Resume

1. Kathia J. Jimenez
13321 SW 88th Terrace Unit B
Miami, FL 33186
Phone: 305-903-3934-305-316-9805
kathiajimenez184@yahoo.com
Objective
Seeking a administration position wherein I can showcase the knowledge that I have acquired over the
course of my professional career in the Health care industry; as well as my skills in bookkeeping,
recording and accounting duties.
Employment History
Member Service Representative
Preferred Medical Plan
November 2015 – Jan 2016
 Processing member monthly insurance payment
 Providing pharmacy information
 Answering any questions members may have regarding their policy
 Advising members of coverage benefits
 Provide members of referral authorization status
 Provide members with HMO network specialist information
Health Administrator Consultant
SNI Staffing-Baptist Hospital
2015 – 2015
 Provide excellent customer service.
 Front-desk coverage for rehab service areas as assigned.
 Able to handle high volume incoming calls with optimal courtesy and professionalism.
 Registering all new patients upon arrival for initial treatment
 Updating recurring patients information
 Gathering information accurately from patient and/or guardian, health care providers, and/or
funding source.
 Enter all data into the Net Access registration system that pertinent to patient and/or guardian
demographic and insurance or funding information.
 Informing patients of coverage limitations and financial responsibility for prescribed
therapy/treatment. Other duties as assigned.
Office Administrator
Miami Preferred Home Care
2009 - 20013
 Reported directly to the Director of Operations/General Manager
 Worked closely with the Director of Nursing Services and the Medical Director
 Responsible for quality assurance and performance improvement initiatives
 Established relationships with primary contact/liaison for the agency with all outside contract;
State Departments of Aging & Disabilities Services, Collection for Private Insurance Company's
 Established goals and objectives, monitoring employee performance, prepared written
performance evaluations and developed corrective action plan.
 Trained home health supervisors and employees on laws, regulations and company policies and

2. Kathia J. Jimenez
13321 SW 88th Terrace Unit B
Miami, FL 33186
Phone: 305-903-3934-305-316-9805
kathiajimenez184@yahoo.com
procedures that govern their job assignments to ensure compliance
 Resolve customer complaints or answer customers' questions regarding policies and procedures.
 Supervise the work of office, administrative, or customer service employees to ensure
adherence to quality standards, deadlines, and proper procedures, correcting errors or
problems.
 Provide employees with guidance in handling difficult or complex problems or in resolving
escalated complaints or disputes.
 Implement corporate or departmental policies, procedures, and service standards in conjunction
with management.
 Discuss job performance problems with employees to identify causes and issues and to work on
resolving problems
Case Aide
Child Support State of
Florida
12/2001 – 06/2002
 Assisted clients in identifying and obtaining available benefits like social and community services.
 Developed, organizing, and conducted programs to prevent and resolve problems relevant to
substance abuse, human relationships, rehabilitation, or dependent care.
Education
San Sebastian: - 1982 -Master Degree – Health Care Administration
Certification & Occupational Licenses
HIPPA, Quick Books & Quality Care
Skills
Spanish and English (verbal & written)
Proficient in MS Word / Excel and PowerPoint
Intuit bookkeeping
References Available on Request