Midalyn Rosa
New Smyrna Beach,FL
Summary
Bilingual (Spanish/English) Senior Administrative Coordinator with a background in Medicare Health insurance sales. Foreign Medical Physician. Proactive leadership skills and ability to multi-task. Experienced with training team members within a remote environment. Positive interpersonal skills, resourceful and productive. Fluent in English and Spanish languages.
Overview
12
12
years of professional experience
Work History
Senior Administrative Coordinator
Optum at Home/ UnitedHealthCare
Remote NY
03.2022 - Current
- Currently employed remotely with UHC@ home for the State of New York
- Currently assisting Bilingual members (English & Spanish) with care coordination needs
- Currently working with at-risk population to improve health outcomes through navigation, education, resolution of barriers, and appropriate referrals
- Provides expertise related to patient care, offers impartial plan information, facilitates the care enrollment process and provides referrals as required
- Assigns to Suicide Prevention, Adult Protective Services and management team, where applicable
- Effectively managing a caseload of over 1000 members
- Responsible for effectively providing critical support and resources to members
- Proficient in multiple medical patient management software programs
- Programs include GPS, Maestro, PathWay, Interaction Connect, DMEVS, Outlook, Microsoft Teams and other programs
- Responsible for connecting members with appropriate life-saving medical equipment
- Provides pharmacy support to members
- Ensures members receive their required medications and escalates notifications to medical teams if additional support is necessary
- Provides critical medical referrals to multiple specialists, to provide effective patient support
- Referrals include mental health, dental, imaging testing, and various other medical professionals
- Assist with Transition of Care for members who will be discharged from the hospital -connects the member with needed post hospital follow up appointments and needed resources.
Health Insurance Specialist
Assurance / Ttec
Daytona Beach, FL
07.2020 - 09.2022
- Provided training and education to fellow agents and beneficiaries
- Assisted beneficiaries to determine appropriate Medicare (Part C & D) plans
- Sold Dual Special Needs Plan and Chronic Special Needs Plans as part of Medicare Advantage offerings.
Audio QA Manager
Medical Services of Los Angeles
Pasadena, CA
01.2017 - 01.2018
- Responsible for managing the Quality Assurance team schedules and operational reports with quality and timeliness
- Productivity and quality were reviewed to meet goals and objectives
- Protocols and procedures were collaboratively reviewed with the Chief Medical Officer to meet quality of reports Training and retraining of all Quality Assurance members was ongoing
- Identified workflow concerns, which included communication with customers, QA team and company employees
- Met expectations for quality and timeliness with daily workload.
Audiology QA Lead
Medical Support of Los Angeles (MSLA)
Pasadena, CA
01.2012 - 01.2017
- Developed the specific QA and provider training for the Audio Disability Benefits Questionnaire for VA related contracts
- This knowledge was transferred to train other team members
- Staff training: Responsible for developing protocols as they pertain to the requirements of the current Bridge Contract and MDE contract for the VA system
- Training included travelling to West Coast and East Coast regional facilities, where team members were trained followed by close supervision of their work
- Company Providers: Initial contact and training were provided on demand
- Once DBQ is received, providers who required additional training would reach out directly
- Training for providers was ongoing
- Developed and configured audio training packet for Quality Assurance team members and audiologist.
Education
Doctor of Radiology in Radiology -
Universidad Central del Este Hospital
01.2012
Doctor of Medicine -
Universidad Central del Este
01.1999
Skills
- Google Suite Proficiency
- Project Support
- Report Development
- Project Management
- Documentation and Recordkeeping
- Attention to Detail
- Calendar Management
- Workload Management
- Report Preparation
- Microsoft Excel
- Microsoft Access
- Telephone Etiquette
- Presentation Preparation
- Office Administration
- Team Collaboration
- Time Management
- Document Management
- Records Management
- Data Entry
- Data Collection
- Meeting Coordination
- Telephone Answering
- Business Correspondence
Languages
Spanish
Native/ Bilingual
Timeline
Senior Administrative Coordinator
Optum at Home/ UnitedHealthCare
03.2022 - Current
Health Insurance Specialist
Assurance / Ttec
07.2020 - 09.2022
Audio QA Manager
Medical Services of Los Angeles
01.2017 - 01.2018
Audiology QA Lead
Medical Support of Los Angeles (MSLA)
01.2012 - 01.2017
Doctor of Radiology in Radiology -
Universidad Central del Este Hospital
Doctor of Medicine -
Universidad Central del Este
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