Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
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Mitchel X Alvarado

Juana Diaz

Summary

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Recovery/ReSols Analyst

Optum
07.2024 - Current
  • Enhanced report accuracy, conducting thorough data audits on regular basis.
  • Performed reviews as well as audits in various medical claims.
  • Completed CPC training and certification.
  • Trained in initials, reopen and appeals
  • Perform case reviews for HFST and UMR.

Healthcare Specialist (68W)

Puerto Rico National Guard
02.2016 - Current
  • Enhanced team efficiency through thorough documentation and communication of patient condition during handoffs.
  • Participated in ongoing training to stay current on medical advancements and best practices for patient care.
  • Provided compassionate care to patients and their families while addressing concerns and answering questions about treatment options.
  • Assisted in the development of new protocols and procedures based on the latest research findings and best practices in emergency medicine.

Cadre Team Leader

Puerto Rico Youth Challenge Academy
06.2023 - 06.2024
  • Resolved conflicts swiftly and diplomatically, maintaining a harmonious work atmosphere conducive to productivity.
  • Established successful partnerships with cross-functional teams, facilitating open dialogue and fostering teamwork.
  • Cultivated strong relationships with clients through regular communication, demonstrating commitment to meeting their needs effectively.
  • Ensured compliance with company policies and industry regulations through diligent oversight of team activities.

Education

Bachelor of Science - Nursing

NUC University
Ponce
11-2022

Skills

  • Microsoft office
  • Emergency medical treatment
  • Teamwork
  • Mentoring
  • Bilingual

Certification

EMT

Nursing Liscence

Veteran

CPC

Languages

English
Bilingual or Proficient (C2)
Spanish
Bilingual or Proficient (C2)

Timeline

Recovery/ReSols Analyst

Optum
07.2024 - Current

Cadre Team Leader

Puerto Rico Youth Challenge Academy
06.2023 - 06.2024

Healthcare Specialist (68W)

Puerto Rico National Guard
02.2016 - Current

Bachelor of Science - Nursing

NUC University
Mitchel X Alvarado