Valeria Betancur
Summary
Passionate about healthcare administration with a strong commitment to patient care and operational efficiency. Experienced in healthcare, legal, and customer service settings, bringing a unique ability to balance administrative precision with compassionate communication. Skilled in streamlining workflows, managing patient data, and ensuring compliance with healthcare regulations.
Overview
4
4
years of professional experience
Work History
Remote Insurance Verification Specialist
Community Health Systems (CHS)
01.2026 - Current
- Verify patient insurance eligibility, benefits, and prior authorization requirements for medical services across multiple payers.
- Utilize electronic health record (EHR) systems and hospital management systems (HMS) to review patient accounts, document coverage details, and maintain accurate records.
- Research and validate diagnosis and procedure codes (ICD-10 / CPT) to confirm coverage eligibility and medical necessity for scheduled services.
- Ensure compliance with payer policies, authorization guidelines, and revenue cycle requirements to prevent claim denials.
- Support revenue cycle operations by verifying benefits prior to service and documenting authorizations to facilitate accurate billing and reimbursement.
Emergency Department Registrar
Nicklaus Children's Hospital
Miami
02.2024 - 01.2026
- Registered patients efficiently in fast-paced emergency department.
- Confirmed patient demographics, collected copays and verified insurance.
- Created and verified patient charts while educating patients on invoice balances and collecting payments.
- Coordinated with clinical teams to address concerns and fulfill special needs pre- and post-emergency visits.
- Ensured compliance with HIPAA, AHCA, and EMTALA guidelines for maintaining patient privacy and regulatory standards.
- Collected and verified patient information for accurate medical records.
- Held interviews with patients to hear concerns, gather health history and understand objectives.
Receptionist / Office Assistant
Vasquez De Lara Law Group
09.2022 - 02.2024
- Served as primary point of contact for employees, clients, and visitors, facilitating communication and directing inquiries efficiently.
- Managed front office operations, maintaining organized and professional environment that reflects firm's standards.
- Coordinate and oversee incoming and outgoing mail, manage deliveries, and ensure proper documentation of correspondence.
- Provide administrative and logistical support by handling data entry, document preparation, and record-keeping to assist legal staff with case management.
- Monitored task tracking system for follow-ups, ensuring timely responses to calls, voicemails, and administrative requests.
Education
Bachelor of Health Services Administration -
Florida International University
Miami, FL04-2026
Skills
- Insurance verification
- Claims processing
- Healthcare industry
- EHR systems
- Medical terminology
- Insurance policy knowledge
- Data analysis
- Microsoft Word and Excel
- Communication skills
- Interpersonal skills
- Team collaboration
- Claims processing
- Administrative support
Timeline
Remote Insurance Verification Specialist
Community Health Systems (CHS)
01.2026 - Current
Emergency Department Registrar
Nicklaus Children's Hospital
02.2024 - 01.2026
Receptionist / Office Assistant
Vasquez De Lara Law Group
09.2022 - 02.2024
Bachelor of Health Services Administration -
Florida International University