

Bilingual Compliance Analyst with expertise in reviewing financial customer information and managing sensitive data to ensure regulatory compliance. Skilled in analyzing complex information, identifying unusual activity, and documenting findings to support compliance procedures. Working knowledge of Anti-Money Laundering (AML), Know Your Customer (KYC), and Transaction Monitoring, with strong analytical and investigative skills.
• Managed patient accounts and resolved billing inquiries for diverse healthcare services.
• Collaborated with healthcare providers to ensure accurate claims submission and processing.
• Reviewed account statements for accuracy and identified discrepancies for correction.
• Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
• Researched discrepancies in patient accounts to determine appropriate resolution.
• Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
• Ensured compliance with company policies concerning the privacy of confidential health information.
• Conducted detailed research and analysis of customer inquiries, transactions, and account activity to identify inconsistencies and resolve issues.
• Investigated complex cases, gathering and evaluating information from multiple internal systems to resolve customer issues.
• Collaborated with internal departments to escalate and resolve high-risk customer situations, ensuring timely support.
• Reviewed customer accounts and financial information while adhering to banking policies, regulatory requirements, and confidentiality standards.
• Maintained accurate records and documented findings in accordance with compliance and operational procedures.
• Processed sensitive customer information while ensuring adherence to data privacy and risk management requirements.
• Applied critical thinking and analytical skills to assess customer activity and support risk-based decision making.
• Assisted in identifying unusual account activity and ensuring appropriate review and escalation procedures were followed.
• Supported compliance initiatives through precise documentation and thorough maintenance of customer profiles.
• Reviewed client documentation and financial information to ensure
accuracy and compliance with transaction requirements, facilitating smooth transactions.
• Conducted detailed reviews of contracts and supporting documentation to resolve discrepancies promptly, supporting client satisfaction.
• Maintained extensive records and prepared transaction files with high accuracy, ensuring compliance and facilitating efficient processing.
• Assisted dentists in providing quality dental care to patients, including
taking and developing x-rays, charting teeth, preparing materials, and
sterilizing instruments.
• Managed patient records, tracked referrals, and ensured accurate
charting and documentation to support patient care.
• Coordinated appointment scheduling and front desk communications to
enhance patient experience.
• Ensured adherence to HIPAA regulations and privacy standards. • Participated in staff meetings, contributing to workflow improvements
and ensuring compliance with regulations.