# Yadira Galindo Yadira Galindo is a remote worker on Himalayas, Tecnico Administrativo II at Subred Sur Occidente, based in Colombia. Source: https://himalayas.app/@yadiragalindo ```text Health claims auditor at ADRES and across Colombia’s health system, auditing SOAT and ECAT claims and medical accounts. ``` | Detail | Value | | --- | --- | | Availability | Looking for a job | | Location | Colombia | | Authorized to work in | Colombia | | Salary expectations | 60k+ USD | | Job categories | Medical Claims Auditor, Medical Accounts Coordinator, Billing Coordinator, Financial Analyst | | Skills | Medical Claims Auditing, Medical Account Auditing, SOAT Claims Auditing, ECAT Claims Auditing, ADRES Claims and Recobros, Health Services and No PBS Technology Auditing, Healthcare Billing, Claims Denials and Reconciliations, Health Financing Systems, Financial Analysis, Health Services Regulations, SGSSS, MIPRES, CTC, SOAT Tariff Manual | ## About ```text At ADRES and CONSORCIO CONAUDIT 2023, I audited claims arising from traffic accidents and catastrophic events, reviewing their documentary, technical, medical, and financial components. I applied ADRES requirements and the SOAT tariff manual, documented findings, and prepared technical reports. At SALUDCOOP EPS, I directed the national medical accounts operation, coordinating audits, recobro processes, and reconciliations with IPS. At SALUDVIDA EPS, I led the national medical accounts project; at AGM SALUD S.A.S. – NUEVA CLÍNICA SAN SEBASTIÁN, I coordinated billing and strengthened its controls and filing timelines. ``` ## Experience ### Tecnico Administrativo II (current) Subred Sur Occidente. May 2026 - Present ```text Managed initial and ratified glosas, downloading required supports and preparing timely responses within regulatory terms. Developed responsibility matrices, cross-referenced information, and generated reports. ``` Skills: Gestión-De-Glosas, Conciliaciones, Indicadores-de-Gestión, Excel-avanzado, Microsoft-Office ### Analista Integral de Reclamaciones Consorcio Conaudit 2023. Jan 2024 - Apr 2025 ```text 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. ``` Skills: Auditoría-De-Reclamaciones, SOAT, ECAT, ADRES, Análisis-Financiero, Indicadores-de-calidad, Mejora-Continua ### Auditor Contratista ADRES. May 2023 - Dec 2023 ```text 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. ``` Skills: Auditoría-Integral, SOAT, ECAT, Manual-Tarifario-SOAT, Elaboración-De-Informes-Técnicos, Detección-De-Inconsistencias ### Profesional de Tutelas Delta A Salud. Nov 2021 - Dec 2022 ```text 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. ``` Skills: Health-Services-and-No-PBS-Technology-Auditing, MIPRES, CTC, Autorizaciones, Facturación, SGSSS ### Auditor de Recobros (OPS) Cruz Blanca EPS. Apr 2021 - Nov 2021 ```text Conducted comprehensive audits of recobros for presentation to ADRES, verifying technical and documentary requirements. Analyzed inconsistencies and performed validations prior to filing. ``` Skills: Auditoría-De-Recobros, ADRES, Validación-documental, Informes-De-Auditoría ### Auditor Externo de Cuentas Médicas y Recobros D&G Consultores. Aug 2017 - Apr 2021 ```text 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. ``` Skills: Auditoria-Externa, Cuentas-Médicas-De-Alto-Costo, Recobros, Gestión-De-Glosas, Facturación, Normativa ### Auditor de Cuentas Médicas ECAT AGS Américas. Oct 2020 - Jan 2021 ```text Executed comprehensive audits of medical accounts for the ECAT process, validating clinical, administrative, and financial supports. Applied technical and regulatory criteria for account recognition. ``` Skills: Auditoría-De-Cuentas-Médicas, ECAT, Validation-Support, Normativa ### Coordinadora de Facturación AGM Salud S.A.S. – Nueva Clínica San Sebastián. May 2017 - Jul 2017 ```text 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. ``` Skills: Coordinación-De-Facturación, Supervisión-De-Equipos, Indicadores-De-Productividad, Mejora-Continua, Informes-De-Gestión ### Asesora Proyecto SaludCoop en Liquidación Soluciones Integrales y Asesorías en Salud – SIAS S.A.S.. Nov 2015 - Mar 2016 ```text 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. ``` Skills: Análisis-de-información, Indicadores-de-Gestión, Elaboración-De-Informes-Técnicos, Apoyo-Gerencial ### Coordinadora Nacional de Cuentas Médicas Saludvida EPS. Jul 2015 - Oct 2015 ```text 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. ``` Skills: Cobros-De-Cuentas-Médicas, Gestión-De-Glosas, Conciliaciones, Capacitación, Diseño-Funcional-De-Software, Informes-De-Gestión ### Coordinadora de Cuentas Médicas Saludcoop EPS. Mar 2006 - Jul 2015 ```text 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. ``` Skills: Coordinación-de-Equipo, Auditoría-De-Cuentas-Médicas, Recobros, Conciliaciones, Indicadores-de-Gestión, SOAT, ECAT, CTC, Tariff-Manuals ### Auxiliar Analista de Cuentas Médicas Saludcoop EPS. Jan 1998 - Dec 2006 ```text 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. ``` Skills: Auditoría-De-Cuentas-Médicas, Gestión-De-Glosas, Validation-Support, Facturación, Tariff-Manuals ### Revisor de Cuentas Médicas BDO Salud Age. Jan 1999 - Dec 2000 ```text 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. ``` Skills: Auditoría-De-Cuentas-Médicas, Tariff-Manuals, Gestión-De-Glosas, Validation-Support ### Auxiliar Contable Febor Entidad Cooperativa. Jan 1994 - Dec 1996 ```text Recorded and controlled purchases and expenses, prepared credit and debit notes, and reconciled accounting information. Supported administrative and financial processes. ``` Skills: Contabilidad, Conciliação-Contábil, Notas-De-Crédito-Y-Débito, Apoyo-Administrativo ## Education ### Universidad Autónoma de Colombia Economista, Economics ```text Graduated in June 1999 with a degree in Economics. ``` ### Politécnico de Colombia Diplomado en Gestión de la Calidad en Salud, Health Quality Management ```text Completed a diploma in Health Quality Management. ``` ### Fundación Cundinamarca – Universidad INCCA de Colombia Diplomado en Auditoría en Servicios de Salud, Health Services Auditing ```text Completed a diploma in Health Services Auditing. ``` ### Cooperativa FEBOR Contabilidad Bancaria, Bank Accounting ```text Completed coursework in Bank Accounting. ``` ### Universidad Autónoma de Colombia Matemática Financiera, Financial Mathematics ```text Completed coursework in Financial Mathematics. ``` ## Tech stack - Microsoft Excel - Microsoft Word - Microsoft Outlook - Microsoft PowerPoint To contact Yadira, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire). ## People also viewed - [Carolina Agamez](https://himalayas.app/@carolinaagamez): Gestor Experto, EPS y Medicina Prepagada Suramericana S.A. - [suad elena](https://himalayas.app/@suadelena): Contador de Costos, JS Herbs Company S.A.S - [Laura M Rennemberg S](https://himalayas.app/@lauramrennembergs): Consultor en protección, Metlife Colombia - [Sharif Fuentes](https://himalayas.app/@shariffuentes): Auditor de Operaciones, Logyca - [Yury Forero](https://himalayas.app/@yuryforero): Vicepresidenta, Junta de Acción Comunal Centro - [Polo Giovanni Guevara](https://himalayas.app/@pologiovanniguevara): Auditor Sénior I, Nueva EPS S. 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