Maribel Porto
Hialeah
Summary
Analytical, proficient in information gathering, report preparation and data compilation capabilities. In-depth knowledge of insurance coverage forms, procedures and policies. Accommodating and logical individual skillful in creating customized requests for each client.
Overview
15
15
years of professional experience
Work History
Insurance Verification/Authorization Specialist
CCS MEDICAL
Clearwater
05.2021 - Current
- Determining whether Authorization will be required for DME service
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Accessed third-party insurance databases to identify coverage of benefits.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Examined claims, records and procedures to grant approval of coverage.
Insurance Verification Specialist
US Medical Supply
Doral
08.2019 - 07.2020
- Verifying Insurance for Patients for CGM, DME and Orthotic Supplies
- Documenting all information and process accordingly.
- Updated patient and insurance data and input changes into company computer system.
- Accessed third-party insurance databases to identify coverage of benefits.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Medical Billing Specialist
Healthcare
Doral
04.2015 - 04.2019
- Verified if Patient has insurance by using Hospital portal and availity, entered insurance information, filed insurance with correct carrier electronically
- Sent EOB’s with Health claim when necessary to insurance while while complying with Hippa regulations
- Answer incoming calls from patients and Insurance Companies.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Collaborated closely with other departments to resolve claims issues.
- Reviewed and verified benefits and eligibility with speed and precision.
Customer Service Specialist
Strybuc Industries
Hialeah
04.2011 - 07.2014
- I entered orders; answered incoming calls, gave quotes and gave status of orders and inventory
- I answered questions regarding orders and Inventory.
- Performed data entry of customer information, orders and shipments.
Education
High School Diploma - Various
Miami Springs Senior High School
Miami Springs, FLSkills
- Insurance Plan Verification
- Electronic Medical Records
- Customer Service
- Communication and Interpersonal Skills
- Analytical Thinking
- Attention to Detail
- Coverage and Authorizations
- Medical Billing
- Data Entry and Review
- Skilled in Excel and Outlook
- Documentation and Correspondence
- Verbal and Written Communication
- Critical Thinking
- Problem-Solving
- Detail-Oriented
Timeline
Insurance Verification/Authorization Specialist
CCS MEDICAL
05.2021 - Current
Insurance Verification Specialist
US Medical Supply
08.2019 - 07.2020
Medical Billing Specialist
Healthcare
04.2015 - 04.2019
Customer Service Specialist
Strybuc Industries
04.2011 - 07.2014
High School Diploma - Various
Miami Springs Senior High School