Claim Denial specialist
Resume:
Luisa
Aguilera
Contact
Address
Curtis Bay, MD, 21226
Phone
adzwhg@r.postjobfree.com
https://www.linkedin.com/in/luis
a-aguilera-9b17462
Skills
Worksheets
Language Teaching
Claims Handling
Medical Billing
Classroom Management
CPT Coding
Medical Records
ICD-10
Insurance industry experience
Patient contact
Critical Thinking
Greetings, I'm Luisa Aguilera an English teacher, excellent at creating interesting lesson plans and effectively presenting concepts to increase student comprehension. Knowledgeable about modifying course materials to fit predetermined requirements and individual academic ability. Knowledgeable about inspiring kids to reach learning goals. I am also a medical claim denial specialist with years of experience who excels at handling substantial cases in stressful circumstances. Excellent planning and problem-solving skills, as well as being organized, motivated, and adaptive. I am a candidate who is trustworthy and organized and who successfully manages many priorities. Willingness to accept more duties in order to achieve team objectives. Furthermore, I am a professional dedicated to customer service with expertise in providing services and demonstrated multitasking skills. devoted to preserving professional connections in order to boost revenue and advance commercial objectives.
Work History
2019-12 -
2023-05
Medical Claim Denial Specialist
United Collection Bureau, Costa Rica
• I have three years of practical experience as denial specialist processing healthcare disputes and examining cases to ascertain facts of each case. Professional who is understanding and skilled at analyzing and interpreting medical records as well as writing clinical appeals and letters. proficient in Epic and knowledgeable about claim denials. commended for excellent conflict resolution abilities and cool head when handling agitated clients.
• I was responsible for examining EOBs that insurance providers provided in my previous position.
• I submitted appeals based on that information and other types of denials, obtained retro authorization through various websites, and was in charge of following up on claims with multiple insurance companies.
• I responded to incoming patient calls while delivering excellent customer service.
• Epic was the major system I utilized.
• I also sent claims with coding or diagnosis issues for assessment, and I also posted payments.
• During that period, I also worked as a team leader and trainer.
2019-04 -
2019-08
High School English Teacher
Liceo Ambientalista, Costa, Heredia, Costa Rica
• Friendly and enthusiastic Online English Teachers work with students of all ages on writing, literature, grammar, and syntax. adept at creating customized or pre-written Problem-Solving
Training and Development
Customer service
Epic
Insurance coverage verification
Microsoft Office Suite
proficiency
Multitasking
Lesson Planning
Teacher Support
Languages
English (Professional Working)
Very Good
Spanish (Native or Bilingual)
Excellent
lessons for both individuals and groups. devoted to helping kids develop their reading and writing skills. Dedicated to working in collaboration with coworkers to create engaged, empowering work environment. qualities that have been proven in establishing and keeping
connections with variety of participants in busy, fast- paced environments.
• I had the opportunity to work with teenagers while working as a teacher and was responsible for creating instructional materials for students, designing lesson plans, and teaching English as a Foreign Language in classroom.
Education
2020-01 -
2021-05
Licensure: Teaching English As A Second
Language (ESL)
Latin University of Costa Rica - Costa Rica
2017-01 -
2019-05
Bachelor's degree: Teaching English As A
Second Language
Latin University of Costa Rica - Costa Rica
a Second or Foreign Language/ESL Language Instructor
.
Contact this candidate