Marketing Specialist

• Apr 2021 - Present

Strategy, Retention and Service Team Member

• Dec 2018 - Apr 2021

Credentialing and Providers Specialist

• Jul 2017 - Dec 2018

• Ensure that medical staff members’ maintain current credentials and licenses to work legally in their field or specialty. • Monitoring upcoming renewals dates and work with medical staff to advise them of the required steps to maintain their credentials in good standing.• Informed about the regulations and standards required to achieve and maintain licensure and other credentials. Maintain compliance with all regulatory and accrediting institutions, as well National Committee for Quality Assurance (NCQA), Code for Federal Regulations (CFR), and Center for Medicare & Medicaid Services (CMS). • Participation in the development of internal credentialing and quality process. Keeps records in licenses, credentials and insurance contracts. • Coordination in the integration of Credentialing services for PSM health providers network and designated entity in charge of this function for the acquisition of Medicaid Line of Business.• Coordination and support in the Readiness Review process by the regulator in the Operations, Credentials and Claims divisions of PSM, which was successfully completed.• Provide counseling on commercial health plan coverages offered by PSM. Show less

Customer Service Representative

• Sep 2016 - Jan 2017

Provided customer services such as sales, coverage advice and other health insurance inquiries. Office work included statistical analysis, call attendant, and handling providers and individual requests. Provided customer services such as sales, coverage advice and other health insurance inquiries. Office work included statistical analysis, call attendant, and handling providers and individual requests.

Professional Athlete

• Sep 2011 - Apr 2012

Setter -Professional Volleyball Player in Liga de Voleibol Superior Masculino de Puerto Rico" Setter -Professional Volleyball Player in Liga de Voleibol Superior Masculino de Puerto Rico"