Francisco Cortez
Des Moines
Summary
Dynamic professional with extensive experience in claims processing and healthcare administration at Broadlawns Medical Center. Proven track record in resolving eligibility issues and enhancing operational efficiency through strong analytical skills. Expertise in client communication and ensuring HIPAA compliance, leading to improved patient service outcomes.
Overview
12
12
years of professional experience
Work History
Unit Clerk
Broadlawns Medical Center
Des Moines
03.2023 - Current
- Supported insurance verification and claims documentation for patient services, ensuring accuracy and compliance with HIPAA.
- Coordinated with providers and insurance carriers to resolve missing documentation and troubleshoot eligibility issues.
- Managed patient scheduling, medical record maintenance, and transcribed provider orders for accurate claim submissions.
- Assisted patients with questions about their coverage and resolved documentation gaps proactively.
Sales Specialist
Thera Spa
Urbandale
02.2021 - 12.2022
- Oversaw client accounts and project documentation, ensuring records were accurate and timelines met compliance requirements.
- Maintained detailed reporting systems, improving team communication and operational efficiency.
- Identified process gaps and implemented workflow improvements to streamline service delivery.
Research Analyst
Kieffmann Group
Des Moines
08.2016 - 10.2020
- Analyzed large data sets to produce actionable insights for management, directly supporting strategic business decisions.
- Compiled organized reports and presentations, emphasizing accuracy and attention to detail.
- Identified reporting gaps and created more efficient systems for documentation and tracking.
Call Center Manager
Nationwide Insurance
Clive
04.2013 - 04.2016
- Directed daily operations for a high-volume insurance call center, overseeing claim inquiries and escalated issues.
- Trained and coached team members to handle policy, claims, and eligibility questions with professionalism and accuracy.
- Monitored metrics and reporting to improve claims handling processes and customer satisfaction.
Education
Associate’s Degree - Business of Professional Studies
Drake University
Des Moines, IA05.2023
Skills
- Claims processing and management
- Eligibility troubleshooting
- Denials resolution
- Healthcare administration
- Patient record oversight
- HIPAA compliance
- Client communication support
- Provider liaison services
- Organizational skills
- Analytical skills
- Attention to detail
- Microsoft Office proficiency
Languages
English, Native / Fluent
References
References available upon request.
Timeline
Unit Clerk
Broadlawns Medical Center
03.2023 - Current
Sales Specialist
Thera Spa
02.2021 - 12.2022
Research Analyst
Kieffmann Group
08.2016 - 10.2020
Call Center Manager
Nationwide Insurance
04.2013 - 04.2016
Associate’s Degree - Business of Professional Studies
Drake University
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