Maria Oquendo
About Maria Oquendo
Maria Oquendo serves as the Senior Provider Relations Coordinator at EmblemHealth, where she has worked since 2009. With extensive experience in provider relations and a solid understanding of Medicare and Medicaid regulations, she plays a key role in educational projects and handles escalated inquiries.
Current Role at EmblemHealth
Maria Oquendo currently serves as the Sr. Provider Relations Coordinator at EmblemHealth, a position she has held since 2009. In this role, she is responsible for managing provider relations and ensuring effective communication between the organization and its network providers. Her duties include handling escalated inquiries from upper management, conducting outgoing calls to verify directory information, and assisting in medical records retrieval for quality management purposes. She also runs weekly and monthly reports to track performance and compliance.
Previous Experience at EmblemHealth
Prior to her current role, Maria Oquendo worked at EmblemHealth as a Provider Relations Contracting Coordinator from 2001 to 2009. During her eight years in this position, she gained extensive experience in provider relations and contracting processes. Her responsibilities included assisting in educational projects related to policies and procedures, appointment availability, and network participation.
Experience at Royal Health Care
Before her tenure at EmblemHealth, Maria Oquendo worked at Royal Health Care as a Member Services Associate/Provider Relations from 1998 to 2001. In this role, she contributed to member services and provider relations, gaining foundational experience that would support her future roles in the healthcare industry.
Education and Qualifications
Maria Oquendo completed her high school education at Eli Whitney Vocational High School. This educational background provided her with essential skills that have been applicable throughout her career in healthcare and provider relations.
Knowledge of Medicare and Medicaid Regulations
Maria Oquendo possesses a working knowledge of Medicare and Medicaid regulations. This expertise is crucial for her role in provider relations, as it enables her to navigate complex regulatory environments and ensure compliance with healthcare standards.