Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Danilsa Almonte

Orlando

Summary

Dynamic Market Access Credentialing Coordinator at BioReference Health, LLC, skilled in credentialing processes, customer service and effective communication. Proven ability to enhance operational efficiency and maintain compliance, while fostering teamwork. Bilingual in Spanish and English, adept at managing complex data and ensuring accuracy in provider enrollment. Committed to delivering exceptional support. Highly reliable team player who adapts to changing needs and prioritizes results.


Overview

13
13
years of professional experience

Work History

Market Access Credentialing Coordinator

BioReference Health, LLC
06.2022 - Current
  • Managing initial and re-credentialing applications, ensuring completeness and accuracy for all commercial, Medicaid and Medicare Health plans.
  • Revalidation applications with Center for Medicare and Services and state Medicaids.
  • Maintain a detailed log of all in process, completed and pending applications in an excell spreadsheet.
  • Communicate with Health plan companies, and other stakeholders to address any discrepancies or questions.
  • Update Medicare and Medicaid upon change of information and ownership.
  • Collaborate with Marketing, Billing, and other Departments throughout the organization.
  • Coordinates signatures.
  • Maintain CAQH and other attestations and provider directory with health plans.
  • Responds to emails and phone inquires.
  • Completeness of project as assigned.
  • Provide education and training
  • Provide support to the executive and directors of the department in maintaining administrative aspects of health plan contracts.



Phlebotomy Supervisor

BioReference Health, LLC
04.2021 - 06.2022

Supervision of over 70 employees.

  • Handled escalated patient concerns or complaints, resolving issues professionally while maintaining patient satisfaction.
  • Worked closely with other supervisors to coordinate staffing across multiple shifts, maximizing efficiency and coverage during peak times.
  • Provided support during high-volume periods by stepping in as needed to perform phlebotomy duties alongside the team.
  • Upheld all compliance standards and kept team in line with requirements.
  • Assisted in recruiting efforts to attract top talent for the phlebotomy department, resulting in a strong team of skilled professionals.
  • Conducted regular performance evaluations for phlebotomy staff, providing constructive feedback and identifying areas for growth.
  • Promoted a positive work culture by fostering open communication among team members and encouraging collaboration between departments.
  • Payroll

Team Lead Coordinator

BioReference Health, LLC
11.2019 - 04.2021
  • Coordinated Home draws for NJ, NY and Florida.
  • Supervised and coordinated the work of phlebotomists, including scheduling, training, and performance evaluation.
  • Served as a point of contact for phlebotomy staff, other departments, patients and clients, fostering effective communication and teamwork.
  • Coordinated multiple office functions on computerized scheduling, accounts payable and patient records.
  • Gathered and organized materials to support operations.
  • Participated in quality assurance activities, ensuring adherence to phlebotomy protocols, and managed any issues related to safety or patient care.
  • Maintain inventory of phlebotomy supplies and equipment, and coordinate with central supply services

Phlebotomist

Accurate Diagnostic Lab
11.2018 - 11.2019
  • Collected blood samples in accordance with laboratory protocols and regulations.
  • Performed venipunctures, finger sticks and heel sticks for both adult and pediatric patients.
  • Drew blood from veins by vacuum tube, syringe, or butterfly venipuncture methods.
  • Validated blood and specimen collection orders, alerting nurses, or physicians of discrepancies between order and nursing station logs.
  • Labeled transfer tubes and followed exact directions for handling and storing specimens for transport.
  • Enhanced patient experience through compassionate care and communication during blood draw procedures.
  • Established and maintained positive working relationships with patients, staff and clinical personnel to build trust and camaraderie.
  • Assisted in training and onboarding new phlebotomists.

Administrative Assistant

BCL Diagnostics
11.2012 - 11.2018
  • Customer Service
  • Liaise with vendors and clients, providing excellent customer service
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
  • Communicated with internal and external partners and vendors as needed.
  • Maintained accurate records of tests, results, and procedures, ensuring compliance with quality control and safety protocols.
  • Entered data, prepared reports, and maintained spreadsheets or databases.
  • Ordered and stocking lab supplies, managing inventory, and ensuring adequate supplies for daily operations.
  • Handled expense reporting, invoicing, and basic accounting tasks.
  • Payroll

Education

Certificate - CPCS Certification Preparation

The National Association Medical Staff Services
Washington, DC
05-2024

Certificate - Patient Care Technician

Dover Business College
Clifton, NJ
10-2010

Certificate - Phlebotomy

Medical & Dental Institute
Paterson, NJ
04-2010

Skills

  • Effective written and verbal communication
  • HIPAA compliance
  • Data research and analysis
  • Data entry proficiency
  • Credentialing and Re-credentialing processes
  • Provider enrollment
  • Facility credentialing
  • Adaptability and flexibility
  • Multitasking Abilities
  • Teamwork and collaboration
  • Proficiency in Word, Excell and Powerpoint

Languages

Spanish
Native or Bilingual

Timeline

Market Access Credentialing Coordinator

BioReference Health, LLC
06.2022 - Current

Phlebotomy Supervisor

BioReference Health, LLC
04.2021 - 06.2022

Team Lead Coordinator

BioReference Health, LLC
11.2019 - 04.2021

Phlebotomist

Accurate Diagnostic Lab
11.2018 - 11.2019

Administrative Assistant

BCL Diagnostics
11.2012 - 11.2018

Certificate - CPCS Certification Preparation

The National Association Medical Staff Services

Certificate - Patient Care Technician

Dover Business College

Certificate - Phlebotomy

Medical & Dental Institute