Franshelyn Collazo Irizarry
Davenport,FL
Summary
Highly organized and detail-oriented professional with a strong work ethic and dedication to achieving goals. Skilled in developing and maintaining documentation systems, managing calendars, and preparing reports. Demonstrates strong analytical, communication, and teamwork skills, with a proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings a positive attitude and commitment to continuous learning and growth.
Overview
13
13
years of professional experience
1
1
Certification
Work History
HEDIS Coordinator
Gessler Clinic PA
04.2019 - 08.2024
- Analyze, develop and implement activities to increase compliance rates as measured by nationally standardize benchmarks implements, and follow up with corrective action plans
- Entered data, generated reports, and produced tracking documents.
- Improved team productivity with regular communication and progress updates, fostering collaborative work environment.
- Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
- Responsible for entering data into HEDIS software system
- Follow up on missing clinical information.
- Utilized advanced analytical skills to identify and resolve discrepancies in reported HEDIS measure results.
- Improved HEDIS performance by conducting thorough medical record reviews and data extraction.
- Researched and validated clinical data.
HEDIS Representative and Chronic Care Program Specialist
Bond Clinic P.A.
03.2017 - 04.2019
- Part of my duties are to promote high quality health care to each patient, including medical record review, making calls to make follow up to patients who have Chronic disease, analyze inpatient and discharge list from different hospitals in order to provide doctors this information for them to follow up.
- Entered data, generated reports, and produced tracking documents.
- Enhanced patient satisfaction by responding promptly to inquiries and addressing concerns professionally.
- Managed project timelines for successful completion, ensuring milestones were met and deadlines were adhered to.
Quality & HEDIS RN
Humana
01.2019 - 03.2019
- HEDIS medical record review abstraction
- Responsible for entering data into HEDIS software system
- Follow up on missing clinical information.
- Improved HEDIS reporting accuracy by conducting thorough field reviews and data validation.
- Collaborated with team members to develop consistent methodologies for HEDIS data collection and analysis.
- Participated in team meetings and ongoing training sessions for professional development purposes, staying current with industry best practices regarding HEDIS measurement standards.
Quality Control Analyst
Triple S SALUD
01.2012 - 03.2016
- Part of my duties is to ensure and promote high quality health care, according to CMS regulations, ASES and Triple S miSalud; Including audits of medical records and health care facilities, guidance to suppliers and staff, for HEDIS; data collection and compilation for 5-star ratings at Triple S Advantage.
- Contributed to development of training materials for new HEDIS reviewers, promoting consistent approach to data collection.
- Participated in ongoing professional development opportunities to stay current with industry best practices for HEDIS review and reporting.
- Maintained strict adherence to HIPAA regulations while handling sensitive patient information during review process.
- Improved HEDIS performance by conducting thorough medical record reviews and data extraction.
Education
Bachelor of Science in Nursing -
Pontifical Catholic University of Puerto Rico
Ponce, PR12.2010
Skills
- Good organization and time management
- Experience with statistical data collection and capabilities in quality analysis
- Strong sense of responsibility
- Ability to work independently
- Bilingual
- Efficient in Technology (Electronic Records, Microsoft Office)
- Ability to work under pressure and excellent performance in teamwork
- Ability to learn new tasks quickly
- Medical record review
- HEDIS Compliance
- HIPAA knowledge
- Audit preparation
Certification
Registered Nurse, Florida
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
HEDIS Coordinator
Gessler Clinic PA
04.2019 - 08.2024
Quality & HEDIS RN
Humana
01.2019 - 03.2019
HEDIS Representative and Chronic Care Program Specialist
Bond Clinic P.A.
03.2017 - 04.2019
Quality Control Analyst
Triple S SALUD
01.2012 - 03.2016
Bachelor of Science in Nursing -
Pontifical Catholic University of Puerto Rico
Registered Nurse, Florida
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