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Yamilett Rendon

Yamilett Rendon

Provider Relations Specialist

Talent
Bradenton, FLMember since July 15, 2026
School Readiness (SR) & VPK ComplianceProvider Contract MonitoringFamily Eligibility DeterminationConsumer Education & CCR&RAttendance & Payment ValidationRegulatory ComplianceHealthcare Administration & BillingICD-9, ICD-10 CM/PCS, CPT CodingMedical & Behavioral Health BillingInsurance Verification & CollectionsClaims Appeals & Denial ResolutionHIPAA ComplianceRelease of Information (ROI)Team Leadership & Staff DevelopmentPerformance EvaluationsWorkflow & Schedule ManagementConflict ResolutionProcess ImprovementOrganizational & Planning SkillsMicrosoft Office (Word, Excel, Outlook)MODOnBaseMEDITECHHorizon Patient Folder (HPF)EpicOEL Management SystemSingle Statewide Information System (SSIS)
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School Readiness (SR) & VPK ComplianceProvider Contract MonitoringFamily Eligibility DeterminationConsumer Education & CCR&RAttendance & Payment Validation

About

Highly motivated and results-driven professional with over 10 years of progressive leadership, administrative, and customer service experience across early childhood education, healthcare, and behavioral health environments. Demonstrated expertise in compliance monitoring, provider relations, family eligibility determination, healthcare administration, billing and coding, and team leadership. Bilingual in English and Spanish with a strong commitment to operational excellence, regulatory compliance, and delivering high-quality service to families, providers, and community partners.

Experience

Provider Relations Specialist at Early Learning Coalition of Manatee County (2024-04 – Present)

  • Manage School Readiness (SR) and Voluntary Prekindergarten (VPK) contract renewals, initiations, and onboarding for childcare providers.
  • Provide training and technical assistance regarding SR, VPK, and funding regulations.
  • Conduct desktop and onsite monitoring to ensure provider compliance with state and funding requirements.
  • Verify attendance roster submissions and process provider payments through the Statewide Database.
  • Research, review, document, and process payment adjustments across multiple funding sources.
  • Conduct attendance monitoring and audits to validate payment accuracy and compliance.

Family Services Specialist at Early Learning Coalition of Manatee County (2020-09 – 2024-03)

  • Determined family eligibility for School Readiness programs using statewide systems and regulatory guidelines.
  • Verified income, family size, and assessed parent fee requirements.
  • Assisted families with document uploads and navigation of the OEL Management System and Single Statewide Information System (SSIS).
  • Processed parent updates, provider transfers, and inter-county transfers.
  • Provided consumer education and customized childcare referrals to families.
  • Submitted suspected fraud referrals and participated in outreach and community engagement initiatives.

Pharmacy Technician at Publix (2022-09 – Present)

  • Prepared and organized medications for dispensing in accordance with pharmacy regulations.
  • Maintained pharmacy inventory and ensured compliance with safety standards.
  • Assisted patients and healthcare providers with medication-related inquiries.
  • Managed medication labeling, calculations, and documentation.
  • Ensured adherence to infection-control and patient safety procedures.

Health Information Management Staff at Blake Medical Center Trauma Center (2018-10 – 2020)

  • Retrieved, reconciled, and maintained medical records and patient documentation.
  • Researched and processed accounts within Horizon Patient Folder (HPF).
  • Assisted with Release of Information (ROI) requests and patient account merges.
  • Monitored physician documentation compliance and delinquency reports.
  • Supported the HIM Director with statistical reporting and compliance audits.

Front Desk Supervisor at Providence Medical Group Behavioral Health (2013-08 – 2017-07)

  • Built, trained, and supervised administrative teams across four clinic locations.
  • Conducted hiring, onboarding, training, scheduling, and performance evaluations.
  • Managed workflow distribution and daily operational support.
  • Served as liaison between providers, administrative staff, and patients.
  • Assisted with clinic management and process improvement initiatives.
  • Managed insurance verification, authorizations, claims submissions, appeals, and collections.
  • Ensured HIPAA compliance and adherence to healthcare regulations.

Education

Bachelor of Science in Early Childhood Education – State College of Florida (SCF)

High School Diploma – Durango High School

Skills

Provider Relations Specialist

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