Versatile healthcare leader with over 20 years of experience driving excellence in healthcare operations. I have proven expertise in Start-Up Healthcare technology process improvement, team leadership, and ensuring the seamless delivery of quality patient-centered virtual care. I'm skilled at leveraging data analytics to optimize workflows, enhance patient experiences, and improve operational efficiency and profitability. Seeing patients receive the quality care they deserve, and knowing I played a key role in enhancing scalability and improving organizational profit margins, is what drives my passion for implementing innovative solutions to complex challenges. Pursuing new professional challenges with a growth-oriented company
• Managed call center operations for both U.S.-based & offshore telehealth support teams & their leaders (20 leaders, with approx. 300 agents), ensuring seamless, high-quality patient care delivery.
• Proactively monitored key performance indicators (KPIs) & implemented strategic workflow enhancements. (KPI’s included CSAT scores: was patient satisfied, was concern resolved, was agent friendly & knowledgeable, would they refer to us, Team productivity: Tickets per hour & day, # of new patient intakes, # of returning patient intakes, Team Efficiency: one call resolution/ was ticket closed or left open for further patient communication)
• Conveyed constructive individual agent feedback to improve skills, resulting in an improvement of 37% in team performance within the first few months.
• Designed & executed omnichannel communication strategies that boosted patient engagement scores by 44%.
• Leveraged platforms such as Zendesk, Zoho Desk, & various EMRs to conduct in-depth workflow analyses of operational inefficiencies.
• Consolidated key processes & cross-trained team members (Consolidated Billing, refunds, cancelled accounts, into the PAMS team leading to less loss of revenue <> limited others access to stripe, cross training all agents on the top 5 reasons patients call: Scheduling appts, needing a lab order, need to complete intake form, questions about dosing, order issues, all teams were trained to investigate situation & handle concern, implemented warm transfers for concerns they couldn’t handle, leading to a 39% increase in one-call resolution rates.
• Supported strategic goals by working closely with 4 senior leaders & 11 cross-functional team leaders on company initiatives.
• Built AI processes & refined current workflows, resolved SLA challenges, & alleviated pharmacy & support ticket bottlenecks, utilizing my strong partnerships with technology & implementation teams.
• Demonstrated a proven track record of increasing profit margins using lean methodologies in workflow revision. (Tools used: Value Stream Mapping, Kaizen, PDCA: plan-do-check-act, RCA: root cause analysis, all of these methods work to find & correct errors, eliminate waste & increase profit margins by utilizing only what is needed to do the job)
• Spearheaded Project: Improve Patient Support (IPS)- Improved agent training & built scalable training content then enhanced performance monitoring (QA & QC) & instituted motivational approaches in team meetings & individual coaching, the project result was an increase of team member productivity by 28% & overall performance by 54% (figured by a variety of performance metrics).
• Routinely utilized tools such as RCA & DMAIC during collaboration with multidisciplinary teams to investigate & resolve workflow inefficiencies & agent errors.
• Evaluated hiring, firing, & promotions requests, performance evaluations & compensation to maintain budgetary plans to align with business forecasts.
• Managed large-scale projects & introduced new systems, tools, & processes to achieve challenging objectives.
• Reviewed & analyzed reports, records & directives to obtain data required for departmental planning.
• Implemented & developed operational policies & procedures, SOP's & Organizational Care Standards as they relate to patient support.
• Maintained professional demeanor by staying calm when addressing unhappy or angry patients.
• Set aggressive targets for employees to drive company success & strengthen motivation.
• Reduced waste & pursued revenue development strategies to keep the department aligned with sales & profit targets. (Zoho Recruit, Zoho Analytics & Zoho Desk).
• Developed detailed plans based on broad guidance & direction.
• Launched quality assurance practices for each phase of development & growth of patient support department projects.
• Used industry expertise, customer service skills & analytical nature to resolve customer concerns & promote.
• Built a scalable workflow for a team of 12 CMAs to work on a specific client that was expected to bring in hundreds of thousands of patients’ mental health test results to us for processing.
• Collaborated with partner organization’s leadership on templates for patient communication, record keeping software & structuring the CMA workflow & best practices.
• Managed a team of 12 CMAs schedules, approved timecards & time off.
• Built the training program for the workflow I created & trained CMAs to complete the workflow & handle patient communications.
• Evaluated hiring, firing, & promotions requests, performance evaluations & compensation to maintain budgetary plans to align with business forecasts.
• Managed large-scale project & introduced new systems, tools, & processes to support the growth of .
• Reviewed & analyzed reports, records & directives to obtain data required for departmental planning.
• Implemented & developed operational policies & procedures & Organizational Care Standards (SOPs) as they related to the patient support department.
• Maintained professional demeanor by staying calm when addressing unhappy or angry patients.
• Set aggressive targets for employees to drive company success & strengthen motivation.
• Reduced waste & pursued revenue development strategies to keep the department aligned with sales & profit targets. (Zoho Recruit, Zoho Analytics & Zoho Desk).
• Developed detailed plans based on broad guidance & direction.
• Launched quality assurance practices for each phase of development & growth of patient support department projects.
• Developed & managed timelines for HEDIS & RISK adjustment chart review projects.
• Coordinated with internal teams & external vendors to ensure timely data collection & submission.
• Monitored project milestones & adjusted workflows as needed to meet deadlines.
• Oversaw the abstraction & auditing of medical records to ensure accuracy & compliance with NCQA & CMS guidelines.
• Ensured proper documentation of services rendered aligns with HEDIS & RISK adjustment criteria.
• Implemented quality assurance protocols, including interrater reliability checks & overreads.
• Supervised 20 team managers & leads who managed CS teams of up to 300 agents.
• Provided performance reviews of the 20 team leaders.
• Provided training to the entire 320 employees. (Teams of 4 leaders & approx. 60 agents.
• Ensured staff maintained high accuracy rates (often 95%+) and provided retraining when necessary.
• Validated extracted data for completeness & accuracy.
• Ensured HIPAA compliance & secure handling of patient data.
• Served as the liaison between health plans, providers, & regulatory bodies.
• Communicated project status, risks, & outcomes to leadership & quality improvement teams.
• Utilized certified HEDIS abstraction software & EHR systems.
• Troubleshoot technical issues & ensure seamless integration of data sources.
• Managed daily operations (solo) of primary care lab & outpatient lab testing schedule.
• Independently saw up to 30 patients daily for phlebotomy, vaccinations, specimen collection, X-rays, wound care, & specialized testing.
• Performed vital measurements: Blood Pressure, Heart Rate, Height, Weight, Respirations.
• Verified patient demographics, current medications: Name, Dose, & Frequency, verified any side effects to current & previous medications, verified allergies, patient vaccinations, & patient charts with all collected information for updates.
• Managed daily lab duties such as control testing, opening & closing the lab, kept daily logs of routine lab tools functionality, machine maintenance, & testing for reports to certifying agencies.
• Assisted 24 patients daily from the waiting room & to the provider visit rooms.
• Performed vital measurements: Blood Pressure, Heart Rate, Height, Weight, Respirations.
• Recorded patient reason for visit & any accompanying documentation (brief explanation).
• Educated patient about needed preventative care measures to ensure provider quality.
• Scheduled patient appointments at our facility and facilities within our organization.
• Prepared charts, provider chart notes, & orders for provider signature.
• Performed x-rays, vaccinations, phlebotomy, specimen collection, wound care, & patient education.
Currently completing