Team-oriented healthcare management professional with experience in healthcare administration, seeking to use my medical knowledge and leadership skills to guide a team of administrative staff. Proficient with organizational change.
Overview
6
6
years of professional experience
Work History
Financial Authorization Associate
Mount Sinai Hospotal
12.2024 - Current
Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of the authorization process.
Prevented potential errors by thoroughly reviewing documentation before submitting it for final approval or denial.
Contributed to the continuous improvement of authorization processes through regular feedback and suggestions during team meetings.
Streamlined authorization processes by implementing efficient procedures and documentation.
Coordinated closely with insurance providers, ensuring that all required information was accurately submitted during the authorization process.
Enhanced customer satisfaction with quick response times and accurate information for authorization requests.
Managed high-priority authorization cases with a focus on prompt resolution and minimal disruption to business operations.
Handled escalated customer inquiries regarding their authorizations professionally while maintaining adherence to company policies.
Maintained a high level of professionalism and confidentiality while handling sensitive customer information during the authorization process.
Maintained detailed records of authorization decisions, ensuring accuracy and easy retrieval for future reference.
Verified insurance eligibility and benefits and updated insurance information.
Collaborated with team members to complete high volumes of authorization cases in a timely manner.
Expedited urgent authorization requests, providing exceptional service to customers in need of immediate assistance.
Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.
Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
Lead Intake Care Coordinator
Little Leaf/Discovery ABA Therapy
09.2023 - 06.2024
Works closely with the assigned Family Support Coordinator team to support the case management and provide support to team supervisor. The Family Support team is the ‘face’ of the Little Leaf ABA Therapy for Help-line callers, healthcare facilities and referring providers. Creates referral records and conduct consistent follow up to ensure efficient processing of all Behavioral therapy, new referrals and authorizations. Monitors the Intake Helpline and provides answers to basic questions about the ABA program, knowing when to take a message and escalate to a supervisor or the assigned BCBA. Assists with medical and operations director in assessing psychological evaluations to determine services provided.
Finance Coordinator
Mt. Sinai Hospital
05.2023 - 07.2023
Verified insurance benefits for patients, determined patient liability and coordinated payment of uncovered medical expenses. Assisted patients with insurance and payment issues and resolved problems as necessary. Monitored, recorded all cash disbursements, expenditures and receipts of department. Ensured timely effective and accurate record keeping.
Chief of Staff/Change Management Director
214 Empire Connections PLLC
06.2022 - 04.2023
Oversee the change management strategies and assessed the difficulties of implementing change within the institutional structure and develop solutions. Assisted employees to implement a project that overhauled a company-wide operating system and adjusting to changes in their responsibilities. develop effective strategies for your institution to cope with change and coordinated these strategies throughout the office.
Office Manager/Change Management Lead
Alicia Almendral, MD
08.2019 - 06.2022
Provided strategic advice and guidance to functional areas, including coordinating with subject matter experts to identify training requirements and designs holistic, integrated training plans to drive adoption of the health systems, processes and programs. Identified and anticipates organizational challenges and/or resistance; developed risk mitigation plans and managed resolution of potential organizational obstacles. Served as a liaison with internal partners and subject matter experts to enhance and align change management approach and drive project management. Provided regular updates to clinicians as requested or needed.
Senior Director of Risk Management at Mount Sinai Beth Israel, Mount Sinai Downtown, Mount Sinai Brooklyn, YorkSenior Director of Risk Management at Mount Sinai Beth Israel, Mount Sinai Downtown, Mount Sinai Brooklyn, York
Registered Nurse- Operating Room at Mount Sinai Health System: The Mount Sinai HospitalRegistered Nurse- Operating Room at Mount Sinai Health System: The Mount Sinai Hospital
Medical Assistant - Emergency Department at Mount Sinai Morningside / Mount Sinai QueensMedical Assistant - Emergency Department at Mount Sinai Morningside / Mount Sinai Queens