Awilda Rivera Ortiz
Melbourne,Fl
Summary
Dynamic professional with extensive experience as a Disaster House Inspector at WSP USA, excelling in fraud investigations and effective communication. Proven ability to analyze data and lead teams, ensuring compliance with regulations while enhancing service delivery. Skilled in medical office procedures and patient relations, consistently achieving high standards in challenging environments.
Overview
30
30
years of professional experience
Work History
Disaster House Inspector
WSP USA Inspection Services
Winchester VA, USA
10.2017 - Current
- Company Overview: Federal Emergency Management Agency
- Perform all work duties completely remotely without direct oversight.
- Schedule appointments and interview disaster victims.
- Inspect homes and properties for flood, wind, tornado and earthquakes damages on site and remotely and review damage levels.
- Account for all damaged items covered under FEMA regulations to be replaced or repair and report suspected fraudulent activity.
- Maintain on going education to adhere to FEMA guidelines and regulations.
- Federal Emergency Management Agency (FEMA)
Medical Administrative Assistant
Spine by Villamil, MD
San Juan, Puerto Rico
01.2017 - 01.2020
- Maintained front office operations in alignment with company objectives to streamline the work flow and enhance service.
- Created, maintained, coded and charged patient accounts.
- Managed all new patient referrals and scheduled all postop and follow-up appointment.
- Updated confidential client information files, scanned documents into patient charts, and managed files as needed.
- Verified insurance and collected copay's.
- Assisted in ordering supplies, taking inventory, and stocking and cleaning exam rooms and mail distribution.
- Schedule testing and appointments for patients both in person and over the phone.
Medical Administrative Assistant
Instituto Manejo de Dolor- Jan Kraemer, MD
San Juan, Puerto Rico
02.2019 - 05.2019
- Company Overview: (temporary)
- Registration, filing and maintenance of medical records and documents.
- Maintained financial records and performed accounting tasks; i.e., collecting co-payments.
- Initiated and maintained correspondence with patients and insurance companies.
- Followed HIPAA guidelines when filing medical records and purchase orders.
- Greeted, screened, scheduled, and directed patients to exam rooms.
- Performed medical receptionist duties promptly and professionally.
- (temporary)
Police Sargent
Puerto Rico Police Department
San Juan, Puerto Rico
05.1995 - 05.2012
- Company Overview: Director for the Investigations Unit at the Department of Justice, Specialized Agent of the Criminal Investigation Department, Fraud Division
- Supervising and guiding subordinate staff in the performance of their duties.
- Assisting with shift briefings, training, and performance evaluations.
- Handling personnel issues and investigating allegations of misconduct.
- Educating staff about regulatory changes and new police methods.
- Preparing reports, maintaining logs, and ensuring the upkeep of departmental records.
- Cooperating with legal and law enforcement stakeholders and testifying in court as required.
- Performing the duties of a police officer and assisting with special projects.
- Reviewing police documents and conducting inspections of personnel and equipment.
- Enforcing strict adherence to policies and procedures and participating in community activities and public presentations.
- Director for the Investigations Unit at the Department of Justice, Specialized Agent of the Criminal Investigation Department, Fraud Division
Education
Certificate - Healthcare Billing, Coding and Collection System
Interamerican University (Inter Tec)
San Juan, PR01.2020
Associate Degree - Criminal Justice
Jhon Jay College of Criminal Justice
Gurabo, P.R.01.1997
Skills
- Medical Office Procedures
- Insurance Verifications
- Record Keeping
- Front-desk Reception
- HIPAA Rules and Regulations
- Financial Transactions
- Patient and Provider Relations
- Medical terminology
- Billing and Coding ICD-10
- Physician support
- Team leadership
- Effective communication
- Fraud detection
- Incident investigation
- Data analysis
Timeline
Medical Administrative Assistant
Instituto Manejo de Dolor- Jan Kraemer, MD
02.2019 - 05.2019
Disaster House Inspector
WSP USA Inspection Services
10.2017 - Current
Medical Administrative Assistant
Spine by Villamil, MD
01.2017 - 01.2020
Police Sargent
Puerto Rico Police Department
05.1995 - 05.2012
Certificate - Healthcare Billing, Coding and Collection System
Interamerican University (Inter Tec)
Associate Degree - Criminal Justice
Jhon Jay College of Criminal Justice
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