Ralvene Paulino
Chicago,IL
Summary
To secure a position with a well established organization with a stable environment where I can utilize my strong analytical, detail oriented and interpersonal skills, excellent time management and problem-solving skills.
Overview
15
15
years of professional experience
Work History
Insurance Verifier
Humboldt Park Health
05.2021 - 07.2024
- Established contact with ordering physician's office to resolve issues, assured timely verification of insurance benefits, analyzed medical records for authorization, answered calls, contacted insurance carriers, maintained relationships with providers, input patient data, evaluated clinical criteria, checked admission reports, reviewed patient information, and coordinated pre-certification processes.
Client Service Representative I
Ciox Health
02.2020 - 12.2020
- Validated requests for medical information releases, completed releases of information, performed quality checks, conducted medical records audits, and processed billings for various entities.
Health Information Technician II
Amita Health Org
12.2009 - 12.2018
- Conducted medical record final analysis, handled physician warnings and suspensions, assisted with electronic chart completion, assembled medical charts, audited deficiencies in Epic, ensured HIPAA compliance, and answered phones.
Education
Home Health Aid -
Casa Central
Chicago, ILCPR Certified -
American Red Cross
Chicago, ILCertificate of Achievement, Home Care Service Program -
Casa Central
Chicago, ILCertification in Food Handling And Safety -
Food Service Educational Seminar
Chicago, ILAssociate of Science - Computer And Information Systems
St. Augustine College
Chicago, ILHigh School Diploma -
ST. Thomas De Aquino
Santo Domingo, R.D.Skills
- Excellent Customer service
- Organizing and planning skills
- Team Player
- CPR Certified
- Medical Terminology
- Data review
- Meditech/EPIC
- Bilingual English/Spanish
- Illinois MEDI and CONNEX systems
- Health Insurance portals
Timeline
Insurance Verifier
Humboldt Park Health
05.2021 - 07.2024
Client Service Representative I
Ciox Health
02.2020 - 12.2020
Health Information Technician II
Amita Health Org
12.2009 - 12.2018
Home Health Aid -
Casa Central
CPR Certified -
American Red Cross
Certificate of Achievement, Home Care Service Program -
Casa Central
Certification in Food Handling And Safety -
Food Service Educational Seminar
Associate of Science - Computer And Information Systems
St. Augustine College
High School Diploma -
ST. Thomas De Aquino
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