Yolanda Aviles
Bethlehem,PA
Summary
Highly organized and detail-oriented professional with a strong work ethic and dedication to achieving goals. With 15 years of experience utilizing excellent organizational, communication, customer service, leadership, and quality assurance skills. Knowledgeable in project management principles, business processes, and customer service best practices. Objective is to further apply these abilities to have a stronger positive impact on the healthcare and business industry. Adapt to learn new concepts and procedures quickly, and proven ability to work in a fast-paced environment and collaborate with a cross-functional team effectively. Skilled in providing excellent care to a diverse population and offering individualized care and courtesy to all. Bilingual in English and Spanish.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Practice Clinical Coordinator
St. Luke’s Diabetes and Endocrinology
05.2022 - Current
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Complete daily office billing using ICD-10-CM, CPT Coding, ICD-10-PCS, and HCPCS
- Project development on rare diseases while implementing quality and template building of rare disease measures.
- Planned and oversaw work assignments and schedules for clinical support areas to meet daily operational needs
- Trained interns and newly hired team members on office procedures and computer system
- Created and implemented organizational policies and procedures
- Provided supervision and management to team of support personnel.
- Developed and implemented strategies to improve patient access, satisfaction, and care quality.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Consulted with healthcare professionals on business decisions.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs.
- Analyzed quality and performance data to support operational decision-making
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training
- Mentored and coached team members on QA topics and strategies
- Fixed identified issues to improve workflows
- Posted payments and processed refunds
- Worked with outside entities to resolve issues with billing, claims and payments
- Monitored flags and resolved urgent items with accuracy and efficiency
- Utilized computer programs to create invoices, letters and other documents
- Prepared reports detailing billing actions, flags and other key information
Licensed Practical Nurse/Quality Lead
St. Luke’s Pediatric Specialty
01.2015 - 05.2022
- Assisted and completed office procedures directly on patients and assisted staff in training
- Documented accurate and complete patient information to address patient problems and expected outcomes
- Authorizations for all cardiology procedures testing and counseling
- Provide training for all Pediatric Specialty Departments to all incoming new employees in clinical and clerical positions
- Physician’s template building, onboarding support, and management
- Physician’s billing and coding for all outpatient and inpatient services.
- Maintained service records, coordinated repairs and oversaw preventive maintenance of manufacturing equipment
- Advised and led process improvement team with deliberation, leadership and strategic planning
- Adapted procedures to mitigate issues and improve deficiencies
- Reassessed quality control measures at systemic level to proactively identify non-conformances
- Assisted with documenting key processes and procedures and security protocols
- Tackled employee conflicts immediately so that issues did not fester but were instead resolved and to make sure work schedules remained unaffected
- Assisted with admissions, appointments, transfers, and discharges
- Collaborated with interdisciplinary team of healthcare and social service providers to address patients' needs through effective intervention and care planning
- Gathered lab specimens, ordered testing, and interpreted results to diagnose patients
- Educated patients and caregivers on medical diagnoses, treatment options, chronic disease self-management and wound management
- Answered incoming phone calls from patients to provide basic assistance and triage medical concerns
- Safely administered flu and pneumonia vaccinations, providing education to customers on vaccines, dosage, indications, precautions, contraindications and potential side effects
- Prevented illness by education public on healthy practices to stop disease
- Educated community members about environmentally-related health issues
- Coordinated work groups and outreach activities
- Provided diagnosis information, treatment possibilities, disease management tips and wound care advice to patients, loved ones and caregivers
- Coordinated patient transfers to other facilities
- Supported needs of 100+ patients in healthcare network
- Collaborated with local organizations for joint initiatives, resulting in deeper community connections.
- Improved collaboration between staff, volunteers, and community partners by fostering open communication channels and organizing regular meetings.
- Provided ongoing mentorship to youths facing challenges in their personal lives or academic performance.
Nursing Assistant
St. Luke’s VNA Hospice (Inpatient & Outpatient)
02.2009 - 01.2015
- Completed entries in log books, journals, and care plans to accurately document and report patient progress
- Helped patients effectively manage routine bathing, grooming, and other hygiene needs.
- Documented care actions by completing records and logs in medical software system
- Monitored, tracked, and conveyed important patient information to healthcare staff to help optimize treatment planning and care delivery.
- Checked patient vitals such as temperature, blood pressure, and blood sugar levels
- Traveled to clients' homes to complete healthcare services and promote continuity of care
- Reported unusual or urgent circumstances in patients' condition or environment immediately to nurse supervisor
- Administered medication as directed by physician
- Offered patients and families emotional support and instruction in preparing healthy meals, independent living, and adaptation to disability or illness
- Developed rapport to create safe and trusting environment for care
- Developed individual care plans for clients based on specific needs
- Observed or examined patients to detect symptoms that required medical attention such as bruises or open wounds
- Collaborated with physicians to design at-home medication guidelines and educated patients and families on correct medication administration
- Monitored patient specimen samples and test results to effectively alert supervisors of potentially unhealthy changes
- Supported needs of 100+ residents under long-term care
Education
Bachelor of Science - Technical Leadership
Bloomsburg University
Bloomsburg, PA01.2023
Associate of Applied Science - Health Care Office Coordinator
Northampton Community College
Bethlehem, PA01.2021
Associate of Science - Licensed Practical Nurse
Northampton Community College
Bethlehem, PA08.2014
Skills
- Multidisciplinary Team Collaboration
- Progress Monitoring and Improvements
- Inventory Control and Management
- Clinical Quality Improvement
- Clinical Education and Instruction
- Care Quality and Physical Assessments
- Patient Relationship Management and Relations
- Data Compilation
- Medical Database Expertise
- Developing Training Programs
- Business Correspondence Writing
- Staff Scheduling and Development
- Case Management
- Research Studies
- Conflict Management
- Referral and Authorization Experience
- Strong Lead Development Skills
- Business Development
- Account Management
Certification
- BLS for Healthcare Providers, CPR, and AED, Current 2023
- IRB Certification
Professional Achievements
- Bravo Award in 2012
- St, Luke’s Health Network PCRAFT Nomination in 2015
- Dean’s list while attending Northampton Community College
- High Honors while attending Bloomsburg University
- Bloomsburg University; The National Society of Leadership and Success in 2023
- BAS; GPA 3.82
Additional Education
- Project Management
- Program Development
- Youth counseling and support in Health Care Environment
- Volunteer work with Youth Programs
- Accounting for Supervisors
- Business and Intercultural Communication
- Billing and Coding; ICD-10-CM, CPT Coding, ICD-10-PCS, and HCPCS. Leadership
Licenses
- BLS for Healthcare Providers, CPR, and AED, Current 2023
- IRB Certification
Timeline
Practice Clinical Coordinator
St. Luke’s Diabetes and Endocrinology
05.2022 - Current
Licensed Practical Nurse/Quality Lead
St. Luke’s Pediatric Specialty
01.2015 - 05.2022
Nursing Assistant
St. Luke’s VNA Hospice (Inpatient & Outpatient)
02.2009 - 01.2015
Bachelor of Science - Technical Leadership
Bloomsburg University
Associate of Applied Science - Health Care Office Coordinator
Northampton Community College
Associate of Science - Licensed Practical Nurse
Northampton Community College
- BLS for Healthcare Providers, CPR, and AED, Current 2023
- IRB Certification
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