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Recobros Analyst with 8+ years in Healthcare Billing and Audit
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Competencies
Extensively handled medical billing, recobros, and verification of medical accounts, ensuring compliance with tarifario manuals.
Conducted audits of medical claims and accounts, evaluating documentation and supporting quality audits in healthcare processes.
Managed recobros procedures, glosas, and responses for health claims across multiple health service providers.
Familiar with health insurance policies, manual tarifario SOAT, and regulatory compliance for health billing.
Utilized various health management systems and software to record, verify, and audit billing and claims data.
Education
Languages
Summary
Dedicated recobros analyst with over 8 years in medical billing, account verification, and health insurance auditing. Skilled in manual tarifario SOAT, claims processing, and ensuring compliance in healthcare financial operations.
Key Achievements
- Performed detailed audits of medical accounts across multiple organizations, ensuring accuracy and compliance.
- Managed manual tarifario SOAT and supported resolutive billing processes in various clinics and insurance entities.
- Verified and validated medical accounts, supported glosa responses, and contributed to audit reports for health recobros.
Experience
Analista de recobros
Análisis de recobros: subsidiado y contributivo, Verificación de soportes, cuentas medicas, Respuesta glosa, Manejo manual tarifario Soat
Analista de recobros
Auditoría de cuentas médicas, Captura de información, Validación y verificación de procesos
Analista de recobros con manejo de glosas y glosa trasversal
Auditoría de cuentas médicas haciendo uso del manual tarifario SOAT, Registrar resultados de auditorías en el sistema de información el resultado de la auditoria efectuada a los recobros presentados ante el FOSYGA., Verificar y aplicar hallazgos de calidad a recobros auditados., Aplicar lineamentos...
Analista de recobros en salud
Conocer ampliamente tipos de contratos, tarifas pactadas y plan de beneficios., Identificar recobros., Verificar solicitudes de servicios de salud., Verificar gestión de auditores médicos.
Analista en recobros (Nueva EPS)
Realizar auditoria de recobros., Verificar información., Manejo de aplicativos.