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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)