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
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
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, CA06.1994
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
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