Summary
Overview
Work History
Skills
Timeline
Generic

Yvonne Jimenez

Brooklyn,NY

Summary

Detail-oriented healthcare coordinator with strong administrative and customer service skills. Streamlines operations through effective communication and referral management. Resolves conflicts efficiently while maintaining a focus on customer satisfaction and service excellence.

Overview

13
13
years of professional experience

Work History

HHA Coordinator

White Glove Community Care
Brooklyn, NY
11.2024 - Current
  • Act as the primary point of contact between clients, their families, and the care team, facilitating effective communication and addressing any concerns that arise
  • Managed health care records using HHA Exchange to maintain accurate patient information.
  • Maintain accurate and confidential patient records in compliance with healthcare regulations.
  • Ensured that aides implemented care plans effectively and adjusted them based on patient needs.
  • Verify eligibility through Insurance by telephone to ensure continuation of services for personal care service: HHA
  • Process end of day/weekly reports
  • Delivered quality assistance to patients, ensuring adherence to policies and procedures.
  • Executed daily patient satisfaction calls to gather feedback and address concerns.
  • Verified missed clock ins and outs with aides to ensure accurate time tracking.
  • Assist aides with updating tasks through the HHA app
  • Faxed service changes to insurance providers to facilitate accurate billing.
  • Responding to voicemails, emails, and fax received from insurance, patients, aides, and care team
  • Coordinated communication among insurance, facility nurses, case managers, and home health aides to ensure seamless delivery of care services.
  • Ensure all care activities and documentation comply with healthcare regulations and organizational policies, maintaining high standards of care quality.

Records Management Specialist

MetroPlus Health
Brooklyn, NY
01.2024 - 04.2024
  • Maintain daily records management databases to track and retrieve records
  • Ensure that all information and record requests are completed within HIPAA Regulations and Policies
  • Managed record requests ensuring accurate control, production, distribution, and storage.
  • Interpreting data and validating, correcting, and updating the database in keeping with very high standards of accuracy
  • Created new member accounts in Service Now: HIPAA Module to facilitate compliance tracking.
  • Submit POA’s to legal for approval prior to proceeding with processing record request
  • Confirm members by conducting demographic search on CSI matching at least three identifiers
  • Compose response letters regarding approval or denial in line with HIPAA regulations.
  • Create response packet for submission of requested records via email through Outlook
  • Outreach to requestors to confirm receipt of response packet emailed when a new record request is received
  • Documented interactions and processed records in work notes within Service Now: HIPAA Module for audit readiness.

Data Entry Specialist

SEIU 1199
Brooklyn, NY
02.2023 - 08.2023
  • Entered and updated data figures in digital database, ensuring accuracy and consistency.
  • Reviewing data for completeness and accuracy
  • Prioritized and organized materials for efficient data entry.
  • Inputting data from digital documents into database: STAR
  • Transferred participant information from My TEF database to STAR, maintaining data integrity throughout the process.
  • Created and formatted Excel spreadsheets to enhance organization and accessibility of data.
  • (temp: Vanguard Group Staffing)

Compliance Coordinator

Educational Alliance
New York, NY
01.2022 - 04.2022
  • Reviewed staff files at school sites to ensure compliance with policies and procedures.
  • Reviewed documentation to verify alignment with established policies.
  • Ensuring complete, accurate, and timely audit information is reported to Management
  • Collected documents to finalize compliance files.
  • Upload/transfer documents to both Y Drive and ADP
  • Extract files from FileBound to staff files
  • (temp: CAM Professional Staffing)

Patient Care Coordinator

ModernMD Urgent Care
Brooklyn, NY
07.2020 - 10.2021
  • Point of contact for patients
  • Patient registration through eclinicalworks (eCW)
  • Assist patients with check-in and registration on Kiosk
  • Verification of health insurances through eCW, telephone, and all provider portals
  • Collect self-pay, copay, coinsurance, deductible, and monies owed
  • Coordinated Spanish interpretive services for patients to enhance communication and accessibility during appointments
  • Answer/transfer incoming calls
  • Oversaw daily opening and closing of facility to ensure operational readiness
  • Organized and distributed incoming faxes to relevant departments
  • Communicate to billing department documents of request for medical records

Patient Navigator II

Community Healthcare Network
New York, NY
09.2019 - 06.2020
  • Organized patient schedules and managed appointments, ensuring timely access to necessary services
  • Facilitating communication between the patient, family members, and healthcare providers to ensure patient satisfaction and quality of care
  • Maintained accurate health care records for patient tracking and compliance.
  • Informed patients about financial aspects of care and linked them to financial resources.
  • Coordinated Spanish interpretive language services to improve patient communication.
  • Managed follow-up visits, ensuring continuity of care and connection to community resources
  • Schedule pick-up/drop off for patients to medical appointments through MAS-transportation
  • Helped patients complete entitlement applications to secure program benefits.
  • Knowledge of eClinicalWorks, Relevant Health Homes, and ePACES software

Medical Receptionist/Biller

43rd Street Physical Medicine
New York, NY
01.2019 - 08.2019
  • Collected self-payments, co-payments, and deductibles from patients while managing recalls and invoices for timely billing
  • Verified insurance information through websites and telephone, and disputed claims to secure appropriate reimbursements
  • Enter procedure codes for billing; Respond to emails/voicemails; Send confirmation email of appointments
  • Checked in/outpatients and processed daily reports to ensure smooth front desk operations
  • Organize, sort, enter, and update patient demographics in software using Eclipse
  • Organize, pull, and file charts of patients for the day
  • Supported team members with daily tasks

Front Desk Receptionist

Muze Salon
New York, NY
05.2018 - 02.2019
  • Greet and service clients
  • Pre-booked appointments and confirmed scheduled appointments to ensure client attendance
  • Maintain detailed calendars of appointment schedules
  • Organize, sort, and enter client demographics in software: STX
  • Open and close salon and cash registers
  • Compiled weekly reports to monitor performance metrics and inform management decisions
  • Perform clerical and input bank deposits weekly in Google drive
  • Managed business supplies and inventory to maintain operational efficiency

Data Entry Specialist

The Fresh air Fund
New York, NY
12.2016 - 06.2017
  • Extracted and input confidential information from registrations and applications, ensuring accuracy and compliance
  • Ensured data integrity through adherence to data program techniques and procedures
  • Generated, prepared and proofread both written and electronic documents
  • Assisted with various tasks during seasonal peak periods, contributing to team efficiency and workflow management.

Human Resources Administrative Assistant

Platinum HR Management
Brooklyn, NY
08.2016 - 11.2016
  • Performed employee verifications and background checks to ensure compliance with hiring policies
  • Facilitated conflict resolution and documented human resources actions to support a positive workplace environment
  • Directed and transferred calls to appropriate personnel, enhancing communication efficiency
  • Coordination of meeting and conference calls; Calendar management.
  • Assisted with daily operations during temporary assignment

Receptionist/Members Service Coordinator

Amida Care
New York, NY
09.2013 - 11.2015
  • Maintained detailed calendars to ensure timely coordination of appointments, meetings, conferences, and events
  • Assisted and planned member events, town hall meetings, health fairs, new member orientations, calls and correspondence
  • Provided quality assistance to members in accordance with policies and procedures
  • Organized and entered member documentation while ensuring confidentiality and compliance with privacy regulations
  • Confirmed Medicaid eligibility using e-Pace system.
  • Protected patient information by ensuring adherence to HIPAA regulations.
  • Processed reports to evaluate department performance and identify areas for improvement

Skills

  • Care plan implementation
  • Patient record management
  • Healthcare compliance
  • HIPAA compliance
  • Insurance verification
  • Quality assurance
  • Documentation review
  • Medical terminology
  • Appointment scheduling
  • Scheduling and staffing
  • Data entry accuracy
  • Customer relationship management
  • Time management
  • Problem solving
  • Conflict resolution
  • Interpersonal communication
  • Professionalism and ethics

Timeline

HHA Coordinator

White Glove Community Care
11.2024 - Current

Records Management Specialist

MetroPlus Health
01.2024 - 04.2024

Data Entry Specialist

SEIU 1199
02.2023 - 08.2023

Compliance Coordinator

Educational Alliance
01.2022 - 04.2022

Patient Care Coordinator

ModernMD Urgent Care
07.2020 - 10.2021

Patient Navigator II

Community Healthcare Network
09.2019 - 06.2020

Medical Receptionist/Biller

43rd Street Physical Medicine
01.2019 - 08.2019

Front Desk Receptionist

Muze Salon
05.2018 - 02.2019

Data Entry Specialist

The Fresh air Fund
12.2016 - 06.2017

Human Resources Administrative Assistant

Platinum HR Management
08.2016 - 11.2016

Receptionist/Members Service Coordinator

Amida Care
09.2013 - 11.2015
Yvonne Jimenez