Bilingual HR Generalist
Resume:
Victor Julio Zapata Calderón
Sellersburg, Indiana, 47172
adl4ky@r.postjobfree.com
Objective: Offering experience and abilities in Human Resource Administration in a growth company. Creative problem-solver. Detail-oriented. Excellent relationship developing. Highly motivated and strong organizational leadership. Driven work ethic and self-motivated.
Humana Inc. Louisville, Kentucky
Medicare Claims Adjuster (Bi-lingual) 08-2005 to 12-2010
• Reviewed Medicare claims for adjudication from Healthcare providers
• Reprocessed Medicare denial claims, and appeal claims that were submitted with incorrect coding
• Analyzed provider’s contract for accurate reimbursement
First Source Inc. Louisville, Kentucky
Medicare Claims Adjuster (Bi-lingual) 02-2010 to 06-2016
• Planned, developed, and administered health information system for health care facility
• Received daily reports with claims data for processing accurate payments
• Analyzed claims data for reimbursement, quality of patient care, and risk management
Cotiviti LLC, Louisville, Kentucky
Medical Claims Auditor (Bi-lingual) 06-2016 to 01-2019
• Achieve superior claim auditing service performance through an integrated process of operational, quality, medical cost, and resource management as well as data mining
•Applied medical necessity guidelines, determined coverage, completed eligibility verification, identified discrepancies, and applied all cost containment measures to assist in the claim auditing process
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Morgan Foods, Inc. Austin, Indiana
Human Resources Specialist (Bi-lingual) 03-2018 to Present
• Assisted in new hire orientation, conduct and coordinate job interviews periodically. Served as liaison between syndicate Union employees and company’s policy for the Hispanic workforce
• Developed key recruiting strategies to keep and lower the turnover rate in the company
• processed over 80 new hires for general labor on a monthly basis, that would include verification of employment, background checks, ensuring compliance of all legal documentation submitted.
Education: Santo Tomas De Aquino, Guarne - Colombia
Diploma 1993
Indiana University Southeast, New Albany, Indiana
Medical Coding Certificate (2008)
Bachelor’s degree in Spanish, Minor in Criminal Justice (2012)
References: Available upon request
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