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Yenitza Luna

@yenitzaluna

Message

I resolve reimbursement discrepancies and support people operations, payroll, onboarding, and HR compliance.

United States

Message

What I'm looking for

I'm looking to apply my experience in people operations, employee lifecycle support, HR systems, compliance, and process improvement in a role supporting employees and efficient operations.

At AbbVie, I resolve payor contract escalations and reimbursement discrepancies while processing more than 100 Medicaid, commercial, and government-funded claims and payments monthly at 98% accuracy.

Previously, I supported insurance intake, quality assurance, documentation review, and cross-functional process improvements at AbbVie and Affordable Housing Corporation of Lake County.

I've also managed employee lifecycle operations including recruitment, onboarding, payroll, benefits, background checks, employee relations, and confidential records using ADP Workforce and Workday. I bring 10+ years of operations and people-support experience, along with English and Spanish language skills.

Experience

Work history, roles, and key accomplishments

Current

Reimbursement Specialist

Current

AbbVie

Oct 2021 - Present (5 years)

Serves as primary liaison for payor contract escalations, coordinating timely and compliant resolution of reimbursement and process discrepancies. Processes over 100 Medicaid, commercial, and government-funded health insurance claims monthly with 98% accuracy.

Claims Processing Medicaid Commercial Insurance Government Insurance Appeals Compliance Discrepancy resolution Data Accuracy Process Improvement

Intake Specialist

AbbVie

Jul 2018 - Oct 2021 (3 years 3 months)

Reviewed insurance coverage across Medicare, Medicaid, supplemental, and commercial plans to support accurate processing. Used investigative tools to verify application details and performed quality assurance reviews.

Insurance Verification Medicare Medicaid Commercial Insurance Quality Assurance Process Improvement Cross Functional Collaboration

Intake Coordinator

Affordable Housing Corporation of Lake County

Jan 2017 - Jul 2018 (1 year 6 months)

Managed onboarding documentation and maintained accurate client records to support organized intake and operational processes. Reviewed documentation for compliance with federal, state, and county guidelines and developed reports for funders and investors.

Onboarding Document Management Compliance Reporting Data Accuracy

Center Director

Kids R Us Learning Center

Mar 2013 - Jan 2017 (3 years 10 months)

Managed confidential employee information related to hiring, onboarding, background checks, payroll, benefits, and employee relations. Managed high-volume recruitment for 50+ positions, generating 70 applicants through recruitment and outreach efforts.