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Corina M. Alejandro

Claims Specialist

Talent
Sanger, CA 93657Member since July 25, 2026
Coordination of BenefitsProcedure CodesHCFA-1500Medi-Tech SoftwareAS400 SoftwareReceptionistInsurance Verification10 KeyData EntryMedical TerminologyEKGVital SignsSuspended BillingCPRFirst Aid
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Coordination of BenefitsProcedure CodesHCFA-1500Medi-Tech SoftwareAS400 Software

About

Review claims/ Process claims Request medical records/HCFA-1500 Coordination of benefits

Experience

Claims Specialist - Cognizant Technology Solutions

(2021-06)

  • Review claims/ Process claims
  • Request medical records/HCFA-1500
  • Coordination of benefits
  • ICD-10 /HCPC/Procedure codes
  • Process medical/dental/vision claims
  • HCFA-1500
  • Facets/ CIP
  • BC/BS/B2/Medicare/Medi-cal

Billing Support Clerk - Change Healthcare

(2019-01 - 2021-01)

  • Review claims
  • Request medical records
  • Attach EOB and COB's to HCFA-1500
  • Attach medical records for workers comp
  • Request workers comp auth HCFA-1500

Claims Examiner - Western Growers/Pinnacle

(2018-07 - 2019-01)

  • Review claims/ Process claims
  • Request medical records/HCFA-1500
  • Requesting/Coordinating EOB
  • Coordination of benefits
  • ICD-10 /HCPC/Procedure codes
  • Process medical/dental/vision claims
  • Process medical/radiology/prenatal/PT, OT ect claims

Customer service specialist - Lincare

(2017-06 - 2018-02)

  • Receptionist/Multi lines/customer service
  • Verify Insurance/obtain authorizations
  • Coordinate with doctors, nurses and discharge planners
  • ICD-10 / CPT Codes
  • Medicare/Medi-cal/private insurance billing
  • Data Entry/10 key /AS400 software
  • cpap/bipap/oxygen/vent/bent medal

Claims examiner - Santé Health Systems/Advantek

(2016-06 - 2017-02)

  • Claims examiner
  • Reviewing insurance payments
  • Medi-Tech software
  • Dual coverage claims/ Delta health
  • HCFA-1500/EOB
  • Requesting medical records

Admissions Rep - Fresno Surgical Hospital

(2015-07 - 2015-09)

  • Scheduled Surgery Procedure Dates
  • Receptionist Multi-Lines
  • 10 Key/switchboard
  • Collect Copayments
  • Attach Payments to Accounts
  • Update Demographics/vitals
  • Register for Surgery
  • Transport to Pre-Op

Customer service lead - Apria Healthcare

(2007-07 - 2015-04)

  • Train/Teach/Lead
  • Insurance Verification/obtain authorization
  • Receptionist
  • 10 Key /switchboard
  • cpap/bipap/vent/O2/bent medal
  • EKG/Vital Signs
  • Filing / Charting
  • Medical Terminology
  • ICD 9 / CPT/CMN/RX's
  • Billing / Collecting Copayments
  • Suspended Billing
  • Managing Presentations

Education

Associates - Certified Medical Assistant for Front and Back Office - San Joaquin Valley College

Skills

Claims Specialist

Reviews

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