Yesenia Najarro
Greater Orlando Area,FL
Summary
Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Detail-oriented Account Manager with 5 years of comprehensive experience managing employer-client relationships and developing new business deals. Focused on managing accounts systematically to maximize sales. Dedicated professional successful at introducing new products and expanding network connections.
Overview
14
14
years of professional experience
Work History
Account Manager
Papa Inc
Remote
04.2022 - 09.2023
- Built and structured the Account Management role
- First Account Manager to maintain client relationships for over 50 clients
- Responsible for monthly and quarterly reports to display the utilization, care gaps, and growth of their members
- Provide the client membership marketing information and attend whether in-person or virtually
- Ensure time completion and coordination of client compliance/audit requests as well as member complaints
- Coordinate and host if needed day-to-day meetings between Papa and the Client Success Manager.
Enrollment Manager
Papa Inc
Miami, FL
12.2019 - 04.2022
- Interviewed, hired, trained, and managed 150 employees as the company transitioned to remote work and increased the staff by 60% for the Call Center
- Partnered with the company's Vice President to build and structure the Call Center focusing on the Enrollment Department and Customer Service
- Set yearly enrollment goals for our 40 clients strategizing monthly focused on the client's contractual obligations
- Partnered with Human Resources to recreate policies and document new processes for staff that were hired nationwide
- Collaborated with the QA department to create a scorecard that would ensure employees are following each client's guidelines accordingly and providing great customer service all while being able to address areas of opportunities
- Actively listen to employees' feedback to improve and collaborate with the Client Success department for upsell opportunities.
Team Lead Patient Representative
Mount Sinai Medical Center
Miami Beach, FL
12.2018 - 12.2019
- Liaison for patients, families, and hospital staff to make sure requests are being fulfilled
- Addressing questions or concerns patients may have regarding their health and test results
- Directing patients and staff to proper departments regarding billing, home health orders, pending test results, protocol questions, or concerns
- Obtaining authorizations from health insurance so the patient can have testing/surgery done promptly and setting up peer-to-peer interviews if needed
- Ensure all forms including but not limited to FMLA, UMUM, Home Health Orders, and Supplies are completed properly so there is no interruption to treatment.
Team Lead Patient Representative / Medical Records
Florida Cancer Institute
Sebring, FL
06.2018 - 12.2018
- Directed staff with clerical duties associated with the clinic, including but not limited to, the front desk; billing; patient check-out process; scheduling; and obtaining and providing medical records if needed
- Create weekly to-do plans based on needed coverage and patient goals for the departments
- At the end of the day, verified that all steps were taken when another team member performed job functions
- Verified that the patient's medical records were received and documentation addresses the patient's reasoning for the visit with the physician
- Contacted medical facilities prior to physician review if needed.
Health Information Team Lead
Baptist Health of South Florida
Miami, FL
04.2009 - 06.2018
- Record Retrieval Representative: Retrieves daily discharges from the nursing units and clinical areas throughout the hospital for processing into the Document Management System
- Ensure that all documents from the patient's record have been retrieved, if a portion is missing, research with Administrative Partners, Nurses, and Management to make sure the patient's medical records are complete to proceed with Billing/Coding and or future continuation of care for the patient
- Assist with phone calls from units and/or doctors when documentation is needed of the patient for continuing treatment yet ensure that everything is completed and handled following HIPPA/Florida State Law, The Joint Commission, and BHSF policies and goals
- Release of Information: Responds to requests from patients, physicians, hospital staff, and guests regarding data maintained in the Health Information Management Department while preserving the confidentiality of the patient's protected health information
- Closely assist different departments such as International Services, MCVI, Care Management, and the Foundation by providing medical records of the requesting patient promptly as well as providing answers to any questions staff may have regarding other whereabouts such as patient complaints or amending of a record
- Answering incoming telephone calls and providing complete and accurate information as permitted by law, performing quality assessment reviews ensuring completeness and accuracy of release of information requests
- To release patient information for all Baptist Health South Florida entities to ensure continued patient care and satisfaction along with directing guests with different needs to the accurate department
- Process all stat requests for the release of information adhering to hospital Disclosure of Medical Records Information policy State and Federal laws, and HIPAA regulations
- Birth Certificates: Parents are interviewed either by phone or in person to obtain complete and accurate information following the guidelines set forth by the State of Florida, Florida Department of Health, and the Office of Vital Statistics for completion of a Certificate of Live Birth within 5 days of the live birth for Baptist Hospital, South Miami Hospital, and Homestead Hospital
- Information is collected for the Healthy Start Program sponsored by the State of Florida along with completing the required documentation for the HRS Department.
Education
Associate Degree in Business Administration -
Kaplan University
Skills
- Billingual
- Emotional Intelligence
- Listening
- Relationship Building
- People Skills
- Multi-Tasking Ability
- Understanding a client's objective
- Adaptability
- Empathy
- Passionate
- Organizational Skills
- Strategic Planning
- Collaboration
- Interpersonal Communication
- Leadership
- Problem-Solving
- Cerner
- Epic
- Notion
- Salesforce
- Account management
- Converting leads
- Management collaboration
- Relationship building and management
Languages
English
Professional
Spanish
Professional
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
swipe to browse
Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Account Manager
Papa Inc
04.2022 - 09.2023
Enrollment Manager
Papa Inc
12.2019 - 04.2022
Team Lead Patient Representative
Mount Sinai Medical Center
12.2018 - 12.2019
Team Lead Patient Representative / Medical Records
Florida Cancer Institute
06.2018 - 12.2018
Health Information Team Lead
Baptist Health of South Florida
04.2009 - 06.2018
Associate Degree in Business Administration -
Kaplan University
Similar Profiles
Sandesh WaniSandesh Wani
Billing Specialist AR / AP (Remote) at PAPA INCBilling Specialist AR / AP (Remote) at PAPA INC
Abi TheallAbi Theall
Papa Murphy's at Papa Murphy's, Papa LTPapa Murphy's at Papa Murphy's, Papa LT
Samantha CropperSamantha Cropper
Prep Driver at Papa John's PizzaPrep Driver at Papa John's Pizza
Carlos Rico YanezCarlos Rico Yanez
Service Learning Assistant at Hope Community CenterService Learning Assistant at Hope Community Center
Melissa Harrold, CCS-PMelissa Harrold, CCS-P
CONSULTANT at MHCONSULTCONSULTANT at MHCONSULT