Melany Jimenez
Miami
Summary
Organized, detail-oriented professional with expertise in medical referrals, provider relations, and retail operations. Proven ability to streamline processes, train and mentor staff, and build strong relationships with patients, customers, and healthcare partners. Known for delivering efficient service, improving workflow accuracy, and supporting high-performing teams.
Overview
11
11
years of professional experience
Work History
Provider Relations Specialist
Claremedica
01.2022 - Current
- Processed physician referrals, obtained authorizations, and scheduled patient appointments for specialists, diagnostics, DME, and home health.
- Managed inbound/outbound calls, coordinated transportation, and maintained accurate referral documentation.
- Conducted new hire training, created training materials, and audited coordinator work to meet department metrics.
- Onboarded physicians, managed provider credentialing, scheduling, and served as primary point of contact for providers.
- Assisted medical directors with patient management, supported patients with referral concerns, and completed health plan grievances.
Network Marketing Professional
Monat
11.2019 - 01.2022
- Mentored new team members on effective networking techniques and relationship-building strategies.
- Organized networking events that facilitated new business connections for both the company and its partners.
- Provided exceptional customer service by promptly addressing questions and concerns from clients and prospects alike.
- Fostered lasting relationships with customers through effective communication and quick response, resulting in long-term loyalty and expanded client base.
- Performed effectively in self-directed work environment, managing day-to-day operations and decisions.
Receptionist/Medical Assistant
Portofino Pediatrics
08.2016 - 01.2022
- Welcomed and assisted patients in person and via phone, managing inquiries, registrations, and appointment scheduling.
- Verified insurance coverage, processed payments, and maintained accurate patient accounts and records.
- Guided patients through required forms, explained office policies, and upheld strict confidentiality standards.
- Conducted appointment reminder calls, enforced no-show protocols, and assisted during medical emergencies.
- Supported healthcare providers during examinations and procedures, ensuring patient comfort and safety.
Secretary/Medical Assistant
Miami Children’s Hospital Neurology
03.2016 - 08.2016
- Represented physicians by screening calls, scheduling and receiving patients, coordinating referrals, and arranging diagnostic or specialty appointments.
- Maintained physician calendars, scheduled consultations, meetings, conferences, and travel to optimize productivity.
- Transcribed dictation and prepared medical reports, patient histories, operative notes, correspondence, and project documentation.
- Developed and managed filing and retrieval systems, ensuring accurate and accessible patient records while maintaining confidentiality.
- Managed office supplies, anticipated needs, placed orders, and verified receipt to support smooth daily operations.
Bridal Consultant Manager
Bed Bath & Beyond
10.2015 - 03.2016
- Assisted brides with product selection and registry creation.
- Managed customer inquiries, appointments, and in-store support.
- Maintained merchandise displays and ensured accurate pricing.
- Supported promotions, resolved registry issues, and provided excellent service.
- Trained and mentored junior staff on sales and customer engagement.
Sales Associate
Victoria’s Secret
04.2015 - 10.2015
- Delivered a branded, customer-focused experience that drives sales.
- Supported team performance and collaboration.
- Maintained strong product and promotion knowledge.
- Accurately processed transactions at the register.
Education
Certified Medical Administrative Assistant - Health Administration
Miami Southrodge Senior High School
Bachelor of Science - Healthcare Administration
Miami Dade College
Miami, FL05-2027
High School Diploma -
Miami Southridge Senior High School
06-2015
Skills
- Medical Terminology
- Multi-line phone proficiency
- Proficient in Microsoft Word, Excel, and Powerpoint
- Fluent in English and Spanish
- Leadership Skills
- Accuracy and attention to details
- Customer service
- Problem solver
- Strong communication skills
- Social media management
- Digital marketing
- Sales expertise
Timeline
Provider Relations Specialist
Claremedica
01.2022 - Current
Network Marketing Professional
Monat
11.2019 - 01.2022
Receptionist/Medical Assistant
Portofino Pediatrics
08.2016 - 01.2022
Secretary/Medical Assistant
Miami Children’s Hospital Neurology
03.2016 - 08.2016
Bridal Consultant Manager
Bed Bath & Beyond
10.2015 - 03.2016
Sales Associate
Victoria’s Secret
04.2015 - 10.2015
Certified Medical Administrative Assistant - Health Administration
Miami Southrodge Senior High School
Bachelor of Science - Healthcare Administration
Miami Dade College
High School Diploma -
Miami Southridge Senior High School