Summary
Overview
Work History
Education
Skills
Timeline
Generic

Julisa De La Torre

Arleta,CA

Summary

Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

26
26
years of professional experience

Work History

Senior Utilization Management Assistant

Providence Health & Services
Mission Hills, CA
08.2016 - Current
  • Enhanced patient satisfaction through prompt response to inquiries regarding treatment plans, coverage details, and billing issues.
  • Ensured accurate data entry into electronic health record systems to support informed decision-making by medical professionals.
  • Contributed to a positive workplace culture by fostering strong relationships with colleagues across various disciplines within the organization.
  • Participated in ongoing professional development opportunities within the field of utilization management to stay current on best practices and industry trends.

Senior Medical Biller

Hillview Mental Health Center
Pacoima, CA
03.1998 - 01.2016
  • Negotiated payment plans with patients experiencing financial difficulties, demonstrating empathy while maintaining professionalism.
  • Successfully appealed denied claims by providing thorough documentation supporting the necessity of billed services.
  • Streamlined billing processes for increased efficiency while maintaining compliance with regulations.
  • Managed high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors in submitted claims.

Education

Diploma - General Studies

Grover Cleveland Charter High School
Reseda, CA
06.1994

Skills

  • Team Collaboration Strength
  • Professionalism and Ethics
  • Continuous learning mindset
  • Goal-oriented focus
  • Utilization Review Expertise
  • Insurance Verification Experience
  • Healthcare Systems Familiarity
  • Attention to Detail
  • ICD-10 Coding

Timeline

Senior Utilization Management Assistant

Providence Health & Services
08.2016 - Current

Senior Medical Biller

Hillview Mental Health Center
03.1998 - 01.2016

Diploma - General Studies

Grover Cleveland Charter High School
Julisa De La Torre