SOLANGE MOLINA
ABBY CARE (HOME HEALTH AGENCY)
Miami,FL
2
Languages
13
years of professional experience
Healthcare operations and administrative leader with experience overseeing home health operations, team performance, patient access, provider relations, insurance processes, compliance, and business workflows. Strong background in Medicaid-related processes, employee onboarding, records management, workflow coordination, and customer service. Recognized for building organized systems, improving communication, resolving operational issues, and maintaining high standards of service and documentation.
Work History
GENERAL MANAGER
1 Year 10 Months- Direct day-to-day home health operations, coordinating administrative, caregiver, patient, and business functions.
- Led caregiver and employee onboarding, ensuring compliance with training and patient-service documentation.
- Lead caregiver and employee onboarding and maintain required employment, training, compliance, and patient-service documentation.
- Manage Medicaid workflows and coordinate documentation with families, caregivers, clinical teams, and managed care organizations.
- Coordinated referral, admission, prior authorization, training, and onboarding processes to streamline patient care transitions.
- Supervised staff performance, delegated priorities, and resolved operational issues while managing office supplies and inventory effectively.
- Directed operational strategies to enhance patient care services and improve client satisfaction.
- Oversaw budget management, ensuring financial health and resource allocation for optimal service delivery.
SUPERVISOR / PROVIDER RELATIONS COORDINATOR
2 Years 2 Months- Supervised team of 15 employees, monitored productivity, coordinated schedules, coached staff, and set performance goals to enhance team effectiveness.
- Reviewed claims, confirmed authorizations, assisted providers, routed documentation, maintained records, and prepared weekly reports to support operational efficiency.
- Handled over 160 calls weekly, resolving client concerns through timely corrective actions and appropriate referrals to improve client satisfaction.
- Implemented process improvements resulting in streamlined operations and reduced turnaround times.
MEDICAL CODING & BILLING SPECIALIST
5 Years 9 Months- Resolved medical billing, coding, and insurance discrepancies for multi-specialty medical group, identifying patterns for escalation to enhance accuracy.
- Coded and abstracted clinical information, audited medical records, and verified coded data, ensuring compliance and supporting fraud/abuse prevention efforts.
- Reviewed outpatient records and interpreted diagnoses and procedures, maintaining coding knowledge to ensure accurate EMR order entry.
Education
ASSOCIATE OF SCIENCE - Nursing
HIGH SCHOOL DIPLOMA
Skills
Healthcare Operations
Home care management
Medicaid & Insurance
HIPAA Compliance
Billing & Claims
Credentialing & Compliance
Budget management
KPI & Performance Tracking
Operations management
Team Leadership
Leadership and team building
Employee Onboarding
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
GENERAL MANAGER
ABBY CARE (HOME HEALTH AGENCY)
11.2024 - CurrentRead More
SUPERVISOR / PROVIDER RELATIONS COORDINATOR
DOCTOR'S HEALTHCARE PLANS
09.2020 - 11.2022Read More
MEDICAL CODING & BILLING SPECIALIST
CAREMAX MEDICAL CENTERS
03.2014 - 12.2019Read More
MIAMI CORAL PARK SENIOR HIGH SCHOOL
HIGH SCHOOL DIPLOMA
Read More
SCHOOL OF NURSING
ASSOCIATE OF SCIENCE from Nursing
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