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Quality and Implementation Manager at EDUCURAS SAS
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Competencies
Expertise in developing and implementing quality policies aligned with healthcare standards.
Skilled in managing patient interactions, scheduling, and addressing healthcare requests efficiently.
Proficient in diagnosing and resolving security and system issues remotely with diagnostic tools.
Strong ability to coordinate medical, technical, and administrative processes effectively.
Education
Languages
Summary
Dedicated professional with experience in healthcare quality policies, patient coordination, and technical troubleshooting. Adept at streamlining operations and enhancing service delivery across healthcare and security domains.
Key Achievements
- Developed a comprehensive Quality Policy aligned with healthcare standards, enhancing compliance and service quality.
- Established remote work systems, enabling staff to operate fully online and increasing operational efficiency.
- Streamlined patient appointment scheduling and insurance verification processes, improving patient experience.
- Troubleshot and resolved security system issues remotely, reducing downtime and enhancing client satisfaction.
- Coordinated medical appointments and secured authorizations, ensuring continuous and compliant patient care.
Experience
Quality and Implementation Manager
Developed and implemented a comprehensive Quality Policy aligned with healthcare standards (MediCAL)., Established remote work systems, equipping staff with tools to operate fully online., Created performance quality metrics across communication channels., Designed foundational onboarding and training processes for new hires.
Patient Engagement Representative
Scheduled and coordinated patient appointments., Verified and updated insurance and contact information., Addressed requests regarding prescriptions, billing, and insurance., Assisted with documentation and medical record submissions., Guided patients with information on services, procedures, and pricing., Monitored and tracked insurance authorizations.
Troubleshooting Agent (ADT Security Services)
Delivered step-by-step troubleshooting for ADT security systems., Assisted with installation, setup, and configuration of devices., Applied diagnostic tools to identify and resolve issues remotely., Escalated complex cases to higher-level support when necessary.
Dual Special Needs Plan (DSNP) – Advocate, Customer Service Representative
Scheduled medical appointments and coordinated specialist referrals., Secured authorizations to ensure continuous care., Explained plan benefits and coverage details to members., Maintained compliant and accurate records., Advocated for members, ensuring outstanding service.