MARYLU CAPELES
Miami,FL
Summary
Compassionate and dependable healthcare professional with 3+ years of experience supporting patients, healthcare teams, and daily clinical operations. Skilled in patient communication, verification of insurance coverage, medical documentation, processing claims, electronic medical records, and maintaining a professional and welcoming environment. Strong ability to multitask, protect patient confidentiality, and work effectively in fast-paced healthcare settings.
Overview
11
11
years of professional experience
Work History
Insurance Verification Specialist
Aeroflow Health
Miami, FL
10.2022 - Current
- Verified patient insurance coverage for medical equipment and supplies.
- Reviewed medical records, confirming accuracy of required information for pre-authorization requests.
- Responded promptly to customer inquiries regarding benefits and eligibility status.
- Updated patient and insurance data, ensuring accuracy in company computer system.
- Streamlined verification processes, enhancing operational efficiency at AeroFlow Health.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Assisted patients in understanding their insurance benefits and coverage options.
Claim Processor /Customer Support Specialist
Marc Evan Umlas, M.D., P.A
Miami, FL
11.2019 - 09.2022
- Coordinated communication between healthcare providers and patients to enhance clarity and support care continuity.
- Processed patient referrals and scheduled medical appointments to ensure timely access to healthcare services.
- Maintained accurate patient records and updated electronic health systems.
- Ensured compliance with healthcare regulations and maintained confidentiality standards.
- Processed documents to maintain organized records and files for efficient retrieval and compliance.
- Coordinated communication between healthcare providers and patients effectively.
Health Insurance Agent
Obama Healthcare
Miami, FL
06.2015 - 11.2019
- Reviewed and analyzed client needs to recommend appropriate plans.
- Educated clients on health insurance options and plan benefits.
- Assisted customers with enrollment in health insurance plans and managed administrative paperwork.
- Assisted clients with policy applications and enrollment processes.
- Maintained accurate records of client interactions and policy changes.
- Maintained detailed records of all client interactions and updated customer information as necessary.
Education
High School Diploma -
Miami Jackson Senior High
Miami, FL06-2012
Skills
- Coverage verification
- Claims management
- Verification processes
- Medical billing
- Insurance billing
- Documentation accuracy
- Record maintenance
- Medical records management
- Data management tools
- Appointment coordination
- Healthcare customer support
- Patient communication
- Relationship management
- Multilingual communication
Timeline
Insurance Verification Specialist
Aeroflow Health
10.2022 - Current
Claim Processor /Customer Support Specialist
Marc Evan Umlas, M.D., P.A
11.2019 - 09.2022
Health Insurance Agent
Obama Healthcare
06.2015 - 11.2019
High School Diploma -
Miami Jackson Senior High