Carolina Ybarra
Mercedes,TX
Summary
Dynamic Human Resources Manager with extensive experience at Weslaco Regional Rehabilitation Hospital, excelling in employee relations and strategic planning. Proven track record in enhancing recruitment strategies and fostering employee engagement, while effectively managing performance and conflict resolution. Adept at implementing HR best practices to drive organizational success and improve workforce retention.
Overview
25
25
years of professional experience
Work History
Human Resources Manager
Weslaco Regional Rehabilitation Hospital
Weslaco, Texas
12.2023 - Current
- Responsible for the overall administration, coordination and evaluation of the facility’s human resource’s function.
- Integrates the hospital’s mission and 'Guiding Principles' into daily practice.
Administrative Supervisor
Weslaco Regional Rehabilitation Hospital
Weslaco, Texas
07.2021 - 12.2023
- Supervise PBX, and manage schedule, prepare credentialing for physicians, request access for all credentialed physicians, prepare agendas for meetings for CEO, schedule meetings for the leadership team, prepare for employee engagement activities, prepare daily deposit, assist with Stroke Committee, and Amputee Committee.
- Human Resource back up.
- Assist with Joint Commission accreditations.
- Prepare meal cards for cafeteria sales.
- Assist any employee with any computer issues, any general questions, benefit questions.
- Prepare on call schedule for leadership team, update hospital directories, or any other form that requires my assistance.
- Keep track of contracts and make sure they get renewed before they end.
- Create flyers for employee engagement events.
- Assist any employee with any questions, help them with anything they might need.
- Cover receptionist, inpatient and outpatient coordinator if needed.
Outpatient Admissions Coordinator
Weslaco Regional Rehabilitation Hospital
Weslaco, Texas
12.2019 - 07.2021
- Verify insurance coverage, submit to insurance for authorizations, schedule patients, collect co-payments, prepare deposit log, keep track of therapy certifications and evaluations, audit financial folders, pre-admit and admit patients in EPAC, scan patient information into EPAC, discharge patients from EPAC and Wellsky, track the patients daily visits, track authorizations, audit monthly charts and input into spreadsheet.
Account Representative
Prime Healthcare
Harlingen, Texas
04.2019 - 12.2019
- Collecting payments from insurances, appeal claims, correct claims, working aging report, calculate expected reimbursement.
Patient Account Representative
Weslaco Regional Rehabilitation Hospital
Weslaco, Texas
07.2016 - 01.2019
- Collecting payments from patients, mail letters to patients on past due balances, set up payment arrangements, call commercial insurances to follow up on claims and appeal denied claims, file financial folders, bill Medicare claims electronically thru Caremedic, prepare accounts for Medicare and Medicaid bad debts, adjust accounts with approval, post payments in Optimum on patients accounts, IRF-PAI audits, prepare deposit, audit financial folders, bill commercial insurances electronically thru Availity, verify insurance benefits.
Medical Biller
Elsa Therapy and Wellness Center
Weslaco, tx
09.2012 - 04.2015
- Billing Physical, Speech and Occupational claims to Medicaid, Medicare and commercial carriers, follow up on denied or rejected claims, post payments, post charges, filing invoices, faxing and copying documents.
- Enter Physical Therapy invoices in QuickBooks for the Home Health or any other Physical Therapy Vendors.
- Verify eligibility on any incoming Dr. referrals for Home Health.
Billing Manager
Dr. Benjamin A Salinas M.D.
Mercedes, Tx
06.2002 - 04.2012
- Billing Medical Claims to Medicaid, Medicare, Workers Compensation, and all other commercial carriers, following up on denied or rejected claims.
- Follow up on unpaid patient accounts.
- Post payments, post charges, answer phones, filing, faxing and copying documents.
- Verify patient insurance.
- Referrals to specialists or imaging services.
- Obtain prior authorizations if needed.
Receptionist
Weslaco Radiology Center
Weslaco, Tx
07.2000 - 01.2001
- Answer telephone, schedule patient appointments.
- Greet patients and collect payment from patients.
Education
LMRT -
Valley Grande Institute
Weslaco, TX01.2001
Medical Office Specialist -
South Texas VO-Tech
Weslaco, Tx01.1999
High School -
Mercedes High School
Mercedes, Tx01.1997
Skills
- Employee relations
- Recruitment strategies
- Performance management
- Conflict resolution
- Team building
- Project management
- Effective communication
- Time management
- Training development
- Strategic planning
- Microsoft office proficiency
- Contract negotiation
- Orientation preparation
- Exit interviews
- Compensation structuring
- Staff compensation
- Recordkeeping
- Personnel information systems
- Employee support
- Succession planning
- Employee retention
- Onboarding and orientation
- Corrective action planning
- Staffing and recruiting professional
- Background checks
- Benefits and compensation management
- Recruitment and hiring
- Diversity and inclusion
- Policy enforcement
- Recruitment life cycle
- Workforce planning
- Recruitment
- New employee orientation
- Talent acquisition
- Benefits programs
- Payroll coordination
- Employee onboarding
- HR guidance
- HR leadership
- Benefits administration
- Dispute mediation
- Employee engagement
References
- Erika Maciel, (956) 369-2225
- Natachia Longoria, (956) 536-2694
- Sonia Lopez, (956) 650-8568
Qualifications Summary
- Proficient in Medical Insurance Billing, Medical Terminology, Medical Coding.
- Hardworking, motivated, energetic, dedicated, and professional individual able to help others.
- Outstanding oral and written communication skills.
- Knowledge of data entry and telephone systems.
- Strong ability to multitask, organized, disciplined, and detail oriented.
- Medical Software Knowledge: Medical Manager, Medisoft, CPT coding, ICD-9 coding, ICD-10 coding, CMS 1500 claim forms, UB04 claim forms, Microsoft Office, Microsoft Word, Microsoft Excel, Passport, QuickBooks, Axxess, Caremedic, Optimum, EPAC, Availity, Meditech, Wellksky, Wellsky Scheduling, Publisher, MD staff, Meditract, NRC survey, Ultipro, EPAY.
- Can type 50+ wpm, 10-key.
- Referrals, set-up appointments for patients, appeal unpaid claims, verify insurances, collections.
- Workers Compensation billing and appeals.
- Billing Medicaid, Medicare and Commercial carriers.
- Physician Credentialing.
- Bilingual.
Timeline
Human Resources Manager
Weslaco Regional Rehabilitation Hospital
12.2023 - Current
Administrative Supervisor
Weslaco Regional Rehabilitation Hospital
07.2021 - 12.2023
Outpatient Admissions Coordinator
Weslaco Regional Rehabilitation Hospital
12.2019 - 07.2021
Account Representative
Prime Healthcare
04.2019 - 12.2019
Patient Account Representative
Weslaco Regional Rehabilitation Hospital
07.2016 - 01.2019
Medical Biller
Elsa Therapy and Wellness Center
09.2012 - 04.2015
Billing Manager
Dr. Benjamin A Salinas M.D.
06.2002 - 04.2012
Receptionist
Weslaco Radiology Center
07.2000 - 01.2001
LMRT -
Valley Grande Institute
Medical Office Specialist -
South Texas VO-Tech
High School -
Mercedes High School