Yamna Portelles Lamela
Hialeah,FL
Summary
Attentive team player consistently treats clients fairly and equitably. Motivated to succeed in fast-paced and deadline-driven professional environment. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
17
17
years of professional experience
Work History
Samsung Claims Manager
TOPP Solutions Inc.
06.2015 - Current
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Followed up with customers on unresolved issues.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Checked documentation for accuracy and validity on updated systems.
- Posted payments to accounts and maintained records.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
Wire Preparation Supervisor
Warren Technology Inc
12.2006 - 06.2015
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.
- Enforced rules and regulations outlined in company manual to set forth expectations comprehensibly and consistently.
- Conducted routine inspections to check quality and compliance with established specifications.
- Identified unsafe or unhealthful workplace conditions or hazards to enforce safe work practices and procedures.
- Created successful work schedules for each team member to maintain deadlines and fully staff shifts.
- Maintained overall safe work environment with employee training programs and enforcement of safety procedures.
- Frequently inspected production area to verify proper equipment operation.
- Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
- Monitored workflow to improve employee time management and increase productivity.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained compliance with company policies, objectives, and communication goals.
- Achieved results by working with staff to meet established targets.
Education
Certificate of Completion - Medical Coding Training
Excelsior Technical Institute NMB
Miami, FL06.2023
Certified Professional Coder - Medical Coding
Advancing The Business of Healthcare
AAPC2023
Certificate of Completion - Principles of Accounting And Quickbooks
Star Accountants And Associates
Miami, FL11.2018
Certificate of Completion - Computer Business Application
Compu-Med Vocational Careers - Miami
Miami, FL2009
High School Diploma -
I.P.U.E.C Capitan San Luis
Holguin, Cuba07.1998
Skills
- Production Goals
- Insurance Terminology
- Microsoft Office
- Strategic Initiatives
- Diagnostic Codes
- Account Management Expertise
- Work Organizing and Prioritizing
- Great Mathematical Skills
- Excellent Administrative Abilities
- Complex Problem-Solving
- Staff Support
- Confidential Records Management
- Efficient Service
- Operational Efficiency
- Creative Solutions
- Account Management Software
- Office Support
- Claims
- Medical Terminology
- Operational Requirements
- CPT Code Modifiers
- Records Management
- Medical Records Security
- Protected Health Information
- Document Management
- Paperwork Processing
- Human Anatomy Knowledge
- Information Classification
- Certified Professional Coder
- HIPAA Compliance
- Records Review
- Patient Information Verification
- Demographics Information
- ICD-10-CM Coding
- CPT Coding
- HCPCS Level II Coding
- Knowledgeable in GSPN Software
- Data Verification
- Data Entry
- Medical Claims Coding
Languages
Spanish
Native or Bilingual
English
Professional Working
Timeline
Samsung Claims Manager
TOPP Solutions Inc.
06.2015 - Current
Wire Preparation Supervisor
Warren Technology Inc
12.2006 - 06.2015
Certificate of Completion - Medical Coding Training
Excelsior Technical Institute NMB
Certified Professional Coder - Medical Coding
Advancing The Business of Healthcare
Certificate of Completion - Principles of Accounting And Quickbooks
Star Accountants And Associates
Certificate of Completion - Computer Business Application
Compu-Med Vocational Careers - Miami
High School Diploma -
I.P.U.E.C Capitan San Luis
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