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RCM Specialist with 5+ years in healthcare revenue cycle management
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Competencies
Expertise in clinical denials, claims verification, and billing processes in healthcare settings.
Experience handling patient requests, appointment scheduling, and provider communication in diverse health plans.
Performed device repairs including flashing, resets, and unlocking, working with hardware and software tools.
Led office operations, staff management, policies, budgeting, and process improvements in healthcare and business settings.
Recognized customer needs, offered appropriate products, and negotiated to close sales at retail outlets.
Education
Summary
Experienced specialist in healthcare revenue cycle, customer service, technical repairs, and office management. Adept at process improvement, client relations, and technical operations across diverse sectors.
Key Achievements
- Specialized in clinical denials and claims verification, enhancing accuracy in payment recovery.
- Managed appeals and reconsiderations processes, ensuring timely resolutions with insurance companies.
- Handled roles across customer service, technical repairs, and administrative management, demonstrating versatility.
Experience
RCM specialist
Specialist on clinical denials department, Specialist in verification of denied claims, solving the sending of appeals or reconsiderations to insurance companies for their timely payment, understanding the clinical processes in the revenue billing cycle (denial letters, CPT codes involved in denial...
Customer Service Advisor1
Customer Service Advisor1, Settling appointments for US (Universal specialties) and Pediatrics, Scheduling appointments, cancelations, rescheduling for each department (Lab’s appointments just for approved tests, like blood works and seasons Vaccines), Request paper work for Pediatrics, as school...
Customer Service Advisor
Customer Service Advisor I was in charge to solve requests for patients enrolled on Community Dual Plans (DSNP), for people of 65 years old and plus, People with disabilities and low incomes with Medicare and Medicaid, Resolve concerns and requests rides to the appointments, refills with...
Advanced repair Technician
Repairing Locked devices, flashing, and factory resets with developing flash cards.
Advanced repair Technician
Shoe store salesperson, recognize customer needs, offer best brands based on opportunity cost, negotiation and closing sales
Administrative Manager
Managing Administrative Staff, implementing policies and procedures, coordinating and managing daily office operations, including scheduling, budgeting, and record-keeping, managing facilities, providing Administrative support, budgeting and financial Management
Virtual store analyst/Deputy administrative assistant for small business associations
These positions alternated throughout the 8 years in the company, consisting of virtual store analyst, processing cases of cell phone and tablet purchases through the company's internal systems, identifying customers and verifying the validity with the banks of the purchase made through...