Fiorella Soto

Review patient vitals and clinical alerts via Humhealth, develop care plans for chronic conditions, and conduct follow-ups to ensure data accuracy and adherence to guidelines, improving care coordination and RPM/PCM workflows.

Manage and verify patient insurance, family histories, and EMR records for accuracy and completeness, collaborating with clinical teams to maintain standardized, compliant patient data practices.

Monitored and reconciled payment data and produced analytical reports to verify accuracy, resolved discrepancies cross-functionally, and developed documentation for auditing and performance tracking.

Conducted data-driven investigations to identify and mitigate fraud risks, labeled behavioral data to improve detection models, and provided analytical insights to optimize processes and compliance.

Managed sensitive employee medical and accommodation data with confidentiality, analyzed and classified case information, and improved case review workflows and documentation accuracy.

Handled consumer credit data disputes by reviewing, correcting, and documenting inconsistencies to ensure regulatory compliance and clear communication with customers and stakeholders.

Enrolled in a Medical Records Technician program with expected completion in 2025, centered on medical records management and health information practices.

Pursuing a diploma in Artificial Intelligence Applied to Health with expected completion in 2025, focusing on AI applications for clinical data and healthcare delivery.

Completed a Bachelor’s Degree in Nursing in 2011 with clinical training and patient care experience.

Completed secondary education in 2001, providing foundational academic preparation.

Completed an English course in 2004 to develop language proficiency for academic and professional settings.