Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Catalina Coughlin

Bellevue

Summary

Dedicated and high-achieving honor student in Medical Billing and Insurance Coding with a proven track record of academic excellence. Proficient in interpreting medical documents and coding procedures with precision. Fluent in both English and Spanish, fostering seamless communication and understanding in diverse healthcare settings. Possesses a strong grasp of medical terminology, coupled with a deep understanding of insurance billing processes. A detail-oriented professional committed to accuracy and efficiency in healthcare administration. Eager to apply academic prowess and bilingual fluency to contribute positively to the healthcare industry.

Overview

3
3
years of professional experience
1
1
Certification

Work History

Quality Assurance Analyst

Momentum Travel Group
11.2016 - 06.2019

Carried out comprehensive multi-layered link analysis of all fraudulent accounts to propose and execute the best practices. Manage unauthorized transactions and fraudulent accounts /activity by overseeing customer and transaction records. Formulate standardized reports and maintain appropriate data using numerous third party and in house tools. Deliver valuable support to business continuity emergencies for unhindered business operations. Devise and implement effective strategies regarding specific fraud initiatives to secure fraud management projects within time and budgetary constraints.


Determined and met coaching requirements and implemented appropriate actions in accordance with quality guidelines. Established quality assurance department by leading a competent team and producing new material for training and improvement opportunities related to investigation flows and presentations. Conceptualized and rolled- out robust risk testing, fraud prevention, and internal control roadmaps in compliance with corporate protocols.
Proposed case following patterns by assessing chargebacks on a daily basis. Administered quality assurance activities such as internal audits

Key Achievements:
▪ Achieved fraud objectives by coordinating with internal and external business partners to address Ad Hoc requests and overcome technical issues while providing expert opinion to employees.
▪ Organized training session for analysts to detect the biggest fraud MO by leveraging SQL database.

Education

Associate of Applied Science - Medical Billing And Insurance Coding

UEI College - Tacoma, WA
Tacoma, WA
06.2024

Skills

  • Proficient in medical billing software (mention specific software if applicable)
  • Strong understanding of ICD-10, CPT, and HCPCS coding systems
  • Excellent analytical skills for interpreting medical bills and records
  • Attention to detail and accuracy in account resolution
  • Proficient in Windows PC applications and computer proficiency
  • Outstanding communication skills, both verbal and written
  • Ability to multitask, meet deadlines, and adapt to a changing environment

Certification

HIPAA Certified

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Quality Assurance Analyst

Momentum Travel Group
11.2016 - 06.2019

Associate of Applied Science - Medical Billing And Insurance Coding

UEI College - Tacoma, WA
Catalina Coughlin