Wendy Johanne Lafleur
Roosevelt,NY
Summary
Offering solid background in organizational and leadership skills, eager to learn and develop in dynamic environment. Brings ability to quickly grasp new concepts and apply analytical thinking to program management tasks.
Overview
22
22
years of professional experience
Work History
Supervisory Program Specialist GS 09
U.S Department of Veterans Affairs, Veterans Health Administration
01.2018 - Current
- Company Overview: Veterans Healthcare Network 3, New York Harbor Healthcare System, Manhattan Campus
- As an Interim Supervisor Program Specialist for the Department of Community Care my responsibilities entails: - Provide support to employees, supervisors, and managers in mission support such as human resources, asset management, travel administration and facilities management
- Coordinate and monitor a variety of human resources and administrative tasks and projects
- Analyze and monitors procurement request including purchase orders, work authorizations and other obligations
- Research and analyze applicable rules, regulations, policies and guidance surrounding administrative programs
- Authorized and unauthorized care provided in non-VA facilities
- Review and develop guidance and policies that will facilitate standardized processes within the facility
- Monitors budget for the office of Community Care, prepare standard purchase orders for conventional office supplies
- Tracks office procurement budget
- Reviews and evaluates assigned processes and procedures to determine areas of effectiveness, efficiency and improvement for proposal through the office of Community Care
- Performs data analyses of performance related to existing internal and external requirements
- Applies administrative policies and established process improvement strategies
- Research and analyze data and proposed solutions and making recommendations based on data
- Performs cost analysis and cost effectiveness studies to determine address gaps
- Assist with data analysis from a variety of sources, including databases and spreadsheets, and conceive and write reports as needed
- Monitor data collection processes ensuring data integrity and completeness
- Draft detailed and summary reports for presentation at meetings and conferences and publication in peer reviewed journals
- Administer administration of tests and measurements required by project design
- Independently respond to general inquiries from program participants, staff and other stakeholders
- Provide manager of the office Community Care financial revenue management for purpose to schedule patients and monitor clinic performance
- As a Program specialist I ensure the clinic profile for scheduling patients, accurate access wait times, direct insurance and co-pay billing and tract facility and provider performance against national VISN and local measures
- Recognizing problems and apply techniques, correcting negative trends to include encounter and transmission errors and other issues related to clinic profile management
- Collecting, compiling, and coordinating information for the preparation of reports
- Assessing the best structure of clinics, based on national mandates and direction, facility needs, provider needs, patient needs and data desired to be captured
- Interprets the VISN 2 and medical center mission, policies, procedures, and available resources
- Conducted research by reviewing Community Care documents to confirm patient eligibility to a non-VA facility such as determines service -connection for dental treatment
- Analyze complex medical information such as medical notes receive from external non-VA facility, diagnostic tests, and operative reports
- Assist the non-VA care manager to prepare documents and issue written procedural instruction in accordance with guidelines
- Also, provide administrative management for the Department of Community Care by developing, interpreting, and implementing policies and defining administrative requirements
- Addressing inquiries regarding medical bills and pharmacy inquiries for patient and family members
- Veterans Healthcare Network 3, New York Harbor Healthcare System, Manhattan Campus
- Conducted regular performance evaluations for direct reports, providing constructive feedback for continued skill development.
Program Support Assistant- GS 07
U.S Department of Veterans Affairs, Veterans Health Administration
09.2008 - 01.2018
- Company Overview: Veterans Healthcare Network 3, New York Harbor Healthcare System, Brooklyn Campus
- As a Program Support Assistant for the Department of Engineering Service my job duties were supporting the office of Engineering by managing all administrative documentations, reports such as correspondence, memoranda, files, databases
- Providing direct service to management and employees on administrative management matters, approve purchase card holder on behalf my department
- Assist with management functions including operations review, program evaluation
- Prepared procurement documents
- Demonstrates excellent oral and written communication with internal and external stakeholders
- Work with Contractors by monitoring their contractor performance and progress
- I reviewed invoice to ensure accuracy
- I conducted contract close - outs
- Resolved contract delivery and acceptance disputes
- Contacted vendors to request information such as: price quotes, detailed data on requirements
- Manage property of Space Utilization programs, including conducting inventories of non-inventories of non-expendable property
- Reviewing and approving purchases of services, equipment, and supplies
- Tracks and reconcile office procurements and budget expenditure
- Serve as an administrative liaison on travel assisting, preparing and closing out travel request for personnel
- Provides Employees, Contractors with consistent information according to established policies and procedures
- Assist in the electronic upload ECMS planning module to ensure all contracts package are being reported to contract management
- Conducted cost and price analysis to support budgeting specifications
- Maintained relationships with external vendors and other relevant third parties
- Veterans Healthcare Network 3, New York Harbor Healthcare System, Brooklyn Campus
Program Support Assistant- GS 05/06
U.S Department of Veterans Affairs, Veterans Health Administration
12.2005 - 09.2008
- Company Overview: Veterans Healthcare Network 3, New York Harbor Healthcare System, Brooklyn Campus
- Worked in intake and assessment Eligibility Department at the VA hospital to verify Veterans Eligibility, Counsels beneficiaries on application procedures, entitlement factors, and changes to entitlements that might initiate or alter benefit
- Counsel patients and their family members about financial responsibilities, means testing, copayment testing, eligibility, accounts receivable and health insurance related issues
- Interpreting VA rules and regulation relating to determining legal entitlement to benefits relating to hospital admission, nursing home, fee basis, outpatient treatment, patient transfers, and release of Medical information
- Makes necessary contacts with both VA and non-VA facilities when it is necessary that patients be transferred
- And also, serves as initial point of contact when any problems with admissions arise
- Assures the accuracy of information maintained in the admissions area
- Review medical documentation to clarify the diagnostic codes/ICD9 and procedural codes/ CPT4 with the inquiring patient
- Responsible for initiating written and/ or oral responses to inquiries
- Adjust account by decreasing /increasing via account receivable package
- Meet the needs of customers while supporting the Medical Center and Service Missions and provide the customer with consistent information according to established policies and procedures
- Handles conflict and problems in dealing with the customer constructively and appropriately
- Additional responsibilities entail responding to telephone inquiries, establishing payment agreements, reviewing application request for waivers and hardships, correspond with insurance companies, Health Eligibilities Center (HEC), top and other various government agencies on behalf of the patient
- Maintain Medical Care Cost funds (MCCF) Excel spread sheet for account follow-up
- Responsible for admitting inpatients to Medical Center
- Interfaces with Pre-bed care unit, finalize patient checkout process
- Knowledge of the release of information functions including the Privacy Act
- Knowledge of insurance companies' specific regulations in order to identify types and range of coverage and policies and procedures of the Eligibility Unit
- Alternate Financial Counselor which entails, reviewing and correcting billing discrepancies, posting payments and referring past due accounts to collections
- Maintains reports to document activities, to provide follow-up Veterans, and keep management informed of all issue
- Investigating complaints of resolution complex that primarily involves in the office of Financial Counselor
- Supervised and trained admitting, billing and collection staff
- Updated communicated with patients via phone, email and in person to obtain payments on outstanding accounts that required deductibles or co-pays
- Veterans Healthcare Network 3, New York Harbor Healthcare System, Brooklyn Campus
Program Support Assistant (Call Center) - Agency Contractor
U.S Department of Veterans Affairs, Veterans Health Administration
04.2003 - 12.2005
- Company Overview: Veterans Healthcare Network 3, New York Harbor Healthcare System, Brooklyn Campus
- Worked in the Call Center area, my duties were to counsel patients and their family member about financial responsibility
- Additional responsibilities entail responding to telephone inquiries, establishing payment agreements
- Determines eligibility and ensures the generation of Humanitarian billing for ineligible care provided within established guidelines
- Veterans Healthcare Network 3, New York Harbor Healthcare System, Brooklyn Campus
Education
Bachelor of Science - Health Administration
Saint Joseph College
Brooklyn, NY01.2005
Skills
- Federal acquisition regulations
- Decision Making
- Problem resolution
- Multi-tasking
- Independent work
- Verbal Communication
- Written Communication
- Computer Skills
- Interpersonal Skills
- Management Skills
- Teamwork
- Positive attitude
- Customer service
- Multitasking
- Computer skills
Accomplishments
- Improve office organization by compiling and preparing high-quality quarterly budget reports.
- Provides training and presentations to all Engineering Staffs or interested organizations.
- Prepared monthly reports for records, closed terminated records, completed final audit of charts.
Languages
French
Timeline
Supervisory Program Specialist GS 09
U.S Department of Veterans Affairs, Veterans Health Administration
01.2018 - Current
Program Support Assistant- GS 07
U.S Department of Veterans Affairs, Veterans Health Administration
09.2008 - 01.2018
Program Support Assistant- GS 05/06
U.S Department of Veterans Affairs, Veterans Health Administration
12.2005 - 09.2008
Program Support Assistant (Call Center) - Agency Contractor
U.S Department of Veterans Affairs, Veterans Health Administration
04.2003 - 12.2005
Bachelor of Science - Health Administration
Saint Joseph College
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