Yolanda Aguilar
OPTUM
Chandler,AZ
29
years of professional experience
2
Languages
Detail-oriented healthcare operations professional with 20+ years of experience supporting provider onboarding, credentialing compliance, regulatory audits, enrollment coordination, and healthcare administration. Experience maintaining provider licensure and certifications, ensuring Medicare and regulatory compliance, managing referrals and eligibility processes, and collaborating with clinical and administrative teams. Recognized for strong organizational skills, accuracy, process improvement, and the ability to manage multiple priorities in fast-paced healthcare environments.
Work History
Operations Supervisor - USON
6 Years 9 Months- Managed referral, benefits, eligibility, and call center operations to enhance patient access within a large specialty care practice.
- Maintained compliance with organizational policies and regulatory standards to ensure operational integrity and reduce risk.
- Support audits and quality initiatives through accurate provider and operational record maintenance.
- Develop and monitor processes that improve workflow efficiency, documentation accuracy, and regulatory compliance.
- Prepared reports and managed provider-related documentation to support timely completion of operational projects.
Operations Supervisor - Neighborhood
7 Years- Coordinated onboarding and credentialing activities for physicians, nurse practitioners, RN case managers, and social workers to ensure compliance and operational readiness.
- Maintained provider licensure, certifications, credential files, and regulatory documentation.
- Supported Medicare Advantage programs and quality metrics to enhance compliance with HEDIS and STARS initiatives.
- Conducted audits and monitored adherence to organizational policies, procedures, and healthcare regulations.
- Managed referral processes and provider scheduling to streamline administrative functions supporting clinical operations.
- Collaborated with providers, leadership, and support teams to ensure regulatory readiness and operational excellence.
Office Manager
1 Year- Managed administrative records, documentation, scheduling, and office operations to ensure confidentiality and accuracy.
- Managed front office operations, ensuring smooth communication between staff, families, and district departments.
- Coordinated student attendance, enrollment, and records with accuracy and compliance.
Front Office Lead
5 Years- Coordinated patient registration, insurance verification, and scheduling to enhance provider support.
- Maintained accurate records and ensured compliance with practice policies, contributing to operational integrity.
Front Office Representative / Medical Assistant
6 Years- Supported patient care operations, medical documentation, insurance verification, and front-office administration.
Education
- Medical Assistant Program
Skills
Provider Credentialing & Enrollment Support
Provider onboarding
License management
Medicare & Regulatory Compliance
Benefits Verification & Eligibility
Provider Data Maintenance & Record Management
Audit Preparation & Quality Assurance
Operations oversight
Operations improvement
Medical Staff Coordination
Operational Training
Policy & Procedure Compliance
Excellent Written & Verbal Communication
Operations management
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Operations Supervisor - USON
OPTUM
01.2020 - CurrentRead More
Operations Supervisor - Neighborhood
OPTUM
01.2013 - 01.2020Read More
Office Manager
Johnson Elementary School / West Maple Elementary School
01.2012 - 01.2013Read More
Front Office Lead
Orthopedic Surgery & Sports Medicine Group
01.2004 - 01.2009Read More
Front Office Representative / Medical Assistant
Bright Medical Associates
01.1998 - 01.2004Read More
James A. Garfield High School
Read More
Bryman College
from Medical Assistant Program
Read More