Yolanda Vasquez
Saint Paul,MN
Summary
Business-minded Management Consultant trained to handle issues and be committed to high standards. Offering over 3 years of expertise overseeing Network Relations for organizations in the Healthcare Industry. An enthusiastic personality with skills in Contracting and Credentialing.
Overview
27
27
years of professional experience
Work History
Healthcare Management Consultant
Healthcare Management Resources
Eagan, MN
09.2019 - Current
- Oversee business operation for 4 clinics of varying specialties, by effectively communicating with staff, physicians, and vendors
- Write clear and concise policies and procedures
- Direct day-to-day functions of the facility in accordance with current federal, state, and local standards, guidelines, and regulations related to HIPPA and OSHA
- Administered fiscal operations for accounting, budget planning, authorizing expenditures and coordinating reporting.
- Implement and drive marketing efforts to increase presence in social media
- Web Design, on behalf of the facility in the creation and completion of a new patient-friendly website
- Manage physician credentialing, privileges, revalidation's and licensing for 30+ providers in Minnesota and Wisconsin
- Contract management and negotiations with commercial and government payors in Minnesota and Wisconsin
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Introduced idea, plan and spearheaded the move from a remote shared file system to a SharePoint Office 365 system (including leading the project in background research, communication with design techs, details of design, department needs, organization needs, and communication among staff)
Patient Care Coordinator
St Paul Rheumatology
Eagan, MN
05.2012 - 09.2019
- Effectively communicate with patients, providers, and outside vendors
- Maintained effective communication with third pharmaceutical companies for reimbursement and medical policy related changes
- Review billing charges and ICD-10 codes daily for claims submission and proper reimbursement
- Ensure payments are applied to correct lines of service and CPT/HCPCS codes
- Oversaw Reimbursement Programs to help meet patients’ financial needs
- Managed reception area, trained new employees in the EHR system, and with regulatory and compliance training
- General administrative support to the clinic staff, doctors, and patients
- Updated schedules and calendars for providers and practice, arranged and planned meetings, conferences, travel and other departmental activities
- Verify eligibility benefits for professionally administered medications and procedures
- Proactively submitted prior authorization that resulted in a 30% decrease to loss in revenue and claim denial errors
- Worked at front desk scheduling patients, answering phones, collecting payments, batching and reconciling claims to be sent to payers at end of day.
Operations Manager
Wells Fargo Enterprise Operations
Shoreview, MN
01.2006 - 05.2012
- Advertised and recruited for new positions, in addition to coordinating interviews and seeing through the hiring process from start to finish in staff management
- Trained inexperienced staff to success in areas of cash control, risk management and receiving
- Directed the required compliance-employee training for our line of business via the Wells Fargo Learning Center
- Prepare monthly budget and forecast reports on department deliverable, exclusive to EAPD budgets
- Collaborated on the conversion project for Envelope-free ATMs, and Wachovia Bank acquisition nationwide
- Monitoring of large deposits for suspicious activities, place holds on accounts
- Completed CTR and SAR on deposit accounts as needed
- Completed training on OFAC and BSA
Service Manager
Wells Fargo Bank
South Saint Paul, MN
04.2002 - 01.2006
- Recruited and hired professionals from both internal and external sources
- Effectively and quickly assessed customer needs while working in a demanding environment
- Used creative critical thinking skills to successfully resolve customer inquiries
- Researched missing transactions and adjusted affected accounts, placed hold and pledges as needed and or remove holds, pledges
- Maintained, reviewed, and balanced a wide range of General Ledger accounts
- Completed CTR's for large cash transactions as well as SAR when deemed appropriate
- Completed training on OFAC and BSA
Service Manager
Wells Fargo Bank
Saint Paul, MN
06.2002 - 04.2004
- Assisted with coaching tellers to achieve highest level of performance possible
- Quarterly met sales excellence requirements
- Processed customer transactions, and offered sales solutions to better meet their financial needs
- Coach tellers to achieve level 5 in customer service and sales solutions
- Successfully maintained and passed Store Operations Control Review audits
- Completed CTR on large cash transactions, as well as SAR when deemed appropriate
- Completed training on OFAC and BSA
Lead Teller
Wells Fargo Bank
Saint Paul, MN
02.1998 - 06.2002
- Processed customer transactions
- Provided excellent customer service by offering sales and solutions to meet customers’ financial needs
- Quarterly met sales excellence and payout bonus
- Balanced cash drawer, vault
- Reported SAR and CTR for large cash transactions
- Completed training on OFAC and BSA.
Education
AS - Business Management
Rasmussen College
Lake Elmo, MN09.2018
Associate - Science
Skills
- Leadership Management
- HR and Recruiting
- Bookkeeping
- Payor Network Relations
- Payroll
- Project implementation
- Leadership
- Credentialing
- Contract Management
- Customer relationship management
- Bilingual
- ICD-10
- Insurance verification
- Problem-solving
- Team Work
- Management Consulting
- Microsoft SharePoint
- Strategic Planning
- Reliability
- Flexibility
- Operations Management
- Conflict management
- Continuous improvement
- Mentoring
- Healthcare Management
- Practice management
- Process improvement
- HIPAA
- CPT coding
- Business Development
Languages
- Spanish - Fluent
Languages
Spanish
Professional
Timeline
Healthcare Management Consultant
Healthcare Management Resources
09.2019 - Current
Patient Care Coordinator
St Paul Rheumatology
05.2012 - 09.2019
Operations Manager
Wells Fargo Enterprise Operations
01.2006 - 05.2012
Service Manager
Wells Fargo Bank
06.2002 - 04.2004
Service Manager
Wells Fargo Bank
04.2002 - 01.2006
Lead Teller
Wells Fargo Bank
02.1998 - 06.2002
AS - Business Management
Rasmussen College