Nyrobi Falú Salgado
Fajardo,PR
Summary
Energetic equipped to handle demanding workloads covering regular and special events programming. Works smoothly at all levels to meet creative, technical and operational goals. Excels at promotions and materials management. 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.
Overview
13
13
years of professional experience
1
1
Certification
Work History
PROGRAM COORDINATOR
IPA 975 BETTER HEALTH
TAMPA, EU/ PR
01.2022 - 01.2024
- Management and monitoring of Compliance (HEDIS) Metrics, Management and monitoring of Annual Evaluations for Advantage healtcare patients, Encounters Summary, Utilization, MLR, MRA, Cost ER, Admits and Rx
- Potential savings
- Compensation Model Tool
- Contracting, credentials, Time Management
- On site PCP office assistance as administrative resource
- Analysis and collection of projects insurance advantage plans
- Preparation of Administratie quaterly metings for PCP Analysis to implement better medical office processes
- Billing and EHR Management.
IMPLEMENTATION SPECIALIST
INMEDIATA INTEGRATED SOLUTIONS
01.2013 - 01.2022
- Complete analysis for assigned accounts aimed at identifying gaps in operational processes that could impact the operational processes that could impact medical office performance
- Changes implementation and education of providers and medical office staff to achieve better performance.and medical office employees to achieve better performance
- Monthly follow-up with providers for discussion of findings, performance improvements, reports and work requests received from the medical office received from the medical office
- Training in the medical billing process and correct documentation in electronic medical and correct documentation in electronic medical records Perform retention visits
- Follow up on clinical documentation
- Management HEDIS and VALUE BASED
INSTALLATION TECHNICIAN SUPERVISOR
COMMERCIAL BILLING
OSNET WIRELESS
01.2011 - 01.2013
- In charge of supervising internet and telephony installation technicians, coordinating installations, repairs and cancellations
- Commercial invoicing, attending VIP clients and keeping equipment inventory updated.
Education
B.B.A. ARTS IN EARLY CHILDHOOD EDUCATION (4-6) -
INTERAMERICAN UNIVERSITY OF PUERTO RICO, FAJARDO CAMPUS
06.2007
High School Diploma - High School
SANTIAGO IGLESIAS PANTIN SCHOOL
Ceiba, PR05.2002
Skills
- Administrative programs for medical offices
- G-Suite, MS Office (excel, word, power point)
- Salesforce
- Secure Claim & EHR Management
- Implementation
- Leadership ability
- Good organized time management
- Analytical ability
- Communication skills
- Strategic Planning
- Training Coordination
- Project Management
- Scheduling proficiency
- Program Management
- Office Administration
- Process Improvements
Affiliations
- Reading
- Technology
- Documentaries
Languages
Spanish
First Language
English
Upper Intermediate (B2)
B2
Certification
- HIPAA
- Compliance
- Value based
- Fraud and Waste
References
References available upon request.
Timeline
PROGRAM COORDINATOR
IPA 975 BETTER HEALTH
01.2022 - 01.2024
IMPLEMENTATION SPECIALIST
INMEDIATA INTEGRATED SOLUTIONS
01.2013 - 01.2022
INSTALLATION TECHNICIAN SUPERVISOR
COMMERCIAL BILLING
01.2011 - 01.2013
B.B.A. ARTS IN EARLY CHILDHOOD EDUCATION (4-6) -
INTERAMERICAN UNIVERSITY OF PUERTO RICO, FAJARDO CAMPUS
High School Diploma - High School
SANTIAGO IGLESIAS PANTIN SCHOOL
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