Elianna Torres Diaz
Miami
Summary
Detail-oriented Patient Eligibility and Medical Records Specialist with expertise in verifying patient eligibility and insurance coverage, ensuring HIPAA compliance, and managing medical records. Bilingual and committed to enhancing operational efficiency in healthcare settings, demonstrating adaptability and strong organizational skills.
Overview
17
17
years of professional experience
Work History
Eligibility & Medical Records Specialist
"Lissette De Cortazar" Psychiatry and Pulmonary Me
Miami
02.2025 - Current
- Verify patient eligibility and insurance coverage via Availity and Waystar.
- Contact insurance providers to verify policy changes, benefits, and coverage details.
- Validate copays and document in patient notes to support front desk collections.
- Abstract clinical and demographic information and register patients in ICANotes & PointClickCare, including insurance and pharmacy details.
- Scan and manage medical records in compliance with HIPAA.
- Scanned and validated medical records for upload.
- Scanned incoming documentation for accurate electronic record-keeping in compliance with office procedures.
- Performed data entry into electronic health record systems.
- Entered patient insurance, demographic and health information into software and confirmed records.
- Scheduled appointments and updated calendars for medical staff based on patient records.
- Categorized patients into diagnosis-related groups using computer software.
- Scanned documents into electronic health record system according to established procedures.
Retail Associate
Amazon
Miami
02.2024 - Current
- Managed inventory, labeling, and product classification using RF scanners.
- Monitored inventory levels and reported discrepancies to management.
- Processed online orders and ensured timely delivery of items.
Computer Instructor
University of Medical Sciences
Cuba
09.2015 - 02.2023
- Instructed classes on computer hardware, operating systems, programming languages, web design, and digital media production, fostering a comprehensive understanding of key concepts.
- Facilitated hands-on lab sessions, improving students' practical computing skills and confidence.
- Delivered technical support to students and staff for various software programs, ensuring smooth operation and user satisfaction.
- Provided technical support and training to students and faculty; maintained systems and databases.
- Evaluated student performance through assessments and feedback mechanisms.
- Participated in professional development activities related to computer education.
Instructor for Children with Hearing Impairments
Specialized School for the Deaf
Cuba
09.2012 - 06.2015
- Implemented effective teaching strategies using sign language and visual aids.
- Developed customized lesson plans for diverse learning needs of deaf students.
- Adapted teaching methods based on the physical, emotional and intellectual capabilities of students.
- Evaluated student performance and tailored provisions to effectively address diverse learning needs.
- Facilitated interactive classroom activities, increasing student engagement and comprehension.
- Adapted computer science and programming instruction to ensure accessibility for all students.
Accounting & Technology Specialist
Pedagogical University
Cuba
09.2009 - 07.2012
- Managed invoices, payroll, and budgets while implementing internal controls and training staff to ensure compliance and accuracy.
- Identified potential IT solutions to streamline operations and enhance service delivery.
- Evaluated emerging technologies for potential adoption within the university environment.
- Monitored system performance and identified areas for enhancement to optimize functionality.
- Developed instructional materials to guide faculty on effective technology applications.
Education
Associate of Science - Medical Billing & Coding
Florida Education Institute
Miami, FL12-2024
Master's Degree - Educational Sciences
Pedagogical University
Sancti Spíritus, Cuba05-2017
Bachelor's Degree - Computer Science
Pedagogical University
Sancti Spíritus, Cuba03-2014
High School Diploma -
Polytechnic Institute of Informatics
Cuba09-2009
Skills
- Patient eligibility verification
- Insurance verification
- Copay validation
- Clinical data abstraction
- Abstracting clinical data
- Medical billing
- Medical coding
- Medical billing and coding
- Medical records management
- Health records management
- Patient safety standards
- Electronic health records
- HIPAA compliance
- OSHA compliance
- BLS compliance
- Contacting insurance providers
- Document scanning
- Data entry accuracy
- Document imaging
- Microsoft Word
- Microsoft Access
- MySQL
- Database management
- Data governance
- Staff education and training
- Medical terminology
- Health information systems
Timeline
Eligibility & Medical Records Specialist
"Lissette De Cortazar" Psychiatry and Pulmonary Me
02.2025 - Current
Retail Associate
Amazon
02.2024 - Current
Computer Instructor
University of Medical Sciences
09.2015 - 02.2023
Instructor for Children with Hearing Impairments
Specialized School for the Deaf
09.2012 - 06.2015
Accounting & Technology Specialist
Pedagogical University
09.2009 - 07.2012
Associate of Science - Medical Billing & Coding
Florida Education Institute
Master's Degree - Educational Sciences
Pedagogical University
Bachelor's Degree - Computer Science
Pedagogical University
High School Diploma -
Polytechnic Institute of Informatics