Franchesca Rios Email & Phone Number

Houston, Tx, Us

Queens, New York, United States

• Enhanced process efficiency and quality through continuous improvement initiatives.• Streamlined service delivery by processing authorizations for 125+ providers.• Developed EMR reports for accurate data tracking and service monitoring.• Ensured compliance by reviewing 500+ cases for accuracy and adherence to regulations.• Improved team skills by identifying training needs and coaching members.• Led a team of six (6) to achieve strategic goals and increase productivity.• Effectively delegated tasks, ensuring timely completion.• Facilitated cross-departmental communication, enhancing collaboration.• Provided project status updates to management, highlighting progress and metrics.• Contributed to strategic planning, aligning team goals with organizational objectives.

Queens, New York, United States

• Implemented risk mitigation strategies and drove continuous improvement for efficiency and quality.• Processed service authorizations and developed EMR reports for accurate data tracking.• Verified case documentation for accuracy and compliance with regulations.• Identified training needs, coached team members, and guided a team towards goals.

Brooklyn, New York, United States

• Processed service authorizations and provided therapists with necessary documentation.• Collaborated with the Assistive Technology Unit for paperwork and prescriptions.• Trained and supervised new case coordinators, developed training materials, and created a departmental manual.• Reviewed session notes for data accuracy.• Resolved billing claim issues and re-submitted claims.• Designed and implemented customized EMR reports to track service

Brooklyn, New York, United States

• Processed daily intake referrals, ensuring timely and accurate handling of new cases.• Managed an average caseload of 30-40 clients, delivering comprehensive outreach and support.• Collected and analyzed essential client information, including psychiatric history, developmental delays, academic or work-related challenges, and criminal background.• Verified Medicaid eligibility to confirm clients had the necessary medical coverage.• Coordinated with referring agencies to provide updates on referral statuses and directed clients needing alternative care levels to appropriate services.• Consulted with administration to review and discuss hospital referrals before scheduling.

Forest Hills, New York

• Supported therapists and families, facilitating the delivery of services in alignment with established guidelines and protocols according to Early Intervention state regulations and policies.• Processed service authorizations and provided necessary documentation to therapists.• Coordinated with pediatricians to obtain prescriptions and medical clearances.• Conducted parent surveys to evaluate satisfaction with Early Intervention services.• Documented all relevant information related to the child’s Early Intervention services in the case activity log.

Brooklyn, Ny

• Assisted with patient intake, vital signs, and medical history documentation.• Prepared examination rooms and ensured equipment was sterilized.• Supported physicians during exams and minor procedures.• Administered medications and vaccines under physician supervision.• Managed patient records, scheduling, and follow-up appointments.• Processed lab samples and communicated results to patients.

Edgewater, Md

• Verified insurance eligibility daily for commercial and state plans.• Managed office opening/closing, scheduled appointments, and triaged urgent cases.• Updated patient forms and contributed to the practice's website content.• Provided Spanish-English translation for patients, ensuring clear communication.• Handled patient referrals to specialists and health insurance submissions.

Brooklyn

• Recorded patient info and vital signs.• Prepared exam rooms and maintained equipment.• Managed inventory and ordered supplies.• Maintained accurate patient records.• Processed documents and scheduled appointments.• Handled co-pays and financial transactions.• Completed forms for education and employment purposes.

Greater New York City Area

• Delivered technical support to over 500 employees at the Department of the Interior (DOI), ensuring efficient resolution of technical issues.• Managed incoming calls and documented critical messages for employees, facilitating smooth communication and support.• Processed and tracked 20 help desk tickets daily, maintaining a high standard of timely and effective issue resolution.

Greater New York City Area

• Entered customers’ billing information to computer accurately, while being able to bill them quickly for future purchases.• Filed tickets every week.• Maintained a clean and organized desk area and by doing so increased work productivity.• Wrote cash receipts or printed as collect on delivery (COD) for one time paying customers without accounts • Received and opened packages, which contained orders for customers such as business cards, letterheads, envelops, stamps, etc. making sure they were correctly printed.• Faxed orders to manufacturers and proofs to customers in a timely manner and then waited until they approved their order.• Called customers as soon as orders were ready for pickup.• Processed multiple transactions daily on cash register and credit card machine.

Associate’S Degree, Criminal Justice

International Studies And Religious Studies

Medical Coding Specialist/Certified Professional Coder (Cpc), Health/Health Care Administration/Management