ALEJANDRA ZAPATA
Medellín
Summary
I’m an experienced medical billing assistant and authorization professional, specializing on insurance verification, Worker’s Compensation cases for procedures, billing and patient scheduling for US based healthcare providers. I’m passionate about ensuring accuracy, compliance in every step of the billing and the authorization process.
I have been working on the medical field for three years. Skilled in problem solving situations keeping a positive attitude when facing challenges. I am a very organized person, meeting deadlines and supporting, not only patients but also the medical providers by keeping good communication with insurance companies and/or adjusters.
My goal is to continue growing in the medical billing and healthcare authorization field by taking on opportunities that allow me to improve operational workflow and patient healthcare's satisfaction.
Overview
7
7
years of professional experience
Work History
AUTHORIZATIONS AND MEDICAL BILLING ASSISTANT
Profesor X S.A.S
10.2022 - Current
- Responded to customer concerns and questions on daily basis.
- Scheduled patient appointments and answer questions regarding services and treatments.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Filed and updated patient information and medical records.
- Verified insurance of patients to determine eligibility.
- Improved patient satisfaction by accurately processing medical bills and promptly addressing inquiries.
- Collaborated with healthcare providers to obtain necessary documentation for accurate claim submissions.
- Request medical authorizations for procedures and office visits, ensuring the approval and the accuracy of medical necessity.
- Increased team efficiency by providing cross-functional support in medical coding, insurance verification, and data entry tasks.
Bilingual customer agent on Social Media
Almacontact for LATAM Airlines
01.2021 - 10.2022
- Bilingual customer agent on Social Media
- Managed booking changes and cancellations, ensuring compliance with airline policies and procedures.
- Managed high call volumes under pressure, maintaining composure and professionalism at all times.
- Assisted customers with navigating company website and using online tools, resulting in higher levels of self-service success.
Translator and interpreter
Manage and Protect S.A.S
01.2019 - 01.2020
- Translator and interpreter.
- Reviewed translated materials for consistency and adherence to client guidelines.
- Interpreted live conversations in various settings, facilitating clear communication.
- Translated documents from English to Spanish.
Education
TESOL - Teaching English to Speakers of Other Language
GLOBAL LANGUAGE TRAINING
Medellin, Colombia01.2020
Tecnology in Multimedial Production - Digital Communications And Multimedia
SENA
Medellín, Colombia01.2015
Skills
- CPT knowledge
- Claim submission
- Insurance verification
- Denial management
- ICD-10 proficiency
- Billing and collection procedures
- Claims review
- Problem-solving abilities
- Medical terminology
- Customer service
- Send appeals and reconsiderations
- Data analysis
Languages
Spanish
Native or Bilingual
English C1
Native or Bilingual
French B1
Professional Working
Italian B1
Professional Working
Timeline
AUTHORIZATIONS AND MEDICAL BILLING ASSISTANT
Profesor X S.A.S
10.2022 - Current
Bilingual customer agent on Social Media
Almacontact for LATAM Airlines
01.2021 - 10.2022
Translator and interpreter
Manage and Protect S.A.S
01.2019 - 01.2020
TESOL - Teaching English to Speakers of Other Language
GLOBAL LANGUAGE TRAINING
Tecnology in Multimedial Production - Digital Communications And Multimedia
SENA