Summary
Overview
Work History
Education
Skills
Timeline
Generic

Guillermo Richard

Fort Myers,FL

Summary

Detail-oriented Data Entry Specialist with a strong background in healthcare administration. Proven track record of managing high-volume records, ensuring 100% accuracy in database maintenance, and strictly adhering to HIPAA confidentiality standards. Skilled in navigating complex software systems and conducting research to resolve data discrepancies efficiently.

Overview

4
4
years of professional experience

Work History

Behavioral Health Care Associate

Aetna
08.2023 - Current
  • Coordinated 30 daily discharges on average by collaborating with behavioral health facilities to develop personalized care plans.
  • Boosted staff productivity by mentoring new hires and authoring comprehensive training guides for department-wide use.
  • Achieved 99.8% Quality Assurance scores, consistently exceeding documentation, HIPAA, CMS, and Medicare standards.
  • Processed high-volume data entries with accuracy and strict attention to detail in fast-paced environments.

Care Associate

Aetna
05.2022 - 08.2023
  • Managed high-volume data entry and profile updates within proprietary systems, ensuring 100% data integrity.
  • Maintained electronic health records in strict accordance with HIPAA, URAC, and NCQA compliance standards.
  • Triaged patient data by screening against business rules to accurately route referrals to clinical departments.
  • Performed database research to resolve claims issues and finalize case closures for accurate reporting.

Research Specialist

DUOS
01.2022 - 05.2022
  • Established partnerships with external organizations to facilitate future research efforts.
  • Developed comprehensive research reports, providing actionable insights to management as well as health insurance providers.
  • Monitored previously-found research data to assess accuracy, validity and integrity. (Contributed over 140 unique nationwide community resources to a collective database)

Education

Associate of Applied Science - Health Care Management & Administration

Heritage Institute
Fort Myers
2013

High School Diploma -

Coronado High School
Fort Myers, FL
2011

Skills

  • Microsoft Office proficiency
  • Analytical thinking
  • Adaptability
  • Information gathering
  • Data research and validation
  • Bilingual (Fluent in both English & Spanish)
  • HIPAA compliance
  • Documentation accuracy

Timeline

Behavioral Health Care Associate

Aetna
08.2023 - Current

Care Associate

Aetna
05.2022 - 08.2023

Research Specialist

DUOS
01.2022 - 05.2022

Associate of Applied Science - Health Care Management & Administration

Heritage Institute

High School Diploma -

Coronado High School