving, retrieval, and destruction of records in accordance with applicable laws.
- Audited intake documentation processes to maintain consistent quality assurance practices.
- Maintained accuracy, completeness and security for medical records and health information.
- Demonstrated leadership skills and exercised judgment within generally defined practices and policies when selecting methods and techniques in problem solving.
- Participated in cross-functional teams related to departmental initiatives and participated in educational opportunities as required.
- Maintained a high level of customer service by responding promptly to questions or concerns from patients, visitors, and staff.
Referral Source Coordinator/ Program Case Manager
Universal Health Systems
Orlando, FL
09.2010 - 03.2014
- Observed and documented patient behaviors to form a part of how care was determined for each patient
- Maintained complete and accurate records and data logs
- Responsible for the completion of admission reporting
- Responsible for the SIPP patient's discharge planning
- Responsible for coordinating the release of medical correspondence and information in accordance to policies, federal/state laws and statutes
Education
Associate of Science - Health Information Technology
National College
Youngstown, OH05.2010
Skills
- Knowledge of state and federal privacy practices and laws
- Internal and external audits and record reviews
- Medical records management
- HIPAA Compliance
- EMR
- Staff supervision, education, training, and coaching
- Excellent organization, time management, and project management skills, including critical thinking and problem solving
- Research and analyses
- Microsoft Word, Microsoft Excel, Outlook, TEAMS, ONE Note, PowerPoint
- Written and verbal communication skills
- Collaboration
- Leadership
- Process improvement
Affiliations
- Alpha Beta Kappa National Honor Society
Timeline
Triage Team Lead
Personify Health
09.2023 - Current
Medical Records Coordinator/Health Information Manager
ONE Health Ohio
04.2015 - 09.2023
Referral Source Coordinator/ Program Case Manager
Universal Health Systems
09.2010 - 03.2014
Associate of Science - Health Information Technology
National College