Yari Santiago Torres
Boerne,TX
Summary
Adept at processing critical military and medical documents, including DD214, with a track record of enhancing data accuracy at JBSA Randolph AFB - Goodwill. Excelled in remote support and application support, demonstrating a keen ability to optimize performance and streamline retirement transitions. Recognized for exceptional organizational skills and a commitment to precision, significantly improving operational efficiency.
Overview
17
17
years of professional experience
1
1
CPR/AED Certification
1
1
Notary Certification
Work History
TFSC - Support Technician
JBSA Randolph AFB - Goodwill
San Antonio, TX
04.2021 - 01.2022
- Processed DD214 for Air Force including; assignments, promotions, evaluations, separations, retirements, entitlements, retention, classification, awards, decorations, retraining, duty stations, MOS, deployments, ribbons, separation station, and entitlements. Provided reports and statistics of all accounts merged over to Space Force.
Worked with Team Lead to resolve discrepancies and ensure the accuracy of personnel data. Routinely cross checked data from the personnel data system with source documents in the personnel records to ensure accuracy.
Medical Records Representative
Consultants in Pain Medicine, P.A.
06.2018 - Current
- Process medical records, billing records, subpoenas and affidavits for over 700 attorneys in Texas through EMD's and Apria
- Process state audits, disability offices, social security office, and insurance audits, workers comp and VA
- Invoice patients and clients for specified treatments and deposition invoices, prepare records for court hearings and invoice the Doctor's fee to appear in court hearings
- Distribute faxes through Right Fax, manually or through Kno2, p-Touch Address Book
- Process paper and electronic claims to insurances, attorneys, and insurance companies
- Check statuses of reduction letters as well as provide medical records for denied claims
- Serve as an operator of the company and distribute and connect calls as necessary to the correct offices and departments through Shore Tel Communicator
- Scan and process all medical and non-medical documents into patient charts and link them as necessary for the Doctor's office as well as train new employees
- Schedule interviews for management and maintain their schedule of interviews by creating spreadsheets
- Process claims and provide medical records for appeals, handle past due patient collections, set up patients with access to the patient portal, and respond to all patient portal messages as well as distribute them to the patient's Doctors accordingly
- Assist with Cash posting, patient collections, adjustments, provide balances, reduction letters, scan correspondence and adjust payments according
- Maintained full accessibility to all sensitive areas during the decrease of personnel due to COVID-19
- Unaffected by the decrease of personnel, the medical records, affidavits, patient portals, billing were all completed in a timely manner
- Commended by the CEO for keeping the organization and flow running
- Tasks involved but not limited to were temperature checks of all personnel and visitors entering the work area, constant cleaning, and disinfecting of all areas involved in the day to day operations and ensuring all requirements for the day were completed before the end of the day
Medical Records Representative I
Christus Santa Rosa Family Health Center
12.2013 - 08.2017
- Processed medical records in a timely matter, by mail, electronic, fax and CD Rom
- Verified Resident and Faculty Doctor's orders and paperwork for processing within 4 different clinics in two different hospitals
- Managed special projects as working on merging records to new COC or doctors' work in-boxes
- Provided any medical records needed for social security purpose and transfer of care, answered multiple phone lines as well as translated any documentation in Spanish as well as patient information
- Maintained policies and procedures up to date, provided Doctor's credentials as needed
- Managed all resolution that came inbound/outbound within the clinic and redirected most of the calls and issues as necessary
- Provided and monitored the suicide prevention hotline as necessary
- Coordinated and executed all clinic events as well as provided all the information to staff and providers
- Prepared Doctor's audits as well as contacted doctors on status of urgent patient matters
- Prepared affidavits of records trained new hires and Doctors prior to graduation for orders, DME, or redirection of documentation in system
- Created spreadsheets, slides and reports on Microsoft Excel
Member Connections Representative I (contract)
Superior Health Plan
09.2012 - 11.2016
- Assisted members and patients with needed information for assistance with utilities, abuse, food, shelter, work, and educational classes, as well as daily living needs
- Searched for venues where meetings could be held for Superior Health Plan members to share their point of views on how their experience has been with the Health Plan as well as educated patients in different classes from breastfeeding classes to becoming new mothers' information
- Prepared giveaways for classes and volunteer events
- Prepped company belongings to move from one location to another
- Consolidated information for inventory such as literature, giveaways, and information pamphlets
Bilingual Clinical intake Specialist
Humana Inc.
05.2008 - 04.2012
- Managed Inpatient and Outpatient admissions, processed cases within strict rules and regulations in a timely matter for PR and Outbound Team
- Maintained excellent internal and external audits through the use of systems and processes such as CCA, CCP2, CAS, EMPI, PAG, Met Advance, MSR, Mentor, Right fax, and Lotus Notes
- Assisted as necessary on overtime for both teams and other markets as needed
- Worked the Inbound/Outbound entry for all markets including Florida (Orlando, Daytona, Tampa, and Jacksonville) as well as special projects assigned by peers for Data Entry, Met Care, Health Help, and Faxes
- Maintained high production and provided status of the workload within the teams
- Obtained necessary documentation for referral approval, as well as doctor's approvals for inpatient and outpatient urgent services
- Prioritized urgent cases as necessary
- Screened/sorted calls and documentation for diseases, infusion, chemotherapy, hospice, Medical POA, Behavioral Health
Education
Certified Notary Public Commission -
07.2024
Certification - CPR
CPR123 American Heart Association
San Antonio, TX07-2024
10 Credits -
San Bernardino Valley College
San Bernardino, CaliforniaHigh School Diploma -
Colton High School
Colton, CaliforniaSkills
- Application support
- Remote support
- Performance optimization
- Retirement transition support
- Military Retirement Separations
- Service Awards and Ribbons
- Space Force
- DD214
- Patient greeting
- Document filing
- Medical filing
- Medical terminology
- Healthcare industry
- Payment collection
- Customer service
- Patient intake
- Records organization
- HIPAA compliance
- EMR / EHR
- Medical office administration
- Medical records audits
- Records management
- Staff education and training
- Meeting coordination
- New patient chart preparation
- Information retrieval
- Electronic medical records handling
- Work well independently
- Insurance eligibility
- Legal documents
- Legal Terminology Knowledge
- Creative problem solving
Affiliations
- Certified Notary
- Ethics & Compliance Training
- St. Jude Children's Research Fundraiser Volunteer
- American Red Cross NTX Administrative Aide
- Boysville, Inc. Event Volunteer
- American Heart Association Fundraiser Volunteer
- Red for Woman Movement Volunteer
- Brides Against Breast Cancer Fundraiser Volunteer
- San Antonio Food Bank Volunteer Staff
- Texas Diaper Bank Student Volunteer
- Alzheimer's Association Fundraiser Volunteer
- Boss Army Program Co Producer, Choreographer and Performer
Certification
- National Notary Association Certificate
- CPR & AED Program Certification
Languages
English
Proficient (C2)
C2
Spanish
Proficient (C2)
C2
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved high unsolved account resolution which led to paid accounts and claims processed.
- Achieved completion of special projects through effectively helping with task and document retrivals.
- Achieved problem solving accounts by completing resolutions with accuracy and efficiency.
- Resolved product issue through consumer testing.
- Collaborated with team of 20 in the development of Space Force Merging.
Work Preference
Work Type
Full TimeInternshipWork Location
On-SiteRemoteImportant To Me
Career advancementPaid time offPaid sick leave401k matchTeam Building / Company Retreats4-day work weekPersonal development programsWork-life balanceCompany CultureQuote
"The only impossible journey is the one you never begin."
Albert Einstein
Software
Met Advanced
Microsoft Office
Word
Excell
MPI
CCP2
CAS
MSR
Mentor
Right Fax
Lotus Notes
Athena Net
Aprima
EMD's
Centricity
Paper Stream Capture
Kno2
Shore Tel Communicator
Windows Explorer
Gateway
TriZetto
MediTech
PAG
Met Care
CMR
Fax and CD Rom
Zoom
Edge
Outlook
Interests
Research Skills
Music
Dancing
Nursing
Medicine
Art
Leadership
Volunteering
Travel
Sports
Disaster Reliefs
Cases of the ER unknown
Timeline
TFSC - Support Technician
JBSA Randolph AFB - Goodwill
04.2021 - 01.2022
Medical Records Representative
Consultants in Pain Medicine, P.A.
06.2018 - Current
Medical Records Representative I
Christus Santa Rosa Family Health Center
12.2013 - 08.2017
Member Connections Representative I (contract)
Superior Health Plan
09.2012 - 11.2016
Bilingual Clinical intake Specialist
Humana Inc.
05.2008 - 04.2012
- National Notary Association Certificate
- CPR & AED Program Certification
Certified Notary Public Commission -
Certification - CPR
CPR123 American Heart Association
10 Credits -
San Bernardino Valley College
High School Diploma -
Colton High School
Similar Profiles
Alexander JaimeAlexander Jaime
Total Force Service Center Technician at Goodwill Industries of San Antonio | Joint Base San Antonio – Randolph AFBTotal Force Service Center Technician at Goodwill Industries of San Antonio | Joint Base San Antonio – Randolph AFB
Denise Longoria-ValdezDenise Longoria-Valdez
Records Management at Goodwill Ind. Randolph AFBRecords Management at Goodwill Ind. Randolph AFB
Nicholas D. SealyNicholas D. Sealy
HC/MC-130J Command Flight Examiner at 19th AF Air Education and Training Command JBSA RandolphHC/MC-130J Command Flight Examiner at 19th AF Air Education and Training Command JBSA Randolph