Katherine Ávila Medical Billing Representative

Medication Prior Authorization Project

Oclinicals

May 2025 - Sep 2025 (5 months)

Responsible for reviewing, submitting, monitoring and responding to issues regarding prior authorizations for medications. In charge about two gastrointestinal clinics regarding to contact patients, insurances, medication insurances and made all the appeal process whit the proper documentation until finish with the approbation.

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Prior Authorization Project

Hollis Cobb- Connect International

Feb 2024 - Apr 2025 (1 year 3 months)

Responsible for reviewing, submitting, monitoring and responding to issues regarding prior authorizations. Reviews patient medical history to identify supporting documentation in the patient chart relevant to the procedures. Floor Support Medstart: provider support with verification and authorization processes and policies according with the different cases to obtain the proper information.

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Authorization and verification process Representative

Connect international

Nov 2023 - Feb 2024 (4 months)

Assists patients who need treatment requiring insurance carrier pre- authorization Compile paperwork related to the patient, assess their eligibility for particular services, communicate with the insurance provider, and track the progress of the case.

Medical Billing Representative

Accedo Technologies

Jan 2023 - Aug 2023 (8 months)

• • • • Deal with the customers via emails, over the phone. Provides customer additional information or explains services. Tactfully handles confrontational or stressful interactions. Listen to the customer queries patiently and solve it. If the problem doesn't seem to solve, then forward the problem to the superiors. • Interacting directly with customers, submitting health insurance claims, preparing and mailing patient bills, and collecting and applying payments received.

Sales Representative

Accedo Technologies

Sep 2021 - Dec 2022 (1 year 4 months)

• Used creative sales techniques to find and develop relationships with prospective customers. • Educated customers about brand to incite excitement about company's mission and values.

Katherine Ávila

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