HEALTHCARE INSURANCE VERIFICATION & RCM SPECIALIST at MINDFUL BILLING & MANAGEMENT (2023-05 – Present)
- Verify patients' health insurance eligibility and benefits through insurance portals and direct communication with insurance providers.
- Review patients' insurance coverage, including deductibles, copayments, coinsurance, coverage limitations, and other benefit details.
- Research and confirm the medical benefits available to patients based on their insurance plan.
- Communicate verified insurance and benefits information accurately to medical offices and healthcare providers.
- Review and interpret insurance information to ensure healthcare providers have the necessary coverage details before providing services.
- Maintain accurate and updated patient insurance information in the company's systems.
- Communicate professionally with U.S. healthcare providers and insurance companies in English.
- Handle confidential patient and insurance information while following established privacy and company procedures.
- Work independently in a remote environment, managing assigned cases and completing verification requests within required timeframes.
PURCHASING MANAGER at UREBLOCK SA DE CV (2019-02 – 2019-07)
Maquila plant that makes covers for mattresses to send to plants in Mexico for assembly.
- Coordinate purchasing of spare parts, mostly for sewing machines, office materials, maintenance of the plant in general.
- 2 persons in charge, one for logistics and other purchasing assistant.
- Supplier interaction either with locals and Corporate level, international.
- Worked on standardizing times for overall duties.
- Negotiate with supplier's setup prices for at least a year on purchasing.
MATERIALS MANAGER at MILSCO DE MEXICO (2006-10 – 2016-04)
In charge of planning, purchasing, inventory and warehouse.
- Materials Planning, Purchasing, Inventory & Warehouse Management.
- Managed materials planning, purchasing, inventory, and warehouse operations to support manufacturing requirements and customer demand.
- Coordinated with the Planning team and cross-functional departments to review customer forecasts, maintain required inventory levels, and ensure timely manufacturing orders to support production capacity planning.
- Coordinated with Purchasing to ensure procurement activities were aligned with production requirements and that materials arrived according to the established plan using Infor XA ERP.
- Coordinated with Warehouse and Inventory teams to ensure imported materials were unloaded, received, and accurately entered into inventory in a timely manner.
- Managed ABC cycle counting programs based on material movement and inventory classification.
- Ensured Infor XA system settings and parameters were properly maintained to support accurate material requirements and ensure the correct flow of demand and replenishment requirements.
- Coordinated and supervised annual and bi-monthly physical inventory counts, ensuring inventory accuracy and proper reconciliation.
