Yaremis Valle
St. Petersburg,FL
Summary
Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, schedule appointments and handle various administrative responsibilities. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
10
10
years of professional experience
Work History
Mental Health Technician
HCA
02.2023 - Current
- Improved patient well-being by providing compassionate care and support during their mental health journey.
- Assisted in the development of individualized treatment plans to address specific patient needs and promote recovery.
- Monitored patients'' progress, documenting changes in behavior and updating treatment plans accordingly.
- Provided crisis intervention and de-escalation techniques for patients experiencing emotional distress or exhibiting aggressive behaviors.
- Promoted a safe, therapeutic environment by enforcing facility policies and maintaining patient confidentiality at all times.
Eligibility Representative
Eligibility Screening Services
03.2019 - 05.2022
- Screened referred self-pay patients in a hospital setting for programs such as Medicare, Medicaid, Medicaid for Nursing Home Placement, Crime Victims, Vocational Rehabilitation, QMB, SSI and any/all other third party coverage (including other available local, state and federal programs and the Hospital’s Financial Assistance Program)
- Provided Point of Service collections for self-pay patients, patients who have balances after insurance or Medicare payments, and patients that do not qualify for any programs/coverage
- Streamlined workflow for faster application processing, resulting in improved turnaround times.
- Exceeded performance metrics consistently by accurately determining program eligibility within established timeframes.
Credentialing Coordinator
Access2Care
12.2016 - 02.2019
- Streamlined the credentialing process by implementing an efficient tracking system for medical staff applications.
- Assisted with managed care auditing processes and performed internal file audits
- Tracked the expiration dates on documents and communicated with the appropriate staff to ensure that files were received before they expired
- Improved turnaround times for processing credentials by diligently reviewing and verifying provider eligibility.
- Skillfully developed departmental goals, objectives, standards of performance, policies and procedures.
Dispatch Supervisor
Access2Care
01.2015 - 12.2016
- Monitored Quality assessments for communication staff
- Monitored CMS Supervisor for Dispatch Personnel
- Handled All Schedules for Dispatch Department Documented, Tracked and Responded to all transportation complain
- Assisted in KRONOS time management
- Supervised a team of 25-30 employees and provided training that maximized their overall performance
- Maintained meticulous employee records to accurately track attendance and productivity
- Analyzed project and vendor data and comprised this information into presentations that were used for internal purposes
- Established long-term customer relationships through prompt and courteous service
- Oversaw hiring and training of new employees each quarter
- Tracked time spent on assignments each day for productivity reporting.
- Streamlined dispatch operations by implementing efficient scheduling and routing strategies.
- Enhanced team productivity by providing ongoing training and support to dispatch staff.
Sales Consultant
VR Enterprises Corp
04.2014 - 08.2014
- Greeted customers in a timely fashion, while quickly determining their needs
- Answered customer questions about product availability and shipment times
- Accurately logged all daily shipping and receiving orders
- Handle all administrative aspects of the sale including but not limited to completing customer contracts and warranties, pulling products from inventory, accepting customer payments and filing the completed orders
- Met sales goals by selling products and services to new and existing customers.
Education
Nursing
Galen College of Nursing- Some College
St. Petersburg High School Diploma -
St. Petersburg High School
Saint Petersburg, FL01.2014
Skills
- Bilingual in Spanish and English
- Strong Problem-Solving Aptitude
- Natural Leader
- Skilled in Call Center Operations
- Fluent in Microsoft Outlook, Word & Excel
- Employee Training and Development
- Attention to Detail
- Patient Safety Management
- Discharge Planning
- Behavior Management
References
References available upon request.
Timeline
Mental Health Technician
HCA
02.2023 - Current
Eligibility Representative
Eligibility Screening Services
03.2019 - 05.2022
Credentialing Coordinator
Access2Care
12.2016 - 02.2019
Dispatch Supervisor
Access2Care
01.2015 - 12.2016
Sales Consultant
VR Enterprises Corp
04.2014 - 08.2014
Nursing
Galen College of Nursing- Some College
High School Diploma -
St. Petersburg High School
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