Yazmin Moya
Belle Glade,FL
Summary
Detail-oriented individual with exceptional communication and project management skills. Demonstrated ability to effectively and efficiently handle multiple tasks in fast-paced environments. Known for taking a proactive approach to identifying and addressing issues, with a strong focus on optimizing processes and supporting team objectives. Committed to leveraging qualities to drive team success and contribute to organizational growth.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Special Projects Coordinator
Healthcare District of Palm Beach County
07.2024 - Current
- Conducted research and gathered key information for use in upcoming project planning.
- Analyzed project performance data to identify areas of improvement.
- Monitored project progress, identified risks and took corrective action as needed.
- Tracked project and team member performance closely to quickly intervene in mistakes or delays.
- Scheduled and facilitated meetings between project stakeholders to discuss deliverables, schedules and conflicts.
- Gained strong leadership skills by managing projects from start to finish.
- Proven ability to learn quickly and adapt to new situations.
- Cultivated interpersonal skills by building positive relationships with others.
Utilization Review Coordinator
Healthcare District of Palm Beach County
10.2022 - 07.2024
- Provided crucial non-clinical support to the Utilization Review (UM) Team and Case Management, ensuring seamless operations.
- Collaborated with UM team, Case Management, Physicians, Admitting Department, and Billing Department to ensure smooth department functioning.
- Identified patterns and trends that inform denial management strategies.
- Utilize Excel spreadsheet to systematically record and track all admission accounts, enabling the identification and monitoring of denials in the healthcare or financial context.
- Identify and work with other department managers to diminish performance gaps.
- Actively participate in Department meetings and contributes to process improvement initiatives.
- Follow all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Manage the notification of hospital admissions and distributed authorization requests.
- Accurately enter records/data communicating as a bridge between insurance payers and the hospital UM department.
- Proficiently handle various communication channels, including fax, email, online payer databases, and voicemail coverage.
- Organize, prepare, image, and download medical reports and claim letters while maintaining data integrity.
- Assist with mailing appeal/authorization letters, tracked and trended UM data, and disseminated daily census information to targeted facilities as needed.
- Communicate time-sensitive information to UM Team and Business Office counterparts.
- Maintain strict patient confidentiality by adhering to HIPAA regulations and avoiding data compromises.
Pharmacy Technician
CVS Pharmacy
07.2017 - Current
- Performed various pharmacy operational activities with strong commitment to accuracy, efficiency, and service quality.
- Developed and implemented improvements to pharmacy organization system.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
- Maintained proper drug storage procedures, registries, and records for controlled drugs.
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
- Collected co-payments or full payments from customers.
- Consulted with insurance company representatives to complete claims processing, resolve concerns, and reconcile payments.
- Restocked pharmacy shelves with current merchandise to drive consistent peripheral sales.
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Clinical Radiology Assistant
Florida Cancer Specialists
02.2022 - 10.2022
- Assist the radiology department by completing administrative and designated duties required for the successful completion of radiology services to our patients and team.
- Scheduling new and follow-up patient appointments for clinic and/or outside testing Collect payment from patients upon arrival and/or at checkout.
- Check in patients as they arrive and verify information. Answer calls promptly and retrieve messages Assemble all new patient and hospital follow-up charts.
- Reviews schedule and checks for all tests and/or referrals ordered from doctor performing end of day closing and balance procedures.
- Upheld high level of service to patients by assisting in different ways, displaying professionalism, and responding appropriately to questions and concerns.
- Explained imaging procedures to patients, offering comfort and assistance.
Medical Office Specialist
HCA Advanced Women's OBGYN
09.2021 - 02.2022
- Answer calls promptly and retrieve messages.
- Scheduling and confirming appointments, tests, treatments, and other procedures.
- Obtaining and updating patients' personal and health information.
- Creating and maintaining electronic health records
- Preparing patients' files for consultation and evaluation.
- Managing inquiries and relaying messages about scheduling, referrals, and prescription refills.
- Verifying medical insurance information via software programs such as Availity, Passport and Medicaid Provider Portal.
- Intermediary between healthcare providers, patients, and health insurance companies.
- Follow established guidelines for Medicare, Medicaid, and other insurer billing and collections.
- Collecting co-payments from patients and following up on medical insurance claims.
- Performing financial end of day closing and bookkeeping procedures.
Legal Secretary
State Attorney's Office 15th Judicial Circuit
02.2014 - 09.2021
- Developed and maintained filing and retrieval systems.
- Created, indexed, and maintained client binders.
- Organized files for court proceedings.
- Scheduled all appointments, appearances and briefings.
- Completed data entry of legal documents into electronic filing systems.
- Handle all telephone calls, meeting plans and conference organization requirements.
- Develop positive working relationship with courts, clients, law enforcement members and attorneys.
- Type warrants, summonses, subpoenas, information writs, indictments, petitions to revoke, eavesdropping orders, legal documents, etc.
- Provide information to County staff and general public which require understanding of case process and degree of patience for emotional matters relating to parties involved in each case.
- Obtain pertinent information to individual cases with subpoenaed witness, victims, law enforcement personnel and other parties.
- Copy court files and faxes documents
determining when to act and when to refer matters to Attorney - File court documents and legal pleadings with court clerk on behalf of attorneys
Education
Master of Health Administration - Health Supervision And Management
Florida Atlantic University
Boca Raton, FL12-2023
Bachelor of Science - Health Supervision And Management
Palm Beach State College
Lake Worth, FL05-2022
Skills
- Healthcare regulations
- Teamwork and Collaboration
- Stakeholder Relations
- Patient Relations
- Risk Assessment
- Performance Management
- Medical Billing
- EMR Software
- Medical Transcription
- Organizational Development
- Health Information Systems
- Quality Improvement
- Process Implementation
- Operational Efficiency
Certification
- Lean Six Sigma Green Belt Certification
- Registered Pharmacy Technician License
- BLS Certification
Languages
Spanish
Native or Bilingual
Timeline
Special Projects Coordinator
Healthcare District of Palm Beach County
07.2024 - Current
Utilization Review Coordinator
Healthcare District of Palm Beach County
10.2022 - 07.2024
Clinical Radiology Assistant
Florida Cancer Specialists
02.2022 - 10.2022
Medical Office Specialist
HCA Advanced Women's OBGYN
09.2021 - 02.2022
Pharmacy Technician
CVS Pharmacy
07.2017 - Current
Legal Secretary
State Attorney's Office 15th Judicial Circuit
02.2014 - 09.2021
- Lean Six Sigma Green Belt Certification
- Registered Pharmacy Technician License
- BLS Certification
Master of Health Administration - Health Supervision And Management
Florida Atlantic University
Bachelor of Science - Health Supervision And Management
Palm Beach State College
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