Niurka Betances
Altamonte Springs,FL
Summary
Continue professional growth and challenge in responsibility applying accomplishments in Psychology degree and motivating staff and managing team to excellence. Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
19
19
years of professional experience
Work History
Pre-Access Lead | Inpatient NOA
Advent Health
01.2024 - Current
- Proactively seeks aid to improve responsibilities, supports working relationships with clinical partners, provides patient service, meets productivity standards, manages financial arrangements, and contributes to a positive work environment.
Consumer Access Spec Sr
Advent Health
10.2020 - 01.2024
- Aids department supervisor with 25 quality audits, monitors inpatient mailbox, provides educational resources, demonstrates leadership, and manages escalations.
Financial Clearance Specialist
Advent Health
10.2017 - 10.2020
- Maintained performance standards, ensured pre-certifications, managed timelines, trained new hires, and adhered to HIPAA regulations.
Call Center Assistant Manager (Bi-lingual)
HealthHelp LLC
10.2011 - 06.2017
- Supervised a team, monitored calls, assisted with skill goals, conducted interviews, trained new hires, and ensured compliance with HIPAA.
Financial Analyst
CSC Computer Sciences Corporation
05.2009 - 10.2011
- Provided customer service, resolved service requests, ensured productivity goals, and maintained accurate member information.
Beneficiary Services Unit
CSC Computer Sciences Corporation
01.2006 - 05.2009
- Completed call guides, provided customer service, and led less experienced personnel.
CSR Representative
CSC Computer Sciences Corporation
09.2005 - 01.2006
- Handled recipient inquiries, provided training for new hires, and ensured proper service request handling.
CSR Representative
CSC Computer Sciences Corporation
05.2005 - 09.2005
- Responded to provider billing inquiries for New York State Medicaid contract.
Education
Bachelor of Science - Psychology
Sage Of Albany
Albany, NY01.2019
Associates Social Science - Human Services
Hudson Valley Community College
Troy, NY05.2007
Associates Computer Science - Computer And Information Sciences
Monroe College
Bronx, NY05.1998
Skills
- Good communicational skills, able to work well with others, outgoing personality, initiative-taking
- Excellent research skills using internet engines as well as cyber libraries
- Ability to use Microsoft Word, PowerPoint, Excel
- Excellent Presentational Skills, Public Speaking, and Research ability
- ICD-10-CM Coding
- Medical record review
- HIPAA Compliance
- Healthcare Reimbursement
- Claim submission
- Procedural Coding
- Insurance Verification
- Denial Management
- Medicaid Regulations
- Continuing education
- Utilization review
- Medical necessity
- Claims Processing
- Training and mentoring
- Data Entry
- Document Management
- Knowledgeable in Excel, Word Perfect, Power Point
- Proficiency in Excel, Word Perfect, Power Point
- Performance Improvement
- Data Verification
- Documentation oversight
- Medical record security
- Patient data compilation
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking Abilities
- Reliability
- Excellent Communication
- Critical Thinking
- Organizational Skills
- Team Collaboration
- Active Listening
- Effective Communication
- Adaptability and Flexibility
- Decision-Making
- Detail Oriented
- Troubleshooting abilities
- Electronic Health Records
- Relationship Building
- Microsoft Excel
- Medical Documentation
- Computer Proficiency
- Task Prioritization
- Patient Care Coordination
- Self-Motivation
- Interpersonal Skills
- Analytical Thinking
- EMR Systems
- Patient data confidentiality
- Goal Setting
- Professionalism
- Insurance Billing
- Inpatient coding guidelines
- Computer-assisted coding
Languages
Spanish
Native or Bilingual
Timeline
Pre-Access Lead | Inpatient NOA
Advent Health
01.2024 - Current
Consumer Access Spec Sr
Advent Health
10.2020 - 01.2024
Financial Clearance Specialist
Advent Health
10.2017 - 10.2020
Call Center Assistant Manager (Bi-lingual)
HealthHelp LLC
10.2011 - 06.2017
Financial Analyst
CSC Computer Sciences Corporation
05.2009 - 10.2011
Beneficiary Services Unit
CSC Computer Sciences Corporation
01.2006 - 05.2009
CSR Representative
CSC Computer Sciences Corporation
09.2005 - 01.2006
CSR Representative
CSC Computer Sciences Corporation
05.2005 - 09.2005
Bachelor of Science - Psychology
Sage Of Albany
Associates Social Science - Human Services
Hudson Valley Community College
Associates Computer Science - Computer And Information Sciences
Monroe College
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