Nicole Arroyo
Pembroke Pines,FL
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Fort Norfolk Plaza Primary Care
Norfolk, VA
11.2022 - 08.2023
- Assisted in the development of referral processes and procedures.
- Coordinated with external agencies to ensure timely processing of referrals.
- Identified potential risks associated with particular types of referrals.
- Assisted in training new employees on the organization's policies for making referrals.
- Prepared reports to provide responses to specific problems.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
Compliance and Risk Management Coordinator
Meritage Medical Network
03.2022 - 08.2023
- Identified risks associated with business operations and proposed mitigating solutions.
- Reviewed contracts and agreements for potential liability exposures or other legal issues.
- Collaborated with department heads to develop appropriate control measures for identified risks.
- Investigated customer complaints relating to safety concerns or alleged violations of policy.
- Conducted regular reviews of operating activities to ensure compliance with corporate standards.
- Implemented systems to monitor risks and track progress against goals.
- Reviewed risk management database reports for compliance and fraud prevention.
Compliance Specialist
Aya Healthcare
REMOTE
02.2021 - 03.2022
- Verified credentials of healthcare professionals to ensure compliance with applicable laws and regulations.
- Reviewed applications for completeness prior to submission to regulatory agencies or third-party payers.
- Monitored expiration dates for licenses, certifications, privileges, and other qualifications to determine renewal requirements.
- Compiled and coded employee information or data in appropriate computer system.
- Provided administrative support for the credentialing process including data entry and tracking of applications.
- Organized and maintained records of credentialing documents in electronic database.
- Answered inquiries from healthcare providers regarding their credentialing status.
- Analyzed data trends related to provider credentialing activities.
Front Line Supervisor
Riverchase Dermatology and Cosmetic Surgery P.A.
Bal Harbour, FL
01.2020 - 12.2021
- Developed training plans for new staff members and provided ongoing support to ensure successful implementation of job duties.
- Conducted meetings with team members to discuss progress, challenges, and opportunities for improvement.
- Established strategies for improving customer service standards through regular review of processes.
- Evaluated employee performance against established targets and objectives.
- Facilitated communication between departments regarding scheduling issues or customer inquiries.
- Addressed customer service concerns promptly to deliver consistent, positive guest experiences.
- Delegated work to employees based on shift requirements, individual strengths and unique training.
Education
CAPM - Certified Associate Project Manager
Project Management Institute
10.2023
Bachelor of Science - Health Sciences
Florida Gulf Coast University
Fort Myers, FL01.2023
Associate of Science - General Studies
Broward College
Fort Lauderdale, FL12.2019
Skills
- HIPAA Regulations
- Electronic Medical Record Software
- MS Office Expertise
- Interdepartmental Functions Coordination
- Policy and Program Development
- Critical Thinking
- Health Information Systems
- Multidisciplinary Team Collaboration
- Project Oversight
- Performance Monitoring
- Training and Mentoring
- Database Management
- Insurance Verification
- Google Suite
Certification
- CAPM- Certified Associate Management Oct. 2023
Accomplishments
- Accomplishments include designing and putting in effect an electronic system to redundancy and physical paper documents while increasing efficiency and audit trail. Others include the creation of templates to produce invoices, purchase orders, price lists, and product specification lists,resulting in speedier processing.
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Every problem is a gift—without problems we would not grow.
Tony Robbins
Timeline
Referral Coordinator
Fort Norfolk Plaza Primary Care
11.2022 - 08.2023
Compliance and Risk Management Coordinator
Meritage Medical Network
03.2022 - 08.2023
Compliance Specialist
Aya Healthcare
02.2021 - 03.2022
Front Line Supervisor
Riverchase Dermatology and Cosmetic Surgery P.A.
01.2020 - 12.2021
CAPM - Certified Associate Project Manager
Project Management Institute
Bachelor of Science - Health Sciences
Florida Gulf Coast University
Associate of Science - General Studies
Broward College
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