Krystine Liang
Brooklyn,NY
Summary
Meticulous and knowledgeable Compliance Manager with a over 6 yearsrecord of success in policy development, program management, risk mitigation and operational planning. Proficient in maintaining regulatory compliance and correcting systemic issues in collaboration with business managers. Team-focused, consistent and diplomatic with a focus on building strategic alliances and enhancing company standing.
Overview
9
9
years of professional experience
Work History
Sr Compliance Manager
True Care Home Care
Brooklyn , NY
02.2022 - Current
- Developed and implemented comprehensive compliance programs to ensure adherence with applicable laws and regulations.
- Monitor changes in laws and regulations to ensure ongoing compliance. Conduct periodic risk assessments to identify potential compliance risks and develop mitigation strategies.
- Develop, update, and communicate compliance policies, procedures, and standards to all relevant stakeholders
- Collaborate with internal departments to ensure policies and procedures are effectively implemented and followed.
- Develop and deliver a detailed Compliance training program and material to internal staffs quarterly, ensure team member to present the most updated regulations and company policies to new hires.
- Conduct periodic internal reviews or audits to ensure that compliance procedures are followed.
- Create and develop a Compliance data base, update all compliance regulations, forms, and training process accordingly.
- Maintain a confidential operation requiring a high degree of tact and sensitivity.
- Generate data and reports from the system, and analyze all reports and assign to team members to follow up.
- Overseeing compliance audits and risk assessments and implementing their findings
- Coaching, mentoring and driving decision making for the compliance team
- Established effective communication channels between departments for efficient information flow related to compliance matters.
- Performed new hires audits on company compliance.
- Resolved discrepancies between payroll records and timekeeping systems.
- Prepared reports related to wages, taxes, garnishments, 401K contributions and benefits packages.
- Verified accuracy of employee hours worked, pay rate changes, deductions, bonuses, and other payroll data.
Compliance Manager
True Care Home Care
Brooklyn, NY
02.2022 - 01.2023
- Organized initiatives, drafted documentation and enforce compliance with best practices.
- Performed new hire and current employee audits followed by Department of Health regulations and company environmental compliance.
- Troubleshoot and resolve most problems in multiple areas of Human Resources and Compliance, such as pay rate issue, employee benefits, pay time off and update personnel documents
- Partners with managers to plan, analyze, and develop staffing needs ar.id determine organizational structure
- Identifies employee needs with regard to performance problems, training options, and career development and makes recommendations accordingly
- Conducted regular training sessions for compliance team members to ensure they were up to date on regulations and industry standards.
- Biweekly one on one meeting to identify team members needs and concern
- Perform probation/mid-year/ annual evaluation with team members
- Maintains compliance with state and federal regulations concerning employment
- Counsels’ employees regarding human resources policies, procedures, and practices
- Assign tasks to team members, and monitor performance evaluation process
- Delegate authority and responsibility to team with supervision, accountability and review
- Maintained compliance frameworks, policies and documentation to support audits.
- Planned and executed compliance audits to check company policies, procedures and controls.
Compliance Specialist
True Care Home Care
Brooklyn , NY
09.2017 - 02.2021
- Assist with the recruitment process by identifying potential candidates, performing reference checks and issuing employment contracts.
- Prepare for recruitment events, promote company benefits and recruit qualified home health aide from the event.
- Contact potential candidates to schedule OHS/fingerprint (as needed), extend preliminary offer and send onboarding documents
- Prepares materials, track and provide assistance for all aspects of in-service classes, including but not limited to instructing Home Health Aides on non-clinical materials and requirements.
- Host orientation and in service classes for new hires and current employee weekly.
- Provides assistance for Home Health Aide Training Program in interviewing, verifying documents through E-verify system for I-9 purposes. Prepare and submit criminal background checks, including check state exclusion list (Office of Inspector General, Office of Medicaid, and Inspector for any involvement in fraudulent activities as it relates to Medicaid.
- Kept up-to-date with compliance knowledge, internal policies, procedures and DOH regulations.
- Provide professional customer service to answer any HR/ Compliance related questions and requests from employees
- Collaborated with leadership to devise strategies to improve processes and risk controls as well as implement new systems and best practice guidelines.
- Monitors and schedules all Home Health Aides in the updating of all personnel requirements and completing all necessary follow-up, i.e. physicals, tuberculin tests, in-service programs, I-9 document updates etc.
- Prepares and updates personnel profiles for all active Home Health Aides on all data base system on a timely basis. Filing all incoming personnel documents in a timely manner in appropriate location
Enrollment Coordinator
Extended Managed Long Term Care
Staten Island, NY
09.2015 - 06.2017
- Review all potential enrollments to ensure cases eligibility for New York State MLTC enrollment.
- Answer calls from interested parties for potential enrollment cases, and provide timely assistance to enrollees with various types of long-term care inquiries
- Collaborate with Medicaid Specialist regarding Medicaid related issues and with Intake Nurse and clinical manager to ensure smooth and accurate enrollments
- Schedule assessments for potential members with Enrollment Specialists
- Track and resolve issues that are causing delays in a prospect's enrollment
- Provide critical review for DOH forms, CDPAS applications and agreements for potential applicants
- Schedule CFEEC Evaluations and conduct Warm Transfer for potential enrollees
- Translate for Enrollment Specialist and potential enrollees as needed
- Prepare weekly and monthly enrollment roaster and present to enrollment manager & enrollment director
Medical Biller/Receptionist
WL Medical PC
New York , NY
01.2015 - 06.2017
- Warmly greet and direct patients, vendors, and visitors as they enter the practice.
- Schedule new appointments and coordinate follow up appointments.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Check-in patients upon arrival and assist with completion of paperwork when needed.
- Address questions specific to insurance benefits and coverage and escalate questions to Billing Team when appropriate.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
Education
Associate of Arts - Liberal Arts And General Studies
Borough of Manhattan Community College of The City University of New York
New York, NYBachelor of Science - Health and Nutrition Study
Brooklyn College of The City University of New York
Brooklyn, NYSkills
- Audit Oversight
- Trilingual speaking
- Project Management
- Data Analysis
- Regulatory Documentation
- Investigative Skills
- System Management
- Regulatory Compliance Oversight
- Leading Audits
- Onboard Training
- Incident Response
- Payroll Oversight
- Customer Services
- Working Collaboratively
- Team Management
- Reliable and Trustworthy
- Relationship Building
- Decision Making
- Training & Development
- Data Management
- Creative Problem Solving
- Benefits Explanation
- Termination Procedures
Languages
English
Full Professional
Chinese (Cantonese)
Native/ Bilingual
Chinese (Mandarin)
Native/ Bilingual
References
References available upon request.
Timeline
Sr Compliance Manager
True Care Home Care
02.2022 - Current
Compliance Manager
True Care Home Care
02.2022 - 01.2023
Compliance Specialist
True Care Home Care
09.2017 - 02.2021
Enrollment Coordinator
Extended Managed Long Term Care
09.2015 - 06.2017
Medical Biller/Receptionist
WL Medical PC
01.2015 - 06.2017
Associate of Arts - Liberal Arts And General Studies
Borough of Manhattan Community College of The City University of New York
Bachelor of Science - Health and Nutrition Study
Brooklyn College of The City University of New York
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