YVETHA LOUISCHARLES
New York
Summary
Highly skilled healthcare management professional with over 9 years of experience overseeing diverse clinical operations. Proven expertise in managing multidisciplinary teams across specialties. A strong clinical background in public health, insurance billing, coding, and quality assurance, with a focus on delivering positive clinical outcomes and culturally competent care. Adept in the use of multiple EMR systems, medical charting, with extensive knowledge of CPT codes along with insurance claims billing & processing. Demonstrated ability to lead teams, optimize workflows, and ensure compliance with healthcare regulations. Committed to enhancing patient care while maintaining operational excellence and driving organizational growth.
Overview
9
9
years of professional experience
Work History
Practice Specialist -Interim Practice Manager(4m+)
Weill Cornell Medicine
New York
01.2023 - Current
- Directed, supervised, and evaluated medical, clerical, or maintenance personnel.
- Recruited, hired, and trained new medical and facility staff.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Oversaw 20+ senior Patient Coordinators, Medical Assistants, technicians, Clinical staff, and Front desk patient coordinators.
- Assisted with the development of regulatory compliance systems.
- Coordinated financial operations, budgeting, accounting, expenses and financial reporting tasks.
- Motivated staff by offering direction and providing constructive feedback.
- Complied with OSHA and HIPAA regulations.
- Communicated with patients with compassion while keeping medical information private.
- Ordered supplies needed and kept tabs on inventory levels.
- Supported entire practice's staff, which boosted efficiency and improved overall process flow.
- Created and implemented policies and procedures for effective practice management.
- Assessed training needs for existing staff members and organized relevant workshops and seminars.
- Oversaw the recruitment process for new employees including interviewing candidates.
- Identified opportunities for cost savings through improved utilization of resources.
- Collaborated with physicians, nurses, technicians and other personnel to ensure optimal patient care.
- Resolved customer complaints regarding billing or other services rendered by the practice.
- Reviewed employee performance evaluations and provided feedback as needed.
- Conducted regular meetings with clinical staff to discuss patient care coordination issues.
- Monitored operational performance and ensured compliance with applicable regulations.
- Reviewed non-contracted instrumentation for spine surgeries and initiated vendor contract evaluations in conjunction with operations staff and orthopedic spine and neurological spine specialists.
- Assessed need for additional staff, equipment and services based on historical data and seasonal trends.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
Clinical Data Specialist Supervisor |Revenue Cycle
Mount Sinai Health System
New York
01.2021 - 01.2023
- Developed procedures for organizing and filing clinical data to enhance workflow efficiency.
- Obtained authorizations for all procedures (7+ physicians, 2 sites)
- Analyzed clinical data using statistical tools to identify informational trends.
- Resolved patient issues diplomatically and expediently to ensure customer satisfaction, always keeping patient confidentiality a priority.
- Used persistence and persuasive communication skills to successfully advocate for patients with insurance companies and HMOs.
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Adjusted data into necessary formats by using categorization and classification software.
- Directed and supervised team of 10+ employees in daily operations.
- Created spreadsheets utilizing Microsoft Excel for tracking authorization status updates from payers.
- Analyzed denials received from third party payers to identify trends in denials and develop proactive measures for resolution.
- Conducted training sessions for new employees regarding company policies related to the authorization process.
- Monitored daily workflow queues within the department ensuring all tasks are completed accurately and timely.
- Investigated discrepancies identified during audits of claims submitted for reimbursement by providers.
Lead Supervisor | NYC Clinics
Orthology Physical Therapy | Sports Medicine
New York
09.2017 - 12.2020
- Monitored daily operations for quality and adherence to work order specifications.
- Supported Chief Operating officer with daily operation functions. Supported Three physicians ( 2 M.D, 1 P.A) with their patients on clinic/ procedures days (75 patients+).
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Evaluated processes and employee strengths to realign workflows with changing business demands.
- Planned and managed resources to consistently meet production, quality and cost goals.
- Interviewed applicants, recommended individuals for hiring and evaluated staff performance.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
Gastroenterology Technician
Gramercy Park Physicians
New York
12.2015 - 08.2017
- Adhered to operating and safety procedures during cleaning, disinfecting and sterilizing endoscopes and equipment.
- Measured vital statistics and applied monitoring equipment to prepare patients for procedures.
- Prepared equipment, educational materials and pharmaceutical supplies to expedite patient discharge processes.
- Transported and helped patients prior to and following procedures.
- Obtained informed consents and recorded drug allergies before administering pre-procedure medications.
- Monitored patients' vital signs with use of blood pressure cuffs, pulse oximeters and cardiac monitoring electrodes.
- Demonstrated leadership by making improvements to work processes and helping to train others.
Education
Bachelor of Science - Public Health Education
SUNY College at Old Westbury
Old Westbury, NYMBA - Healthcare Management
University of Mount Saint Vincent
Riverdale, NYSkills
- Bilingual (English and French)
- Responsible and punctual
- Excellent verbal/ written communication
- Medical terminology and Insurance experience Revenue & Credentialing
- Strong knowledge of Medical software and computer programs -Typing speed 70wpm
- Microsoft Office/Excel / Epic/ CureMD/ DrChrono EMR systems
- Supervisory training and analytical thinking in a Medical environment
- Supervision & Leadership
- Extensive knowledge with ICD-9-CM,ICD-10,HCPS and CPT codes-Authorization
- Organizational Skills
- Data Management
- HIPAA and OSHA regulations
- Multidisciplinary Collaboration
- Key Performance Metrics
- Policy Development
- Payroll Administration
- New Hire Training
- Workflow Management
Languages
English
Native/ Bilingual
French
Professional
Timeline
Practice Specialist -Interim Practice Manager(4m+)
Weill Cornell Medicine
01.2023 - Current
Clinical Data Specialist Supervisor |Revenue Cycle
Mount Sinai Health System
01.2021 - 01.2023
Lead Supervisor | NYC Clinics
Orthology Physical Therapy | Sports Medicine
09.2017 - 12.2020
Gastroenterology Technician
Gramercy Park Physicians
12.2015 - 08.2017
Bachelor of Science - Public Health Education
SUNY College at Old Westbury
MBA - Healthcare Management
University of Mount Saint Vincent
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