Summary
Overview
Work History
Education
Skills
References
Languages
Timeline
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Yamel Nunez Dominguez

Tampa

Summary

Highly organized and detail-oriented Patient Care Coordinator and Remote Authorization Specialist with over 5 years of experience in healthcare administration. Proven track record of effectively managing patient appointments, verifying insurance coverage, and ensuring seamless operations in a fast-paced clinical setting. Adept at utilizing EMR software to maintain patient records while upholding strict confidentiality in compliance with HIPAA regulations. Skilled in obtaining authorizations for surgical procedures and providing exceptional customer service.

Overview

10
10
years of professional experience

Work History

Customer Service Representative II

Quest Diagnostics
Tampa, FL
08.2023 - Current

•Made inbound and outbound, health related customer calls following set scripts, procedures.

• Maintained complete customer/patient confidentiality for all health, personal and other customer information.

• Provided professional, respectful, customer excellence. Demonstrates caring and empathy when delivering sensitive health information.

• Effectively respond to all customer inquiries received by various digital methods including telephone, fax, email chat regarding reporting of patient results, inquiries of tests and services, concerns of service failures and other duties needed to provide superior service

Patient Care Coordinator/Remote Authorization Specialist

NYC Retina, Manhattan
Queens, NY
10.2018 - 01.2023
  • Scheduled and rescheduled patient appointments using advanced scheduling software
  • Verified primary and secondary insurance coverage to ensure accurate billing and claims processing
  • Managed telephone calls, logged encounters, and efficiently directed calls to appropriate recipients
  • Proficiently utilized EMR software to maintain electronic patient charts and uphold strict confidentiality as required by HIPAA
  • Confirmed customers' prescriptions with the pharmacy, ensuring accuracy and timely fulfillment
  • Obtained necessary authorizations for surgical procedures through effective communication with insurance companies
  • Addressed customers' concerns promptly and provided exceptional customer service.

Coach

IAHD, The Institutes of Applied Human Dynamics
Bronx, NY
12.2015 - 09.2018
  • Completed and updated individual assessments in coordination with the supervisor, leveraging person-centered planning techniques
  • Developed and implemented individual goals based on person-centered plans, fostering personal growth and progress
  • Created tailored curriculums and lesson plans aligned with individual valued outcomes, promoting engagement and skill development
  • Provided comprehensive job opportunities for clients based on their unique needs and preferences.

Education

High School Diploma -

Washington Heights Expeditionary Learning School

Skills

  • Effective communication skills
  • Certified in CPR and wheelchair accessibility
  • Dedicated to providing quality patient care
  • Healthcare operations
  • Proficient in both Windows and Mac platforms
  • Experienced with Word, Excel, and PowerPoint

References

References Available Upon Request

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Customer Service Representative II

Quest Diagnostics
08.2023 - Current

Patient Care Coordinator/Remote Authorization Specialist

NYC Retina, Manhattan
10.2018 - 01.2023

Coach

IAHD, The Institutes of Applied Human Dynamics
12.2015 - 09.2018

High School Diploma -

Washington Heights Expeditionary Learning School