Maria Natal
Southbury,CT
Summary
Seasoned Manager from New York Presbyterian Hospital, adept in leveraging analytical acumen and bilingual capabilities to enhance operational efficiency and patient satisfaction. Demonstrates a strategic mindset and leadership, ensuring seamless coordination across departments and compliance with HIPAA. Achieved significant improvements in billing processes and team performance metrics.
Overview
34
34
years of professional experience
Work History
Financial Clearance Center Manager
New York Presbyterian Hospital- Weill Cornell
New York, NY
01.2017 - Current
- Facilitate team meetings, fostering communication and collaborative problem-solving.
- Oversee the implementation of technology upgrades, improving operational efficiency.
- Mitigate business risks by working closely with staff members and assessing performance.
- Manage the department's day-to-day operations, including staffing, scheduling, budgeting, inventory control, and customer service.
- Collaborate with senior leadership teams on initiatives that would improve overall operations at the center.
- Review Gallup (employee engagement) surveys to identify areas for improvement.
- Ensured compliance with company policies and procedures, and local regulations regarding safety, health, security, and labor laws.
- Create operational plans for the department to maximize efficiency and productivity.
- Foster an inclusive environment, promoting diversity and employee well-being.
- Develop and monitor key performance indicators to track center achievements and goals.
- Coordinate staff recruitment, training, and performance evaluations to enhance team effectiveness.
Admitting Manager
New York Presbyterian Hospital
New York, New York
03.2006 - 01.2017
- Analyze reports to determine training needs, payment trends, timeliness of billing, and efficiency.
- Oversee the payroll process.
- Ensures that performance metrics and targets are in place.
- Troubleshoots and assists teams with the resolution of operational problems.
- Monitors team performance and accountability.
- Assisted in developing new policies and procedures for improving patient experience throughout the admission process.
- Developed strategies to improve the efficiency of the admitting process while maintaining quality assurance standards.
- Responsible for completing Fetal Demise, Induce Abortion, and Death Certificates.
- Determined charges and collected co-pays.
- Recruited, interviewed, and selected employees to fill vacant roles.
- Coordinated the admissions process for patients, including insurance verification and pre-authorizations.
- Maintained communication with physicians, nurses, case managers, and other healthcare professionals regarding patient status changes, or delays in care delivery processes.
- Performed regular audits of admitting documents for accuracy and completeness.
- Guided best practices when dealing with difficult situations involving angry, or distressed patients, or their families.
Admitting Department Supervisor
New York Presbyterian Hospital
New York, New York
06.1999 - 03.2006
- Responsible for the daily in-patient, out-patient, and same-day admissions.
- Manage a staff of 20 employees.
- Ensure that all demographic information is obtained, and that financial screening is done to determine if patients are insured.
- Analyzed performance data to identify areas of improvement for individuals or teams.
- Mentored team members to build confidence, and foster a supportive environment.
- Ensure that the patient's insurance is verified and authorized.
- Act as a liaison between various hospital departments.
- Reconciliation of daily census activity to ensure that patients are admitted to the proper bed, on time.
- Responsible for completing death and medical examiner certificates.
- Established appropriate disciplinary actions when necessary according to established policies.
Patient Financial Advisor
New York Presbyterian Hospital
New York, New York
02.1998 - 06.1999
- Verify and document third party eligibility
- Determine patient liability and obtain authorization for admissions
- Notify patients of financial obligation and establish payment arrangements according to financial process
- Initiate pre-admissions, review quality and completeness of admission data and assign appropriate insurance classification
- Counsel patients regarding payment options and determine qualifications for Medicaid eligibility
- Inform patient of documents required to initiate Medicaid application
Patient Advocate
New York Presbyterian Hospital
New York, New York
09.1991 - 02.1998
- Maintain and file various statistical reports.
- Organized and maintained records by updating and obtaining personal and financial information from patients.
- Responded to requests for room accommodations and patient status to physicians and their support staff.
- Explained complex medical terminology to patients and families in an understandable manner.
- Obtained necessary signatures for privacy laws and consent for treatment.
- Updated reference materials with Medicare, Medicaid, and third-party payer requirements, guidelines, policies, and a list of accepted insurance plans.
- Communicated financial obligations to patients and collected fees at the time of service.
- Provided emotional support to patients and their families during difficult times.
- Helped patients understand care, coverage, and payment responsibilities and rights.
- Applied HIPAA privacy and security regulations while handling patient information.
- Organized patient records and updated information in the hospital database system.
- Facilitated communication between providers, patients, and family members.
- Advocated for patients' rights when dealing with third-party payers, or other healthcare entities.
Education
B.S - Health Services Administration, Healthcare Management, Business Management
Lehman College
Bronx, New York 01.2013 - 01.2013
Medical Terminology Certification - Medical Terminology
1199 Upgraded Training
New York, New York01.1999
Skills
- Epic System
- Bilingual (English, Spanish)
- Leadership
- Adaptability
- Analytical acumen
- Strategic mindset
- Effective communication
- Detail-oriented
- Collaboration
- Problem-solving
- Organizational skills
- Time management
- Scheduling coordination, Kronos system
- HIPAA compliance
- MS Works
- Typing 80 wpm
- Billing and insurance processes (CPT, ICD-10 codes)
Languages
English
Professional
Spanish
Professional
Timeline
Financial Clearance Center Manager
New York Presbyterian Hospital- Weill Cornell
01.2017 - Current
B.S - Health Services Administration, Healthcare Management, Business Management
Lehman College
01.2013 - 01.2013
Admitting Manager
New York Presbyterian Hospital
03.2006 - 01.2017
Admitting Department Supervisor
New York Presbyterian Hospital
06.1999 - 03.2006
Patient Financial Advisor
New York Presbyterian Hospital
02.1998 - 06.1999
Patient Advocate
New York Presbyterian Hospital
09.1991 - 02.1998
Medical Terminology Certification - Medical Terminology
1199 Upgraded Training
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