Johana Soriano
Wendell
Summary
Personable and detail-focused, with solid foundation in healthcare and administrative procedures. Familiar with insurance claim processes, understanding regulatory compliance and data entry. Committed to optimizing claim approvals and ensuring accurate patient records.
Overview
5
5
years of professional experience
Work History
Medical Insurance Specialist
Active Healthcare
10.2018 - 04.2021
- Increased patient satisfaction by efficiently processing insurance claims and addressing inquiries.
- Consistently exceeded performance benchmarks, processing a high volume of claims accurately within designated timeframes.
- Improved cash flow by promptly following up on unpaid claims and resolving billing discrepancies.
- Followed up on denied claims to verify timely patient payment and resolution.
Pharmacy Technician
Advance Community Health
10.2016 - 10.2018
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
- Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.'
- Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
- Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
- Increased overall pharmacy productivity by restocking supplies, organizing shelves, and maintaining cleanliness according to standards.
Education
High School Diploma -
Cary High School
Cary, NCSkills
- ICD-10 proficiency
- Appeals handling
- HIPAA compliance
- Patient confidentiality
- Insurance verification
- Teamwork
- Attention to detail
- Problem-solving abilities
- Multitasking
Languages
Spanish
Native or Bilingual
Timeline
Medical Insurance Specialist
Active Healthcare
10.2018 - 04.2021
Pharmacy Technician
Advance Community Health
10.2016 - 10.2018
High School Diploma -
Cary High School
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