Milagros Nasir
1102 Plantation Drive SE,GA
Summary
I am a dedicated responsible professional with a strong work ethic. I am reliable, punctual and have the drive and determination needed to succeed in the workplace. I am a leader when needed but am always a team player; ready to tackle any task in a group or as an individual. Ambitious, career-focused job seeker, motivated professional that adds value to any organization in need of great collaboration, interpersonal and multitasking abilities. Meets tight deadlines.
Overview
11
11
years of professional experience
Work History
Supervisor of Patient Access
Grady Memorial Hospital
Atlanta, GA
04.2023 - Current
- Responsible for the supervision of the Hospital’s Patient Registration areas, Inpatient and Outpatient, the Financial Counseling Division
- Monitoring of Quality Assurance measures, orientation of new employees and oversight in ongoing staff training
- Maintains departmental productivity by conducting comprehensive interviews which includes: verifying demographics via OAS, Verifying guarantor and requesting proper identification (with 99% accuracy rate)
- Complies with joint commission standards, state and federal rules and regulations
- Initializes the on-line tools for insurance verifications 99% of the time, which includes RTE within epic system, Onesource passport, GHP Web portals and contacting the patient's guarantor's employer and/or insurance company
- Reviewed and analyzed weekly reports, developed and recommended policies and proceduresand prepared special reports requested from management.
Supervisor, Staffing and Scheduling Department
Edison Home Care
Brooklyn, NY
06.2021 - 03.2023
- Ensure staffing coordinators relay pertinent information to caregivers upon case assignment
- Provide oversight to staffing coordinators in monitoring caregiver attendance
- Train all staffing team members about policies and procedures as it relates to service and regulation
- Liaise with Billing Department to ensure no pre-billing issues and full plan of care compliance
- Collaborate with Marketing department, the Client Care teams and the Compliance department to identify the best suited caregiver in a timely manner
- Follow-up and work closely with Clinical team in response to reports, complaints, any ongoing investigations, and/or change in patient conditions
- Develop, implement and review strategies to improve the quality of workflows between the Coordination and other department with the goal of the company growth
- Documented all new home health care agency cases in the appropriate database
- Respectfully and professionally interacted and communicated with patients, families, caregivers, clinicians, coworkers and others
- Analyzed and audited all documented call reports to ensure issues are completely investigated and resolved
- Conducted quality assurance audits of exception reports, caseloads and expiring orders
- Evaluated weekly schedules to assess productivity and geographic considerations and make necessary edits to ensure appropriate case coverage
- Complete client discharge reports
- Provided oversight of payroll submissions to ensure all documents from coordinators are completed accurately and in a timely manner.
Supervisor, Staffing and Scheduling Department
Expert Home Care
Brooklyn, NY
02.2018 - 06.2021
- Provide direction and guidance to in-office staffing team and on-call coordinators
- Ensure staffing coordinators relay pertinent information to caregivers upon case assignment
- Provide oversight to staffing coordinators in monitoring caregiver attendance
- Train all staffing team members about policies and procedures as it relates to service and regulation
- Liaise with Billing Department to ensure no pre-billing issues and full plan of care compliance
- Collaborate with Marketing department, the Client Care teams and the Compliance department to identify the best suited caregiver in a timely manner
- Develop, implement and review strategies to improve the quality of workflows between the Coordination and other department with the goal of the company growth
- Documented all new home health care agency cases in the appropriate database
- Respectfully and professionally interacted and communicated with patients, families, caregivers, clinicians, coworkers and others
- Evaluated weekly schedules to assess productivity and geographic considerations and make necessary edits to ensure appropriate case coverage
- Provided oversight of payroll submissions to ensure all documents from coordinators are completed accurately and in a timely manner.
Staffing Coordinator
Best Care Inc.
New York, N.Y.
01.2015 - 02.2018
- Responsible for planning, organizing and scheduling workers to ensure that company's labor requirements and needs are fulfilled
- Assist in recruiting, sourcing and hiring talent
- Acted as facilitator regarding communication between appropriate personnel of the agency, hospitals and other referral sources
- Investigate company's staffing needs and take actions to staff accordingly
- Keep all authorization from contracts up to date for patients PCA services.
Billing Specialist
Premier Home Health Care
New York, N.Y.
01.2013 - 01.2015
- Weekly Payroll; Both Electronic and Manual Timesheets
- Data Entry and Coding for Medical Billing and Processing Back-Dated Contract Transfers for Billing Purposes
- Processing Inquiries Regarding Missing Pay, Union Benefits, Sick Leave, Company Policies and Regulations, etc
- Weekly Audits of Payroll, Verifying Accurate Data Prior to Processing
- Running Weekly Payroll Reports Regarding Missing Pay, Unbilled Hours, PTO Payouts, Etc
- Prepare and Adjusts System Entries to Balance Payroll Accounts; Prepare Transfers
- Make permanent payroll employee changes to benefits, taxes, address, and deductions for accurate payroll processing.
Education
GED -
Heritage High School
New York, NY01.2009
Skills
- Open Availability, Highly Efficient Multi-Tasking Skills and Impeccable Customer Service/ Interpersonal Skills
- Knowledge of Microsoft Applications (ie Word, Excel, Outlook)
- Experience in HHA Exchange
- Experience in E-paces program
- Registration and Admissions
- Customer Service
- HIPAA Compliance
- Quality Assurance
- Insurance Company Knowledgeable
- Appointment Scheduling
- Registration Management
- Insurance Verification
- Work Quality Evaluation
- Problem-Solving
- Money Handling
- Eligibility Determination
- Team Leadership
- Patient Registration
- Phone and Email Etiquette
- Regulatory Compliance
Languages
Bilingual: Fluent in Both English and Spanish
References
REFERENCES AVAILABLE UPON REQUEST
Languages
Spanish
Professional
Timeline
Supervisor of Patient Access
Grady Memorial Hospital
04.2023 - Current
Supervisor, Staffing and Scheduling Department
Edison Home Care
06.2021 - 03.2023
Supervisor, Staffing and Scheduling Department
Expert Home Care
02.2018 - 06.2021
Staffing Coordinator
Best Care Inc.
01.2015 - 02.2018
Billing Specialist
Premier Home Health Care
01.2013 - 01.2015
GED -
Heritage High School
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