Flor Garcia Jiménez
Okeechobee,FL
Summary
Provider Servicing Coordinator specializing in provider network support and managed care operations. Experienced in managing provider relationships, coordinating roster and demographic updates, and resolving claims and service issues through cross-functional collaboration. Recognized for maintaining data accuracy, supporting compliance requirements, and ensuring seamless provider operations across multiple systems. Bilingual in English and Spanish with a strong reputation for responsiveness and problem-solving.
Overview
2027
2027
years of professional experience
Work History
Receptionist
Okeechobee Health Care Facility
2026 - Current
- Serve as first point of contact for residents, visitors, and staff, delivering a professional and welcoming experience.
- Assist patients/residents with inquiries, providing prompt and accurate information to support care coordination.
- Manage incoming calls and inquiries, routing to appropriate departments and ensuring timely follow-up.
Provider Servicing Coordinator
Provider Network Solutions
2025 - Current
- Serve as primary point of contact for providers, and group practices, resolving servicing, claims, and network-related inquiries in a timely manner.
- Support provider network operations by coordinating roster submissions, demographic updates, and provider applications for internal teams and external partners.
- Partner with claims, contracting, and credentialing teams to research and resolve provider issues, ensuring accurate and complete documentation.
- Updated provider records in internal and TPA systems, ensuring data accuracy and compliance with organizational standards.
- Processed network changes, including group terminations, new provider additions, location updates, and reimbursement modifications, to maintain accurate provider networks.
- Collected and tracked provider attestations and compliance documentation to support audits and meet reporting timelines.
- Utilize geographic mapping tools (e.g., BatchGeo) to validate provider locations and support network adequacy initiatives.
- Support departmental projects and initiatives aimed at improving provider servicing workflows and operational efficiency.
Office Assistant
Provider Network Solutions
2023 - 2025
- Supported executive and departmental operations within healthcare network organization, facilitating provider servicing, legal, and administrative workflows.
- Coordinated meetings, calendars, and internal communications for leadership, promoting efficient daily operations.
- Assisted with organizing and maintaining departmental documentation, including legal and provider-related records.
- Provided front-line support to visitors and internal staff, maintaining a professional and service-oriented environment.
- Collaborated with multiple departments to support special projects and operational needs.
- Managed office logistics, coordinating vendors, inventory, and facility support to ensure smooth operational functioning.
Executive Assistant
Libero Cobre
2021 - 2023
- Supported executive leadership by managing schedules, communications, and operational priorities to improve efficiency and productivity.
- Coordinated internal and external communications, acting as liaison between leadership and stakeholders.
- Assisted accounting functions including invoice tracking and payment coordination, ensuring accurate financial records.
- Supported HR processes including onboarding and compliance-related documentation.
Office Manager
Red Eagle Mining
2012 - 2015
- Managed daily office operations, providing administrative and logistical support to enhance leadership effectiveness.
- Coordinated budgeting processes with finance to ensure optimal cash flow management.
- Maintained vendor relationships and managed office resources to facilitate seamless business operations.
Skills
- Provider Relations & Servicing
- Network Operations Support
- Provider Data Management (Rosters, Demographics)
- Claims Issue Resolution & Coordination
- Contract & Network Updates
- Compliance & Documentation Tracking
- Cross-Functional Collaboration (Claims, Credentialing, Contracting)
- Provider Communication & Issue Resolution
- Data Management
- Process Improvement
- Microsoft Office & Google Workspace
- Bilingual: English & Spanish
Timeline
Receptionist
Okeechobee Health Care Facility
2026 - Current
Provider Servicing Coordinator
Provider Network Solutions
2025 - Current
Office Assistant
Provider Network Solutions
2023 - 2025
Executive Assistant
Libero Cobre
2021 - 2023
Office Manager
Red Eagle Mining
2012 - 2015