Nayrobi M. Colombo

Dedicated and detail-oriented Medical Data Entry Specialist with over 7 years of experience in healthcare administration and legal-medical case management. I am skilled in maintaining accurate medical and legal records, coordinating surgical estimates, and managing patient information using EHR systems such as Epic, NextGen, Salesforce, and the Export System. Proven ability to navigate complex cases involving utilization management (UM), personal injury, and insurance negotiations while ensuring compliance and confidentiality.

Medical Data Entry & Case Management Specialist - BioSpine Institute - Tampa, FL

(2018-09 - 2025-09)

• Entered, verified, and maintained accurate patient and surgical data across multiple systems (Epic, NextGen, EHR).
• Managed legal-medical cases involving car accident and personal injury claims, ensuring accurate documentation and timely case initiation.
• Created and reviewed surgical estimates; collaborated with insurance companies, adjusters, and attorneys for approvals and negotiations.
• Assisted in utilization management (UM) by reviewing and submitting medical documentation for preauthorization's.
• Monitored patient progress through case management systems and updated the Export System to ensure workflow compliance.
• Supported clinical and administrative teams by generating reports and verifying data accuracy for billing and legal submissions.
• Maintained confidentiality and compliance with HIPAA and medical-legal standards.

Document Retrieval / Forensic Underwriter - JCIII & Associates (Chase) - Tampa, FL

(2014-09 - 2017-03)

• Retrieved and created documents for explanations of benefits and insurance claims.
• Investigated "closed without payment" claims and prepared appeals for resolution.
• Created referral letters to mortgage insurers and managed correspondence with FNMA/FHLMC.
• Prepared Excel reports to track claim status and resolutions.

Administrative Assistant / Intern - Prieto, Prieto and Goan, P.A. - Tampa, FL

(2013-09 - 2014-05)

• Supported legal staff by preparing client documentation, case files, and correspondence.
• Requested and organized medical records for personal injury cases.
• Assisted clients in English/Spanish translation and maintained filing systems for legal proceedings.

Bilingual Small Business / Business Banking Associate - Bank of America - Tampa, FL

(2006-11 - 2013-07)

• Managed 50-70+ calls daily assisting small business clients with financial transactions, loans, and account issues.
• Processed and approved credit applications, LOCs, CDs, and investment accounts.
• Provided customer service using multiple systems and applications simultaneously.

Associate's Degree - Criminal Justice - Florida Metropolitan University