Crystal Yubeta
Maricopa,Arizona
Summary
Qualified Health care administration professional; with robust background in health services, excelling in patient care coordination and administrative efficiency. Demonstrated ability to manage patient records and streamline operations, contributing to improved service delivery. Proven skills in communication and problem-solving to enhance patient satisfaction and team collaboration.
Overview
5
5
years of professional experience
Work History
Health Service Specialist
McKesson Corporation Change Healthcare
04.2021 - Current
- Coordinating and providing care that is safe, timely, effective, efficient, equitable, and client centered
- Handling case assignments, draft service plans, review case progress and determine case closure
- Helping clients achieve wellness and autonomy
- Assigned as the main Case manager to oversee and process a new medication Welireg to Merck oncology
- Recommending best practices, answering to client inquiries, overseeing the development of technical solutions, reviewing technical documentation, consulting with stakeholders, coordinating work groups, and performing product demonstrations
- Collaborate with medical professionals to ensure timely and effective patient care, leading to improved health outcomes
- Successfully managed cases, achieving 95% client wellness and autonomy through tailored service plans
- Manage case assignments, draft service plans, and support client autonomy, ensuring efficient and client-centered care delivery
Authorization Specialist Integrated
Premier Group Specialty
10.2019 - 07.2020
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures, and regulations
- Responded to correspondence from insurance companies
- Identified and resolved patients billing and payment issues
- Maintained and updated collections tracing spreadsheet to help organize authorizations and payment information
- Confidently and adeptly oversaw authorizations denials and/or appeals
- Reviewed all charges for completeness of numerical diagnosis codes
- Entered new patient's accounts
- Coordinated with cross-functional teams to streamline insurance verification processes, reducing approval times by 15%
- Analyzed and optimized billing workflows, resulting in a 20% increase in claim approvals and a 10% reduction in denials
- Facilitated regular training sessions for staff on updated billing procedures, enhancing team efficiency and knowledge
- Monitored patient accounts for discrepancies, resolving billing issues swiftly to maintain a 95% satisfaction rate among patients
Education
Master of Science - Health Care Administration
University of Phoenix
Tempe, AZ05-2015
Skills
- Proficient in Technical Issue Resolution
- Healthcare administration
- Conflict resolution techniques
- Data entry proficiency
- Time management mastery
- Networking and relationship building
- Performance improvement strategies
- Quality assurance monitoring
- Process improvement initiatives
- Healthcare management
- Training and education
- Problem-solving abilities
Timeline
Health Service Specialist
McKesson Corporation Change Healthcare
04.2021 - Current
Authorization Specialist Integrated
Premier Group Specialty
10.2019 - 07.2020
Master of Science - Health Care Administration
University of Phoenix
Similar Profiles
Amanda GuntherAmanda Gunther
CNA I Health Screener at Maxim Healthcare GroupCNA I Health Screener at Maxim Healthcare Group
Camorone SmallsCamorone Smalls
Accounts Receivable Clerk at McKesson/Change HealthcareAccounts Receivable Clerk at McKesson/Change Healthcare
ROBBIN M. SUTERROBBIN M. SUTER
Customer Service Representative Lead at Optum United Healthcare (Formerly Mckesson), (Formerly Change Health Care)Customer Service Representative Lead at Optum United Healthcare (Formerly Mckesson), (Formerly Change Health Care)