Ana Londono
Lake Worth
Summary
Dedicated Firefighter/EMT recently completing formal training and certification, with a strong commitment to public safety and community service. Trained in patient care, CPR, trauma response, and fireground operations. Known for reliability, teamwork, and maintaining composure under pressure. Seeking an opportunity to begin a career in fire and emergency medical services.
Overview
5
5
years of professional experience
10
10
Certifications
Work History
Billing Systems Analyst
VaxCare Corporation
Orlando
11.2021 - 12.2024
- Analyzed claim denials to identify trends, underlying causes, and develop resolution strategies
within the organization. - Researched and resolved billing discrepancies, coding issues, and other payment problems.
- Prepared reports summarizing the progress of claims submitted to insurance companies.
- Interpreted complex medical policies and procedures to determine coverage eligibility.
- Researched applicable laws and regulations related to medical insurance policies and procedures.
- Collaborated with healthcare providers to resolve outstanding claims issues.
- Assisted in developing internal processes for the efficient handling of medical claims.
- Performed data entry into multiple computer systems related to health insurance benefits and claims processing.
- Provided customer service support by responding to inquiries from members, providers, employers, and insurance carriers.
- Evaluated provider contracts for accuracy in accordance with payer regulations.
- Maintained current knowledge of Medicare and Medicaid guidelines, as well as private insurance plans.
- Investigated appeals from providers regarding denied or underpaid claims.
- Processed manual adjustments, including voids, write-offs, and refunds.
- Trained new staff members on proper claim submission methods, documentation requirements, and coding practices.
- Accurately processed a large volume of medical claims every shift.
- Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
- Tracked differences between plans to correctly determine eligibility, assess claims against benefits, and data entry requirements.
- Reviewed administrative guidelines whenever questions arose during the processing of claims.
- Checked documentation for appropriate coding, catching errors, and making revisions.
- Modified and updated existing policies and claims to reflect changes in beneficiary, amount of coverage, or type of insurance.
- Organized information by using spreadsheets, databases, or word processing applications.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Developed reports detailing billing activities, including payment trends, and denial rates.
- Ensured that all regulatory requirements were met when submitting claims for payment.
- Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
Revenue Cycle Specialist
VaxCare Corporation
Orlando
05.2021 - 11.2021
- Contacted insurance providers to check patient coverage and ascertain pertinent information regarding policies and payment benefits for patients.
- Reached out to responsible companies and individuals to collect on outstanding debts.
- Conducted audits of medical records to ensure compliance with payer requirements.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Provided training sessions on billing and coding procedures to staff members.
- Verified details with policyholders, and requested additional information.
- Conducted research into medical terminology related to healthcare claims processing activities.
- Provided clear explanations of benefits, eligibility requirements, and applicable laws when communicating with customers.
- Adhered to strict guidelines pertaining to confidentiality while handling sensitive personal information.
- Maintained detailed records of all communication with customers, claimants, providers, and internal departments.
- Collaborated with fellow team members to manage a large volume of claims.
- Transcribed data to worksheets, and entered data into the computer to prepare documents and adjust accounts.
Medical Data Entry Specialist
VaxCare Corporation
Orlando
03.2021 - 05.2021
- Processed incoming patient information into the electronic health record system.
- Entered patient demographics, insurance information, diagnosis codes, and other relevant data into a computerized database.
- Resolved discrepancies between paper records and electronic databases.
- Identified errors in medical forms or documents, and corrected them accordingly.
- Maintained confidentiality of all patient-related information according to HIPAA regulations.
- Monitored workflow processes related to data entry operations to ensure the timely completion of tasks.
- Provided assistance to other staff members regarding data entry methods, or techniques.
- Obtained scanned records and uploaded them into the company databases.
- Identified data entry errors and corrected mistakes to achieve near-perfect accuracy in data sets.
Software Enrollment Specialist
United Data Technologies
Orlando
06.2020 - 09.2020
- Updated and installed new software on desktop and laptop computers to maintain the latest technology.
- Set up and configured iPads and desktop computers in various business locations to support operations and reporting.
Member Service Specialist
YouFit Health Clubs
Winter Park
01.2020 - 03.2020
- Learned all internal systems and evaluated customer information to explore issues, develop potential solutions, and maintain high-quality service.
- Consistently achieved revenue quota through product and service promotion during routine calls.
- Answered inbound calls from a wide range of members, welcoming callers.
- Developed relationships with members to increase loyalty and satisfaction through personal contact, follow-up calls, and outreach activities.
- Maintained accurate records of all transactions according to established procedures.
Education
College Credit Certificate - Firefighter I And Firefighter II
Palm Beach State College
Lake Worth, FL12-2025
College Credit Certificate - Emergency Medical Technician
Palm Beach State College
Lake Worth, FL05-2025
Bachelor of Arts - Integrative General Studies, Science Emphasis
University of Central Florida
Orlando, FL04-2021
High School Diploma -
Palm Beach Gardens High School
Palm Beach Gardens, FL04-2016
Skills
- CPR and AED Operations
- BLS
- EVOC
- Patient Assessment (Primary & Secondary)
- Documentation and PCRs
- Fire Suppression Techniques
- Hose Handling and Ladder Operations
- Customer service standards
- Workflow management
- Relationship building
- Software installation
- Data aggregation processes
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Certification
Emergency Medical Technician
Timeline
Billing Systems Analyst
VaxCare Corporation
11.2021 - 12.2024
Revenue Cycle Specialist
VaxCare Corporation
05.2021 - 11.2021
Medical Data Entry Specialist
VaxCare Corporation
03.2021 - 05.2021
Software Enrollment Specialist
United Data Technologies
06.2020 - 09.2020
Member Service Specialist
YouFit Health Clubs
01.2020 - 03.2020
College Credit Certificate - Firefighter I And Firefighter II
Palm Beach State College
College Credit Certificate - Emergency Medical Technician
Palm Beach State College
Bachelor of Arts - Integrative General Studies, Science Emphasis
University of Central Florida
High School Diploma -
Palm Beach Gardens High School