TATIANA HERNANDEZ
Van Buren,AR
Summary
Healthcare operations professional with 10+ years of experience in revenue cycle management, eligibility verification, and process improvement. Proven expertise in audits, workflow optimization, and project coordination. Seeking to leverage skills to drive operational efficiency, ensure compliance, and improve service quality.
Overview
13
13
years of professional experience
Work History
Benefits Verification Specialist II
Aegis Group Practice
Fort Smith, Arkansas
04.2026 - Current
- Verified patient benefits through insurance eligibility and coverage analysis.
- Communicated with insurance providers to resolve discrepancies in benefit information.
- Assisted patients in understanding their benefits and coverage options clearly.
- Worked closely with internal teams such as the billing department and utilization management team to resolve any issues related to benefit verifications.
- Collaborated with healthcare teams to ensure accurate patient data collection.
- Streamlined workflows by implementing efficient processes for data entry and tracking.
- Adhered to HIPAA regulations when handling confidential patient information.
- Participated in meetings with upper management on ways to streamline the process of verifying patient eligibility.
Coordinator II – Operations Readiness (Project Coordination)
Ensemble Health Partners
08.2025 - 03.2026
- Coordinated operational readiness initiatives during new process implementations, managing timelines, resources, and stakeholder communication to ensure smooth transitions.
- Partnered with project leads and cross-functional teams to track implementation activities and ensure completion of key milestones.
- Managed and resolved 400+ operational support tickets within three months using the Salesforce Cloud Coach system, improving workflow efficiency and addressing leadership requests.
- Monitored project activities, identifying potential delays or risks to facilitate on-time project delivery.
- Facilitated communication between operational teams and leadership, aligning implementation plans with operational priorities.
Process Improvement & Quality Analyst
Center of Excellence (COE)
04.2022 - 08.2025
- Analyzed workflows and performance data to identify process improvement opportunities, recommending operational enhancements that streamlined operations.
- Conducted operational and compliance reviews to evaluate internal controls, identify process gaps, and ensure regulatory alignment, enhancing overall compliance.
- Partnered with service line leaders to assess operational risks and implement mitigation strategies that improved compliance and efficiency.
- Developed process documentation and control frameworks, establishing quality monitoring procedures that supported Center of Excellence initiatives.
- Presented audit findings and risk assessments to leadership, supporting informed operational planning and decision-making.
Benefits Manager
CHS Shared Service Center
08.2014 - 04.2022
- Oversaw benefits verification operations for multiple healthcare client accounts, leading the team in eligibility and authorization workflows to streamline processes.
- Managed daily operations for benefits verification and authorization teams in high-volume healthcare environment, ensuring timely processing and compliance.
- Supervised staff, conducted training, and ensured compliance with regulatory and payer requirements.
- Collaborated with departments to resolve complex eligibility and authorization issues, enhancing overall client satisfaction and service delivery.
- Monitored operational metrics and implemented workflow improvements to increase efficiency.
- Recognized as Manager of the Year for operational excellence and team performance.
Supervisor
CHS Shared Service Center
02.2014 - 08.2014
- Supervised verification specialists for multiple healthcare client accounts, ensuring accuracy and compliance in authorization processing.
- Conducted quality assurance audits to uphold compliance standards and enhance service delivery.
- Implemented process improvements that enhanced team efficiency and service quality.
- Analyzed operational data to inform staffing and optimize workflow planning.
Education
High School Diploma -
Van Buren High School
Van Buren, AR05-2007
Skills
- Insurance Verification
- Eligibility & Benefits Analysis
- Process improvement
- Revenue Cycle Management
- Audit & Quality Review
- Compliance adherence
- Project coordination
- HIPAA compliance
- Collaboration
- Data management
- Workflow optimization
- Team leadership
- Attention to detail
- Multitasking Abilities
- FLUENT IN Spanish and English
Accomplishments
- Awarded Manager of the Year for exceptional leadership, operational performance, and team development
- CRCR- Certified Revenue Cycle Representative, HFMA (2025)
Timeline
Benefits Verification Specialist II
Aegis Group Practice
04.2026 - Current
Coordinator II – Operations Readiness (Project Coordination)
Ensemble Health Partners
08.2025 - 03.2026
Process Improvement & Quality Analyst
Center of Excellence (COE)
04.2022 - 08.2025
Benefits Manager
CHS Shared Service Center
08.2014 - 04.2022
Supervisor
CHS Shared Service Center
02.2014 - 08.2014
High School Diploma -
Van Buren High School