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Custom's Documentation analyst
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Competencies
Demonstrated experience with Verification of Benefits (VOB).
Demonstrated experience with Patient Financial Responsibility (Deductibles, Copays, Out-of-Pocket Max).
Demonstrated experience with Insurance Plan Mechanics (HMO, PPO, Medicare, Medicaid).
Demonstrated experience with Prior Authorization & Denial Appeals Management.
Demonstrated experience with EHR/EMR & CRM Profile Audit.
Education
Languages
Summary
Professional profile
Experience
Custom's Documentation analyst
Custom's Documentation analysis. Rigorous follow-up for aeronautical parts logistics processes. Management of Import and export operations between Euro-Asia and the Americas
Trainer
Knowledge base content creation. Team management. Productivity documents control. Performance indicators report writing on North America's Freight logistics
Medical Interpreter
Over the phone interpretation (OPI). Video remote interpreting (VRI)
Medical Accounting Specialist
Insurance billing. Payments Retrieval. Accounts receivable management
Back Office Agent- Broker
Scheduling. Outbound contact. Department's Agenda Management
Virtual Assistant
Appointment scheduling. Benefits and plans assessment. Quality assessment
Legal Assistant (Personal Injury Case Management)
Audited and verified approximately 80 medical reports, Diagnostic images and legal documents daily, ensuring 100% compliance with HIPAA and insurance regulations.. Acted as the primary point of contact for clients, law firms, and medical providers to confirm vital case details and streamline legal operations.. Maintained strict data accuracy across digital files, updating attorneys and stakeholders on progress and pending requirements.
International In-house Analyst & Logistics Coordinator
Managed over 40 weekly international trade and maintenance operations across Europe, Asia, and the Americas, ensuring 24/7 follow-up for critical aeronautical parts.. Successfully spearheaded the emergency supply chain during Avianca's 2025 crisis, coordinating priority AOG (Aircraft on Ground) parts for 70+ grounded aircraft.. Managed the entire department independently during leadership absence, delivering all critical components in under a week, which resulted in direct commendation from Avianca’s CEO for exceptional efficiency.
Medical Interpreter
Provided precise over-the-phone (OPI) and video remote interpretation (VRI) between healthcare providers and patients, managing medical terminology accurately.
Medical Accounting Specialist
Executed medical billing, payment retrieval, and accounts receivable management under strict HIPPA compliance guidelines.
Virtual Assistant (Immigration Law Specialist)
Managed and audited 20 complex immigration cases daily (including VAWA, T-Visa, and U-Visa applications), achieving a 95% accuracy rate performance bonus.. Coordinated complex calendars, aligning hearings and consultations across attorneys, psychologists, and clients.. Managed initial client billing processes, payment tracking, and secure document maintenance.
Freelance Healthcare Operations Specialist
Updated and verified patient profiles and clinical records across various EHR, EMR, and CRM platforms, ensuring 100% data accuracy and HIPAA compliance.. Compiled, reviewed, and submitted comprehensive clinical documentation (SOAP notes, LMNs, CPT/ICD-10 codes) to secure timely prior authorizations from commercial and government payers.. Analyzed denied authorization requests, gathered additional medical necessity evidence, and drafted structured appeals to reverse claim and service denials.. Cross-referenced patient eligibility, coverage benefits, and historical insurance data between CRM and EHR systems to streamline operational workflows.
Senior Customer Service Representative
Conducted Healthcare plans (HMO, PPO, EPO, Medicare and Medicaid) benefits and coverage, appointment scheduling, strict quality control evaluations for Medicare plans.. Experienced in end-to-end health insurance workflows, including eligibility verification, coverage determination, and out-of-pocket calculations (deductibles, copays, and coinsurance).
Talent Acquisition Junior Specialist
Managed 5 to 8 concurrent job requisitions, sourcing and delivering 3 to 5 qualified prospects per role within strict 30-day deadlines.. Utilized ATS networks and specialized platforms to build robust candidate pipelines in fast-paced environments.. Partnered closely with hiring managers to align candidate screening with business needs, ensuring a premium candidate experience.
Corporate Trainer
Led training cohorts averaging 15 new hires and transferred employees, facilitating core knowledge base content and pilot LOB (Line of Business) projects.. Achieved a 90% graduation rate across training cycles and drove a 10% increase in Quality and Productivity KPIs through continuous coaching.
Back Office Agent - Broker
Supervised freight logistics documentation and insurance compliance, scheduling, and customer support for North American operations.