Yoleany Delgado
Miami,FL
Summary
- Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
- Bilingual employee.
- Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth.
Overview
7
7
years of professional experience
Work History
Provider and Credentialing Enrollment
Florida Health Solution, Corp
Miami, FL
02.2020 - Current
- Developed and implemented provider acquisition strategy with a focus on high-margin services, resulting in an improvement of the provider network.
- Responded to requests for information about contracting and credentialing enrollment process.
- Maintained a positive working relationship with fellow staff and management.
- Reviewed and processed applications to verify accuracy of credentialing information.
- Created and maintained records for all providers in accordance with the organization's standards.
- Monitored and tracked progress of credentialing applications to ensure timely completion.
- Responded to inquiries from internal and external sources regarding credentialing status.
- Identified discrepancies in provider credentials, such as license expiration dates or incomplete paperwork.
- Maintained confidential records of all applicants for credentialing, including licensure, education, training.
Billing and Coding Associate
Florida Health Solution Medical Clinic
Miami, Florida
02.2020 - Current
- Reviewed medical documentation to ensure accuracy of billing codes.
- Identified errors in coding and corrected them accordingly.
- Submitted claims electronically to insurance companies.
- Processed payments from insurance companies or other third-party payers.
- Resolved any payment disputes with payers or patients.
- Provided customer service support regarding billing questions and issues.
- Conducted research related to claim denials, rejections, and underpayments.
- Prepared invoices for services rendered by physicians and other providers.
- Followed up on unpaid claims within standard timelines as outlined by the organization's policies.
- Worked collaboratively with internal teams such as clinical staff, finance department.
- Generated monthly reports summarizing all billing activity for management review.
- Monitored past due accounts and pursued collections on outstanding invoices.
Patient Access Specialist
Florida Health Solution
Miami, FL
07.2019 - 02.2020
- Resolved customer complaints and answered customers' questions regarding policies and procedures.
- Conversed with customers to receive valuable feedback and suggestions for improvement.
- Provided leadership, insight, and mentoring to newly hired employees to supply knowledge of various company programs.
- Maintained accurate records of patient registration information in electronic health record system.
- Assisted with scheduling appointments, pre-registration activities, verifying demographics and insurance information.
- Verified patient insurance coverage, collected copays and other payments, processed credit card transactions.
Customer Service Representative Agent
Florida Health Solution
Miami, FL
02.2018 - 07.2019
- Answered inbound calls, chats and emails to facilitate customer service.
- Set up and activated customer accounts.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Asked probing questions to determine service needs and accurately input information into electronic systems.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Educated customers on special pricing opportunities and company offerings.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Made outbound calls to obtain account information.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Improved customer service wait times to mitigate complaints.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Mentored new employees on procedures and policies to maximize team performance.
- Demonstrated excellent communication skills in resolving product and consumer complaints.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
Education
Associate of Arts - Coding And Billing
Keiser University
Fort Lauderdale, FL01-2025
Certificate of Completion - HIPAA Compliance
Central Florida Health & Safety
Lakeland, FL10-2023
Certificate of Completion - OSHA BBP/HIV
Central Florida Health & Safety
Lakeland, FL10-2023
Diploma - Medical Coding AND Billing
Florida National University
Hialeah, FL10-2021
Skills
- Reporting and File Reviews
- Team Meeting Participation
- Effective Written and Verbal Communication
- Healthcare Knowledge
- Computer skills Microsoft office, Health and Medical Records Software
Timeline
Provider and Credentialing Enrollment
Florida Health Solution, Corp
02.2020 - Current
Billing and Coding Associate
Florida Health Solution Medical Clinic
02.2020 - Current
Patient Access Specialist
Florida Health Solution
07.2019 - 02.2020
Customer Service Representative Agent
Florida Health Solution
02.2018 - 07.2019
Associate of Arts - Coding And Billing
Keiser University
Certificate of Completion - HIPAA Compliance
Central Florida Health & Safety
Certificate of Completion - OSHA BBP/HIV
Central Florida Health & Safety
Diploma - Medical Coding AND Billing
Florida National University
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