TATIANA VALENZUELA
West Babylon,USA
Summary
Results-driven professional with extensive experience in healthcare leadership and strategic oversight. Adept at driving organizational success through effective team collaboration and dynamic problem-solving. Recognized for adaptability and keen focus on achieving objectives.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Associate Director, Clinical Operations
OPTUM - Lake Success, NY
01.2022 - Current
- Realizes consistent improvements in productivity, efficiency, and performance through effective relationship management, problem-solving, and communication abilities.
- Trains, coaches, mentors, develops, evaluates, and directs staff to achieve top performance levels and drive progressive career development and promotions.
- Responsible for supporting Clinical Services, integration, and strategic mission. Provides leadership and serves as mentor and coach to practice managers and staff.
- Assists the Vice President of Operations, Chief Medical Officer, Chief Operating Office to identify best practices, develop operational strategies and cost-effective solutions.
- Participate in the development and implementation of financial, operational, and strategic planning activities including physician recruitment and business partnerships.
- Executes entire onboarding process of new physicians joining the organization
- Partner with procurement to create cost savings solutions
- Responsible for establishing and achieving financial, and customer service goals for assigned departments.
- Manages 21 practices, 9 departments throughout Long Island, Brooklyn, and Manhattan both adult and pediatrics
- Successful execution of merger and acquisition of ProHealth to Optum
Director, Ambulatory Operations
Northwell Health - Eastern Region, Long Island
01.2020 - 01.2022
- Responsible for provider enrollment and provider onboarding for the Eastern Region
- Developed plans to meet the needs of the patient population as it relates to service distribution within facilities serving multiple clinical service lines.
- Worked through subordinate personnel directing services, operations, and ambulatory sites/specialties by providing leadership and strategic direction.
- Responsible for the implementation of dPx (digital patient experience) in all practices across the Eastern Region.
- Managed multiple practice operations and central business operations for the ambulatory Eastern Region.
- Reviewed operational processes; recommend, implement, and evaluate approved changes.
- Collaborated with revenue cycle management to monitor key performance indicators.
- Lead administrator for practice operation leader incentive program.
- Developed a practice manager peer-to-peer mentorship program.
Senior Administrative Manager, Neurosciences
Northwell Health - Eastern Region, Long Island
01.2017 - 01.2020
- Managed staff members to ensure expected performance within their roles and responsibilities. Participated in hiring, training, communicating expectations and disciplining of staff.
- Managed business functions to ensure processes are operationally efficient and effective. Manage operations and overall accountability of staff.
- Recommended opportunities to increase revenue and implement cost-saving measures. Ensured compliance with internal controls for cash management.
- Fostered collaboration between ambulatory and hospital leadership.
- Oversaw call schedule for hospital coverage (Neurosurgery- Eastern Region)
- Supported continued growth of staff and identified opportunities for advancement. Fostered a culture of learning and development.
- Managed the daily operations of multi-physician practices for the Neurosurgery and Neurology service line.
- Managed staff adherence to system Corporate Compliance Program, HIPAA, and other regulatory standards.
- Managed and ensured communication between staff, physicians, and hospital to enhance team dynamics.
- Communicated and clarified performance expectations. Managed the performance appraisal process.
- Collaborated with revenue cycle management to monitor key performance indicators.
- Reviewed operational processes; recommend, implement, and evaluate approved changes.
- Monitored patient satisfaction scores and recommended opportunities for improvement.
- Initiated development of patient handbook for Peconic Bay Neurosurgery
- Collaborated with community outreach for continued growth opportunities.
- Worked with business development to seek additional sessional location in the Patchogue/Port Jefferson area
Revenue Cycle Insurance Verification/Financial Counselling Supervisor
Northwell Health - Melville, NY
01.2016 - 01.2017
- Managed 17 employees within a variety of service lines in the insurance verification of all encounters within 30 days of the encounter date while maintaining precise quality.
- Supervised HR functions such as scheduled staff, approved payroll, and paid time off, implemented incentive programs, administered performance reviews, and mediated conflicts.
- Regularly reviewed work for accuracy and for time used to complete encounters. Decreased denials by allocating the correct insurance plan code.
- Monitored productivity of representatives through observation of activities and review of production monitoring reports.
- Consistently followed up with management on the development of existing and new employees.
- Collaborated with service line managers to improve patient/customer satisfaction.
- Participated in developing and delivering training related to insurance verification.
Operations Supervisor
Northwell Health - Melville, NY
01.2012 - 01.2016
- Managed 14 employees in the cash operations of the support services department while spearheading process improvements that contributed to organizational efficiency and effectiveness.
- Managed departmental transitions while boosting staff productivity, and increased productivity by 25% during a complex departmental transition through effective team-building efforts.
- Collaborated with the customer service department, insurance department, and other central business offices on ways to improve revenue cycle timelines and workplace productivity.
- Supervised HR functions such as scheduled staff, approved payroll, and paid time off, implemented incentive programs, administered performance reviews, and mediated conflicts.
- Certified itemized bills and oversaw cash posting of payments, analyze financial data and submit reports to the finance department, and notarized legal documents.
- Selected as acting manager ahead of 11 other supervisors, and departmental mentor on revenue cycle management and Medicare reimbursement policies.
- Oversaw the merger and acquisition of employees from Northwell to Optum360.
Education
Master of Business Administration - Healthcare Administration/Management
University of Phoenix
01.2011
Bachelor of Science - Nutrition
Long Island University
Brookville, NY01.2005
Skills
- Experienced in strategic leadership
- Critical analysis
- Guiding professional development
- Team collaboration
- Operational efficiency enhancement
- Process optimization expertise
- Organizational growth strategies
- Relationship building
- Project planning and prioritization
- Clear and concise communication
Certification
Six Sigma Yellow Belt, University System of Georgia 2023
Languages
Polish
Native or Bilingual
Timeline
Associate Director, Clinical Operations
OPTUM - Lake Success, NY
01.2022 - Current
Director, Ambulatory Operations
Northwell Health - Eastern Region, Long Island
01.2020 - 01.2022
Senior Administrative Manager, Neurosciences
Northwell Health - Eastern Region, Long Island
01.2017 - 01.2020
Revenue Cycle Insurance Verification/Financial Counselling Supervisor
Northwell Health - Melville, NY
01.2016 - 01.2017
Operations Supervisor
Northwell Health - Melville, NY
01.2012 - 01.2016
Bachelor of Science - Nutrition
Long Island University
Master of Business Administration - Healthcare Administration/Management
University of Phoenix
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