Driven compliance and program coordinator with a proven track record at Achieve Beyond Pediatric Therapy & Autism Services, enhancing system efficiency and ensuring 100% regulatory adherence. Excelled in data management, staff development, and fostering client relations, achieving significant improvements in service delivery and program integrity.
Oversee NYEIS database management, ensuring 100% compliance with state and federal regulations, while improving system accuracy and efficiency.
Develop and implement process improvements that reduce delays in service authorizations and referral processing, expediting care for children and families.
Lead and facilitate training programs for staff, ensuring consistent adherence to compliance protocols, documentation accuracy, and billing procedures.
Generate data-driven reports and audits, identifying trends in service delivery and program effectiveness to drive policy updates and procedural enhancements.
Act as a liaison between service coordinators, providers, and families, ensuring efficient communication and timely resolution of issues.
Spearhead quality assurance initiatives, identifying discrepancies, and implementing corrective actions to enhance compliance and program integrity.
Managed insurance verification and authorization requests, ensuring timely approvals for service providers and maintaining compliance with New York State Early Intervention Program (EIP) guidelines.
Conducted compliance audits on billing and service documentation, reducing claim denials and improving reimbursement efficiency.
Developed standardized documentation protocols to enhance service accuracy, reducing errors by 30% and ensuring compliance with IDEA Part C and HIPAA.
Collaborated with insurance companies, government agencies, and internal teams to resolve billing disputes, improving the reimbursement timeline.
Assisted in policy development and procedural updates, ensuring staff adherence to evolving regulatory requirements.
Served as the first point of contact for families, providing guidance on program services, required documentation, and insurance processes.
Coordinated intake services and eligibility verification for children entering the Early Intervention Program, ensuring smooth enrollment, and proper documentation.
Managed front desk operations in a high-volume environment, ensuring a welcoming and efficient experience for families and staff.
Answered and directed calls between parents, service providers, and administrative teams, ensuring seamless communication and support.
Oversaw daily office administration, including organizing digital and physical records, updating internal databases, and supporting program operations.
Maintained HIPAA-compliant records, ensuring confidentiality and security when handling sensitive patient and program data.
Program Administrator
NYU Langone Reproductive Specialists of New York
Mineola, NY
06.2014 - 09.2019
Managed high-volume front desk operations in a fast-paced fertility clinic, ensuring smooth patient registration and service coordination.
Scheduled and coordinated patient visits, optimizing physician calendars, pharmaceutical rep meetings, and in-office training sessions.
Ensured full HIPAA compliance, handling sensitive medical records and patient interactions with discretion and confidentiality.
Operated a multi-line phone system, fielding patient inquiries, appointment requests, and interdepartmental communications.
Assisted in billing coordination and insurance verification, ensuring accurate claims submission and reimbursement.