IVANY CARVAJAL
Cary,NC
Summary
Skilled in time management and cultivating effective communication among stakeholders to improve service quality and operational efficiency.
Overview
21
21
years of professional experience
Work History
Reimbursement Case Manager
Valeris, Inc
Durham, NC
08.2025 - 12.2025
- Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
- Provided referrals to appropriate health care providers or other community resources.
- Adhered to ethical principles and standards to protect clients' confidential information.
- Maintained logs and electronic client records following department and agency policies for effective monitoring.
- Managed caseloads effectively, ensuring timely documentation and reporting.
Consultant /Business Office Assistant
Brighter Care Adult Daycare
Port St Lucie, Florida
03.2025 - 08.2025
- Managed administrative and financial operations, including accounts payable and receivable, insurance claims, scheduling, payroll timekeeping, and budget tracking, ensuring smooth operational flow.
- Coordinated hiring, onboarding, training, and staff scheduling to maintain adequate coverage and support team effectiveness.
- Facilitated communication between families, caregivers, and medical professionals to enhance service quality and strengthen relationships.
- Maintained compliance with state licensing regulations, audits, and documentation standards.
- Ensured policies and procedures were updated, implemented, and followed consistently.
Business Office Assistant Manager
Palm City Nursing & Rehabilitation Center
Palm City, FL
02.2024 - 02.2025
- Led daily business office operations during management absences, ensuring continuity and efficiency.
- Managed full-cycle Accounts Receivable and Accounts Payable, including invoice coding, accruals, billing, and payment posting.
- Processed consolidated Medicare billing and submitted secondary claims, ensuring compliance with payer and regulatory requirements to minimize payment delays.
- Recognized for exceptional collections performance and reducing outstanding balances month-over-month.
- Administered resident trust funds, maintaining strict audit-ready documentation.
- Supported internal and external audits by ensuring compliance with company policies, contributing to audit readiness.
Accounts Receivable / Medical Billing Representative
Becton Dickinson & Co.
Stuart, FL
09.2019 - 04.2020
- Processed electronic and manual insurance claims, ensuring accuracy of CPT/ICD-10 codes to facilitate timely reimbursements.
- Supported Medicare billing operations and streamlined reimbursement workflows to optimize processing efficiency.
- Posted charges, payments, and adjustments, resolving account discrepancies.
- Liaised with providers to update credentialing and address insurance network requirements, enhancing collaboration and compliance.
Insurance Coordinator / Financial Coordinator
Fresenius Medical Care
Port St. Lucie, FL
04.2010 - 04.2019
- Lead financial coordination for dialysis clinic operations, managing Medicare, Medicaid, commercial, and private insurance processes.
- Educated patients on insurance options and assisted with applications for financial assistance programs, enhancing patient understanding and access to coverage.
- Supported audits and financial reporting, ensuring compliance with regulatory and company standards to maintain operational integrity.
- Collaborated with billing and quality assurance departments to streamline processes, contributing to improved financial and operational outcomes.
Medical Communication Specialist I
Pharmaceutical Product Development
Durham, NC
06.2007 - 04.2010
- Created compliant medical communication content for product launches and lifecycle management, facilitating effective communication across stakeholders.
- Delivered accurate, compliant technical information to patients and healthcare providers, enhancing understanding of medical products.
- Reported Adverse Events and Product Complaints to the FDA in accordance with GCP guidelines.
- Conducted comprehensive file audits to ensure regulatory compliance, mitigating risks associated with non-compliance.
Top Collector / Medical Financial Services
Patient Financial Services
06.2005 - 05.2007
- Repeatedly awarded Top Collector of the Month for exceptional collections performance.
- Reduced bad debt by implementing proactive patient communication and payment resolution strategies.
- Collaborated with billing teams to enhance financial recovery and streamline operational processes.
Education
MBA - Healthcare Management
Columbia Southern University
Orange Beach, AL10-2010
Bachelor of Science - Business Management
Shaw University
Raleigh, NC12-2008
Skills
- Claims processing
- Records management
- Month-end reconciliation
- Data analysis
- Project coordination
- Verifying data
- Time management
Languages
Spanish
Native/ Bilingual
Timeline
Reimbursement Case Manager
Valeris, Inc
08.2025 - 12.2025
Consultant /Business Office Assistant
Brighter Care Adult Daycare
03.2025 - 08.2025
Business Office Assistant Manager
Palm City Nursing & Rehabilitation Center
02.2024 - 02.2025
Accounts Receivable / Medical Billing Representative
Becton Dickinson & Co.
09.2019 - 04.2020
Insurance Coordinator / Financial Coordinator
Fresenius Medical Care
04.2010 - 04.2019
Medical Communication Specialist I
Pharmaceutical Product Development
06.2007 - 04.2010
Top Collector / Medical Financial Services
Patient Financial Services
06.2005 - 05.2007
MBA - Healthcare Management
Columbia Southern University
Bachelor of Science - Business Management
Shaw University