Yarisel Rubalcava

advumi@r.postjobfree.com **** W 21st CT, Hialeah, FL 33016 786-***-****

SKILLS

-Proficient in Medical Billing software (Chirotouch) POS software. - Excellent Communication and People Skills.

-Fluent in English and Spanish - Customer Service, Employee Training & Development.

-Proficient in Microsoft Office. Dr, Chrono, Advance in AS400, JDA, Oracle, K3S, E3 etc.

HIGHLIGHTS

-Submit electronic and manual insurance claims Strong leadership skills.

-Ability to supervise 15+ employees

-- Received “Employee of the Month” award for outstanding customer service.

EDUCATION

Florida National University, Miami, FL

-Pursuing a Bachelor’s in Business

Southridge Senior High, Miami FL

-High School Diploma

REFERENCES:

Ana Santana, Category Manager CVS Health/Navarro Pharmacies 305-***-****

Highly proficient individual, skilled in performing detailed work in an accurate and organized manner. Holding an understanding of business math and the ability to relate to and from conclusions using numerical data. Positive attitude and the desire to continually learn and contribute to the job’s execution. Fast learner who can easily adapt to different kinds of environment being a team player with exceptional time management and multi-tasking abilities.

PROFESSIONAL EXPERIENCE

Authorization/ Data Entry

United Stated Medical Supply, Doral, FL 2021- Present

•Submitted prior authorization requests with multiple insurance companies via form, fax, phone or online.

•Resolved complex prior-authorization issues with billing managers and insurance’s representatives.

•Review Faxes assigned them to patient’s account and made all necessary changes or updates.

•Daily communication with different insurance companies.

•Resolved customer questions, complaints and requests while maintaining HIPPA regulations.

•Provided pricing for each HCPC’s to insurances for each HCPCs requested.

•Tracked and followed up on authorizations prior to services being performed.

•Maintained a level of productivity suitable for the department.

Receptionist

Akuafun Jet Ski Rental, Hialeah, FL 2020-2021

•Take appointments over the phone and social media.

•Receive payments.

•Pay all bills and infractions.

•Fill out waivers before the clients get the service.

•Constant communication with clients and owners.

Data Entry

Leon Medical Center, Miami, FL 2019-2020

•Maintain and update data

•Enter specific patient’s health information and attention to detail to ensure accurate information is captured.

•Speak to patients, Doctors and Hospitals daily.

•Send faxes to other clinics or Hospitals.

•Authorizations and approvals.

•Complete required tasks within the desired deadline.

Administrative assistant

Podortis Corp, Miami, FL 2019-2019

•Communicated with patients, clerical staff and health insurance companies.

•Entering patients in Dr, Chrono and verifying health insurance coverage.

•Ensure patient charts, paperwork and reports are completed in an accurate and timely manner.

•Authorizations and approvals.

•Managed inventory of medical supplies.

•Placed orders for medical supplies as needed.

Medical Billing Team Lead

CEDA Physicians Central Business Office, Miami, FL 2016- 2018

•Communicated with patients, clerical staff and insurance companies to ensure accurate claim information.

•Authorizations and approvals.

•Effective liaison between customers and internal departments.

•Register patients and verify insurance coverage.

•Maintained accurate records of past due customer account activity.

•Prepare and submit clean claims to various insurance companies both manually and electronically.

Inventory Planner

CVS Health / Navarro Discount Pharmacy, Miami, FL 2014-2016

•Managed inventory for portfolio of 12 Categories with more than 5K SKUs and over 50MM in annual sales.

•Maintain high fill rates of over 96% while minimizing overstock.

•Saved over 20K in reducing operational cost by analyzing seasonal freight.

•Prepare inventories and track open purchase orders.

•Consistent communication with vendors.

•Allocate products to the stores as needed.

•Prepared quarterly forecast; Q1, Q2, Q3, Q4 for suppliers.

•Communicate with Category Management team to support all initiates and provide alternative solutions during supply shortfalls.

•Assisted Merchandising department by creating reports of the stock level and open to buy orders.

•Provided regular reporting for KVI / KPIs and kept them 100% in stock.

Customer Service Representative

CVS Health / Navarro Discount Pharmacy, Miami, FL 2014-2016

•Performed cashier duties.

•Promptly responded to inquiries and requests from prospective customers.

•Counted deposit of the day.

•Accurately documented, researched and resolved customer service issues.

•Responsible for various activities including those of Western Union, Metro PCS Payments, Lottery, Money Orders Sun Pass payments, and Fragrance.

•Provided information regarding OTCH health service plan.

•Opened and closed with a Key Holder or Assistant Manager.

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