Yamira Hernandez
Receptionist/Service Orientation
Sobre mí
To offer my skills, abilities, and experience to your company, where I can have the opportunity to continue developing professionally, while with dedication and motivation, work to achieve your company's goals and objectives.
Experiencia
Receptionist/Service Orientation - Sun Blinds Inc. - San Juan, PR
(2022-01 - 2024-12)
- Schedule management, quotes, dealer service, call routing.
Coordinator/Provider Service - Castellana Physician's Service/Castellana Medical Group - San Juan, PR
(2011-01 - 2011-12)
- Referrals, pre-authorizations, credential requests, eligibility, and census.
- Provider service via phone, call routing.
Credentials Coordinator - MSO of Puerto Rico/MMM Holdings - San Juan, PR
(2010-01 - 2011-12)
- Analyze and perform primary verifications on provider files that comply with CMS for presentation to committee.
- Verify monthly HHS-OIG reports (providers sanctioned-excluded from Medicare).
- Verify monthly First Coast reports (Medicare opt-out) and report findings identified.
Credentials Coordinator - MMM Holdings/ PMC Medicare Choices - San Juan, PR
(2004-01 - 2010-12)
- Oversee the credentials of contracted providers.
- Define the manner in which the company selects and maintains a quality provider network.
- Sending letters and right Fax, filing received letters and documents.
Educación
Barista - Escuela Hotelera (2024-01 - 2025-12)
GA Office Systems Administration - National Business & Technology College (2001-01 - 2003-12)
Commercial Course - Esc. Superior Gabriela Mistral (2000-01 - 2000-12)
