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Génesis Rincón

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HEALTHCARE OPERATIONS SPECIALIST | BILLING, AUTHORIZATIONS & ELIGIBILITY SUPPORT
Bogotá, Bogota, Colombia

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Résumé


Jobs verified_user 0% verified
  • DocVA
    Medical Billing Support Assistant (Remote)
    DocVA
    Feb 2025 - Mar 2026 (1 year 2 months)
    • Supported patient intake workflows including insurance eligibility verification and demographic validation to ensure accurate billing processes. • Assisted in prior authorization workflows by submitting clinical documentation through payer portals and tracking approval status. • Supported Accounts Receivable (A/R) processes by calculating patient financial responsibility and assisting with collection of copays and deductibles. • Processed medical records requests and resolved billing-related inquiries while ensuring HIPAA compliance.
  • M
    Medical Billing & Insurance Support Specialist (Remote)
    Myva support
    Jan 2024 - Dec 2024 (1 year)
    • Verified insurance benefits, coverage limitations, and patient out-of-pocket responsibilities to support billing accuracy. • Interpreted Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) to identify denial reasons and billing discrepancies. • Managed high-volume scheduling and documentation workflows in a remote healthcare environment.
  • Neolytix
    Practice Concierge (Billing & Authorizations Support)
    Neolytix
    Oct 2023 - Jan 2024 (4 months)
    • Supported prior authorization processes ensuring compliance with payer medical necessity requirements. • Reviewed Accounts Receivable (A/R) reports to identify unpaid or underpaid claims and coordinated follow-ups with insurance payers. • Identified and escalated billing discrepancies impacting claim processing and reimbursement timelines.
  • O
    Language Coach & Quality Analyst
    Optum - Healthcare Operations (Dual Role)
    Mar 2022 - Aug 2023 (1 year 6 months)
    • Delivered training on healthcare terminology, insurance workflows, and payer-provider communication standards. • Conducted quality audits on healthcare interactions to ensure compliance with operational standards.
  • O
    Senior Customer Service Representative (Insurance & Claims Support)
    Optum - Healthcare Operations (Dual Role)
    Mar 2022 - Aug 2023 (1 year 6 months)
    • Interpreted insurance policies, coverage rules, and claim adjudication outcomes for providers and members. • Investigated denied or delayed claims and supported resolution through payer policy interpretation. • Routed claims for appeal or reprocessing based on eligibility and policy guidelines. • Verified insurance coverage and assisted in resolving Coordination of Benefits (COB) issues affecting billing accuracy.
  • Scotiabank
    Fraud Analyst / Financial Operations Support
    Scotiabank
    Jan 2020 - Sep 2021 (1 year 9 months)
    • Investigated transaction discrepancies and opened fraud investigations. • Data analysis and fraud case documentation to support dispute resolution. • Approved / denied high-risk transactions.
Education verified_user 0% verified
  • E
    Bachelor's Degree in Modern Languages (Business Translation Emphasis)
    EAN University - Bogotá, Colombia
    Jan 2021 - Dec 2025 (5 years)
  • I
    Technical Degree in Customs Administration
    I.U.T. Pedro Emilio Coll - Bogotá, Colombia
    Jan 2016 - Dec 2018 (3 years)