Yadira Galindo

Managed initial and ratified glosas, downloading required supports and preparing timely responses within regulatory terms. Developed responsibility matrices, cross-referenced information, and generated reports.

Executed comprehensive audits of claims for traffic accidents, catastrophic events, and other economic benefits administered by ADRES. Verified compliance with technical, financial, and regulatory criteria and prepared technical reports.

Conducted comprehensive audits of claims from traffic accidents and catastrophic events (ECAT). Analyzed documentary, technical, medical, and financial components, applying the SOAT tariff manual and ADRES audit manuals.

Performed comprehensive audits of requests for non-PBS technologies and services, issuing approvals for health services derived from tutela actions. Managed MIPRES, CTC, authorizations, and billing processes.

Conducted comprehensive audits of recobros for presentation to ADRES, verifying technical and documentary requirements. Analyzed inconsistencies and performed validations prior to filing.

Performed external audits of high-cost medical accounts and recobro processes for entities such as Nueva EPS. Analyzed billing, supports, and regulatory compliance, and prepared glosas and technical concepts.

Executed comprehensive audits of medical accounts for the ECAT process, validating clinical, administrative, and financial supports. Applied technical and regulatory criteria for account recognition.

Coordinated the billing process for health services, supervising operational goals and billing submission times. Ensured correct patient administrative opening, authorization validation, and service valuation per contracts with EPS.

Provided technical support to the national liquidation project of SaludCoop EPS, analyzing medical accounts information and generating technical reports. Developed management indicators and supported strategic decision-making.

Led the national implementation of the medical accounts project, coordinating glosas and conciliations with IPS nationwide. Designed and delivered training on regulations and medical accounts processes.

Directed the national operation of the medical accounts process, coordinating audits, recobros, and conciliations with IPS. Led multidisciplinary teams and prepared management, productivity, and cost indicators.

Performed auditing and review of medical accounts, prepared glosas, validated supports, and applied tariff manuals. Provided support to administrative audit processes and attended to IPS.

Audited and reviewed medical accounts from various health service providers, verifying correct application of tariff manuals and current regulations. Prepared glosas and validated administrative and financial supports.

Recorded and controlled purchases and expenses, prepared credit and debit notes, and reconciled accounting information. Supported administrative and financial processes.

Graduated in June 1999 with a degree in Economics.

Completed a diploma in Health Quality Management.

Completed a diploma in Health Services Auditing.

Completed coursework in Bank Accounting.

Completed coursework in Financial Mathematics.