Corina Licul

CPC-certified healthcare professional with formal medical billing and coding training and hands-on practice coding approximately 50 medical charts. Trained in ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II, E/M and surgical coding, diagnosis sequencing, modifier application, NCCI edits, medical necessity, and inpatient/outpatient coding guidelines. Brings healthcare insurance experience reviewing medical claims, denials, appeals, corrected claims, eligibility, benefits, coverage, prior authorizations, referrals, and medical necessity requirements.

Clinical hospital experience includes medical-record review and use of Epic, Meditech, and PointClickCare.

Administrative / Billing Support at CORILEX TRUCKING (2014-05 – Present)

• Maintain Excel databases and organized digital records.
• Process payroll, billing, and EFS checks.
• Scan, organize, and maintain electronic and paper documentation.
• Provide administrative support in a deadline-driven environment.

Healthcare Insurance Specialist at HEALTHINSURANCE.COM (2024-07 – 2026-04)

• Review medical claims for accuracy and completeness, identifying patient-information errors, coverage issues, coding discrepancies, missing information, duplicate claims, and potential denials.
• Research denied claims and appeals to determine the reason for denial and required corrections or documentation.
• Handle corrected claims and claim resubmissions to support accurate reimbursement.
• Interpret EOBs, eligibility, benefits, and coverage information to resolve client and claim issues.
• Work with prior authorizations, referrals, and medical necessity requirements.
• Communicate with insurance carriers and state agencies regarding claims, coverage, eligibility, and discrepancies.
• Assist clients with Medicare Advantage, Medicaid, supplemental, ancillary, dental, and hospital indemnity coverage.
• Maintain client records and CRM systems while following CMS requirements and healthcare compliance standards.
• Licensed to sell health insurance in 30+ states, including plans through Aetna, UnitedHealthcare, Humana, and Clover.
• Enrolled 300+ clients during AEP while managing high-volume workflows and detailed documentation.

CNA at HALIFAX HEALTH (2022-09 – 2024)

• Provided patient care across Med-Surg, ICU, CDU, and Neuro units.
• Reviewed and maintained medical documentation in a hospital setting.
• Assisted with ADLs, bathing, feeding, mobility, and patient transfers.
• Performed glucose checks and supported routine patient care needs.
• Used Epic and Meditech in the hospital environment.
• Supported unit-clerk functions, including inpatient paperwork and insurance-related documentation.

CNA at AVANTE NURSING HOME (2018 – 2022-09)

• Provided resident care including bathing, feeding, mobility, and ADL assistance.
• Promoted resident independence while maintaining safe, clean care environments.
• Assisted with walking and daily mobility needs.

CNA at HOME SWEET HOME (2015-04 – 2018-07)

• Provided in-home assistance with bathing, feeding, mobility, and daily activities.
• Prepared meals and assisted with household needs.
• Supported clients with daily care and household tasks.

Bachelor's Degree in Health Care Management – DAYTONA STATE COLLEGE (2027-01)

Associate of Science – DAYTONA STATE COLLEGE (2018)

Billing & Coding Program – U.S. CAREER INSTITUTE

CNA & HHA Training – MUHLENBERG JOB CORPS

High School Diploma – FLAGLER TECHNICAL INSTITUTE (2014-05)