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Workers' Compensation Coordinator with 8+ years in healthcare and insurance
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Competencies
Managed insurance claims, collections, and dispute resolution across healthcare organizations.
Interpreted electronic medical records and explanation of benefits for claims processing and legal documentation.
Served as liaison coordinating medical evaluations and authorizations within workers' compensation protocols.
Processed online payments, managed Cash App integrations, and resolved billing discrepancies.
Supervised support teams, developed workflows, and conducted training to improve operational efficiency.
Education
Languages
Summary
Experienced Workers' Compensation Coordinator and Insurance Specialist with over 8 years supporting healthcare workflows, insurance claims, payment processing, and team supervision. Bilingual in English and Spanish, skilled in EMR systems, EOB analysis, and client coordination.
Key Achievements
- Coordinated workers' compensation appointments and managed claim data, ensuring timely documentation and legal reporting at SANO Orthopedics.
- Handled insurance collections, appeals, and claim denials, collaborating with financial teams to resolve discrepancies at ABATECH.
- Supported digital payment transactions and maintained compliance with GDPR and FDCPA regulations across multiple healthcare billing roles.
Experience
Worker’s Compensation Coordinator
Serve as liaison between patients, providers, and third-party representatives, Schedule and coordinate workers' compensation appointments and evaluations, Collect and enter claim data into EMR systems, Fulfill medical record requests and prepare legal reports, Obtain prior...
Insurance Collections Specialist
Managed aging reports and followed up on outstanding claims, Handled appeals and disputes with insurance companies, Interpreted EOBs and resolved claim denials, Collaborated with Cash App analysts on payment resolutions
Patient Collections Representative
Collected outstanding patient payments and negotiated payment plans, Analyzed and reconciled Cash App transactions and discrepancies, Maintained compliance with HIPAA and FDCPA regulations, Processed online payments and resolved billing issues, Managed digital payment platforms including Cash App...
Customer Support Vendor (Venmo/PayPal)
Provided multichannel customer support, Resolved fraud alerts and account issues, Maintained high CSAT performance metrics
Operations Supervisor
Supervised support teams and monitored KPIs, Developed workflows and staffing plans, Conducted training and quality assurance