Yanet Pardo Garcia
Plant City,FL
Summary
Dedicated professional with extensive experience in enhancing patient experiences within the healthcare sector. Proven ability to manage high-volume patient interactions and effectively communicate complex health insurance information, ensuring clarity and trust. Bilingual in English and Spanish, facilitating seamless communication with diverse patient populations. Strong problem-solver adept at resolving inquiries and optimizing administrative workflows to improve patient satisfaction. Committed to fostering a supportive environment that encourages patient engagement and promotes health awareness.
Overview
4
4
years of professional experience
Work History
Claims Processing Specialist
Aetna, CVS Health
Remote FL
10.2025 - 03.2026
- Manually revising medical faxes from providers identifying discrepancies any missing information performed data entry on patient portal.
- Utilizing multiple software systems to complete Medicare appeals case reviews knowledge of Medicare Part D.
- Conveying resolution to beneficiary or provider via direct communication by inbound call , Outbound call and email.
- Identify claim processing learning opportunities by working directly with supervisors and trainers to learn efficient and effective processing techniques and workflows.
- Utilized variety of virtual tools including Outlook email, Microsoft Teams , Microsoft Excel and similar applications to effectively collaborate and communicate to stay connected with colleagues and supervisors.
Bilingual Customer Care Specialist - Health Insurance
Centene Corporation
Remote FL
02.2024 - 07.2025
- Efficiently manage high-volume patient check-ins and insurance verifications, ensuring precise eligibility assessments and expediting administrative workflows to enhance operational efficiency and elevate patient satisfaction.
- Articulate complex health insurance benefits to patients, clearly explaining co-pays, deductibles, and covered services, which significantly reduces billing discrepancies and fosters a high level of patient comprehension and trust in the healthcare process.
- Collaborate with insurance providers to swiftly resolve claims discrepancies, optimizing the revenue cycle and ensuring timely access to care, thereby improving patient health outcomes and enhancing organizational profitability through increased claims approval rates.
- Deliver exceptional bilingual support to a diverse patient population, effectively addressing inquiries and concerns in both English and Spanish, ensuring equitable access to health insurance resources and fostering an inclusive environment that encourages patient engagement.
- Execute targeted outreach initiatives to raise awareness of preventive health services, driving member engagement and participation, which contributes to improved health outcomes and reduces overall healthcare costs for patients.
Spanish Language Services Interpreter - Healthcare
CyraCom: Interpretation & Translation Solutions
Tampa, FL
08.2022 - 12.2023
- Interpreted Spanish-language conversations for patients and healthcare professionals, facilitating clear and accurate communication that ensured comprehensive understanding of medical information, treatment plans, and care instructions, ultimately enhancing patient outcomes.
- Provided real-time interpretation during medical appointments, effectively bridging language barriers and fostering a supportive and inclusive environment that empowered patient comfort and engagement in their own healthcare processes.
- Translated complex medical documents and patient education materials from English to Spanish, ensuring that critical health information was accessible to Spanish-speaking patients, thereby promoting informed decision-making and adherence to treatment regimens.
- Collaborated closely with multidisciplinary healthcare teams to prepare for patient appointments, meticulously reviewing relevant medical terminology and patient histories to ensure precise interpretation and effective communication during consultations.
- Conducted follow-up sessions with patients to clarify medical instructions and answer questions, reinforcing understanding and compliance with treatment plans, while also gathering feedback to improve future interpretation services.
Education
High School Diploma - undefined
Durant High School
Plant City, FL01.2019
Skills
Bilingual Communication (English/Spanish)
Customer Service Excellence
Insurance Verification
Patient Check-In Management
Claims Resolution
Health Insurance Knowledge
Effective Interpretation Services
Medical Terminology Proficiency
Problem-Solving Abilities
Administrative Workflow Optimization
Inventory Management
Data Analysis and Reporting
Call Center Operations
Conflict Resolution
Time Management
Team Collaboration
Attention to Detail
Process Improvement
Training and Mentorship
Multitasking Skills
Compliance with Regulations
Customer Feedback Analysis
Documentation Accuracy
Outreach and Awareness Initiatives
Technical Proficiency in Software
Relationship Building
Quality Assurance
Inventory Control Best Practices
Adaptability to Change
Organizational Skills
Timeline
Claims Processing Specialist
Aetna, CVS Health
10.2025 - 03.2026
Bilingual Customer Care Specialist - Health Insurance
Centene Corporation
02.2024 - 07.2025
Spanish Language Services Interpreter - Healthcare
CyraCom: Interpretation & Translation Solutions
08.2022 - 12.2023
High School Diploma - undefined
Durant High School