Yandi Quinones
Hialeah
Summary
Dynamic professional, specializing in documentation management and problem-solving. Showcasing unparalleled attention to detail and teamwork. Proficient in QNXT and PEGA, adept at enhancing quality assurance and data analysis processes. Achieved compliance within strict SLAs, ensuring HIPAA adherence regarding sensitive information.
Overview
4
4
years of professional experience
Work History
Appeals and Grievances Specialist
Molina Healthcare
8300 NW 33rd St Ste 400, Doral, FL 33122 / Remote
11.2021 - Current
- Processed appeals, disputes, and Optum cases within strict SLA turnaround time to stay under compliance.
- Ensured HIPAA compliance by adhering to strict confidentiality guidelines when handling sensitive patient information.
- Reviewed and maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Ensured timely submission of daily required reports showing workload and assignments for the day, additionally assign work for the team.
- Mentored new hires; served as a reliable resource for trainees seeking additional information or clarification on triage process.
IT Support
Lima Express, LLC
Miami, FL
11.2020 - 09.2021
- Tackled troubleshooting and problem resolution to support end-user technical issues.
- Delivered local and remote Tier 1 IT support and software to company personnel.
- Oversaw equipment and system operations, surveying for potential security vulnerabilities and upgrade needs.
Election Poll Worker
City Of Hialeah
Hialeah, FL
11.2020 - 11.2020
- Managed time effectively to balance multiple tasks such as checking in voters, answering questions, and maintaining lines in an orderly fashion.
- Upheld the confidentiality and integrity of the voting process by never disclosing any voter''s personal information or political preferences while working at the polling station.
- Ensured a fair election by strictly adhering to established protocols and guidelines during ballot handling.
Education
Associate of Arts - Computer Engineering
Miami Dade College
Miami, FL12.2025
Cyber Security Boot Camp
Florida International University
Miami, FL12.2024
Skills
- Documentation Management
- Attention to Detail
- Quality Assurance
- Data Analysis
- Proficient in QNXT and PEGA
- Adaptability and Flexibility
- Teamwork and Collaboration
- Expert Problem Solving
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Appeals and Grievances Specialist
Molina Healthcare
11.2021 - Current
IT Support
Lima Express, LLC
11.2020 - 09.2021
Election Poll Worker
City Of Hialeah
11.2020 - 11.2020
Associate of Arts - Computer Engineering
Miami Dade College
Cyber Security Boot Camp
Florida International University