Summary
Overview
Work History
Education
Skills
Languages
Timeline
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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
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
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
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, FL
12.2025

Cyber Security Boot Camp

Florida International University
Miami, FL
12.2024

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
Yandi Quinones