Experienced with coordinating patient care activities, ensuring efficient scheduling and communication. Utilizes strong organizational and multitasking abilities to manage patient needs and administrative tasks smoothly. Knowledge of healthcare protocols and patient management to maintain high standards of care.
Overview
19
19
years of professional experience
Work History
Patient Care Coordinator - Interim Reverification Supervisor
Mercalis
04.2023 - Current
1. Provide inbound and outbound phone support with outstanding customer service on behalf of Janssen Pharmaceuticals.
Primarily serving as a regionally aligned care coordinator, which focuses on all aspects of benefit coordination and all other forms of available patient support, which may include teamwork and partnering with fellow agents to provide the best patient program support.
Responsible for handling healthcare provider and/or patient interactions regarding patient eligibility and enrollment.
2. I worked alongside the BI leadership team, providing assistance for the Janssen Patient Assistance Program BI project.
Audited enrollment cases to ensure all required information was received on file in order to proceed with the completion of the Benefit Investigation case.
Identified trends and gaps in the process to assist with implementing new/updated processes to improve the foundation's overall success.
Running reports and managing trackers
3. I worked alongside management on the PSC project.
Assisted PSC with patient enrollments to ensure proper quality of case management
Assisted PDE management with preparation for the 2025 re-verification process
2025 Interim Reverification Supervisor
Responsible for new hire reverification agents performance, including coaching, mentoring, training, productivity, schedule adherence and conflict resolution
Responsible for ensuring SOP and program guideline are being followed
Hosted meetings as needed to provide updates, feedback, daily/weekly agenda and goals
Created spreadsheets as needed to keep track of team productivity, assign case load as needed and overall organization for all responsible duties
Ran daily report to ensure proper case management is completed by agents
Serve as point of contact between management and team
Identify and report all information as required by client (helpful feedback, trends, AE, etc)
Handle escalation cases and appeals with urgency
Office Manager
Galatians Community Health (formerly Aplus Family Care)
03.2022 - 04.2023
Manage ALL staff responsibilities
Responsible for Front Desk and Clinical Staff performance, including training, coaching, mentoring, quality assurance, schedule adherence and proper clinical quality control.
Responsible for maintaining patient records and proper handling of patient medical records following HIPPA guidelines.
Responsible for maintaining full provider schedules to ensure revenue and partnering with the billing reimbursement team to monitor flow of operations along with AR management.
Placing Supply Orders
Manage employee hours/payroll
Coordinate and participate in community events.
Provide support to ALL staff as needed and serve as point of contact between doctors, staff and CEO
Front Office Team Lead
AFC Urgent Care
08.2021 - 02.2022
Manage ALL front desk responsibilities and multiple team members.
Responsible for Admin staff performance including patient reservations along with walk-in patients, patient check in/check out, Insurance Verification and ensuring Copays or Deductibles payments are collected if applicable.
Responsible for creating team member schedules, schedule adherence, training, coaching and mentoring.
Responsible for maintaining patient records and proper handling of patient medical records following HIPPA guidelines.
Work closely with other team members to provide support as needed and ensure patient needs are met, including Spanish translations.
Complete daily closeout, deposits and reports to maintain QA/QC
Serve as point of contact between team members and CEO
Front Desk Team Lead - Office Coordinator
A PLUS FAMILY CARE
09.2018 - 04.2020
Manage ALL Front Desk responsibilities and multiple team members.
Responsible for Admin staff performance including patient reservations along with walk-in patients, patient check in/check out, Insurance Verification and ensuring Copays or Deductibles payments are collected if applicable
Responsible for maintaining patient records and proper handling of patient medical records following HIPPA guidelines.
Responsible for maintaining full provider schedules to ensure revenue and partnering with the billing reimbursement team to monitor flow of operations along with AR management.
Answer inbound calls and placing outbound calls for appointment follow up.
Work with the clinical team and other medical facilities to ensure all patients needs were met, including Spanish translations.
Train new employees.
Serve as Patient referral Coordinator and point of contact between team members and upper management.
Placing Orders along with Order Follow up on Medical Devices for patients
Coordinate and participate in community events.
Specialty/Operations Supervisor
The Home Depot
05.2006 - 06.2018
Responsible for managing various departments/multiple team members, store inventory, freight, special orders, QA/QC, ensuring company safety procedures are being followed and sale goals are being met.
Key Carrier responsible for opening/closing store along with training new employees.
Maintain and ensure assigned departments were stocked with material.
Work in teams to ensure all clients needs were met - including Spanish translations.
Organize and expedite specialty orders.
Education
High School Diploma -
Middletown High School
Middletown, NY
06-2005
Skills
Supervising experience
Operations management
Leadership
Customer service
Administrative experience
Medical office experience
Triage
Patient Care
Spanish
Bilingual
Microsoft Office
Inventory control
Time management
EMR systems
Medical billing and Insurance Verification
Medical records
HIPAA
Organizational skills
Data entry
Critical thinking skills
HIPAA compliance
Appointment scheduling
Insurance verification
Patient relations
Patient care coordination
Verbal and written communication
Medical terminology
Patient records management
Patient registration
Follow-up care
Languages
Spanish - Fluent
Additional Information
Nineteen(19) years of working deeply with multiple staff members to manage, assist, train, coach, mentor and provide overall required leadership to clients as well as co-workers.
Timeline
Patient Care Coordinator - Interim Reverification Supervisor
Mercalis
04.2023 - Current
Office Manager
Galatians Community Health (formerly Aplus Family Care)