Nuria Morales Reyes

Experience

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  Dr. Dimas Broco Hernandez Medical Office

  Aug 2014 - Mar 2016

  Medical Administrative Assistant / Human Resources Professional

  Medical Administrative Assistant/ Medical Coding Specialist Customer (patients) service and support managing medical files and information systems within electronic medical record software (EHealth Partners Software). Contribute and support to several public and commercial health insurance companies with problem resolutions, changes and improvement in processes concerning patients’ medical record discrepancies through technical knowledge. Develop and implement accurate and on-time coding bills in accordance with public and private guidance and policies. Administer employee’s payroll and benefits programs maintaining records up to date. • Responsible for improvement of stars rating according to Medicare rating rules and regulations for year 2015• Manage patients’ procedures and medications pre-authorizations.• Established guidelines for proper coding/billing for providers.• Oversaw and ran necessary reports to ensure that all statuses were worked in a timely manner and helped in any capacity necessary.• Responsible for cash management, supply ordering, and customer service relations. Show less

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  Dr. César R. Rivera Reverón Medical Office

  Jan 2015 - Mar 2019

  Professional Medical Administrative Support

  Professional ServicesPatients’ medical records management. Provide administrative support to physician and interpret medical reports and data to assign accurate ICD-10 and CPT-4 codes. Identify improvement areas regarding NCQA HEDIS & Quality Measures. Examine patients’ encounter forms to verify diagnosis codes, and reconcile codes against services rendered. Document patient data and medical records, and perform routine internal medical record audits to comply with insurance companies, HMOS and Medicare requirements. Show less

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  NUC University - División Técnica IBC

  Sept 2019 - Oct 2023

  Professor - Administrative Assistant and Medical Billing Program
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  Oficina Dra. Rodríguez

  Sept 2022 - now

  Medical Biller
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  Infosys BPM

  Oct 2023 - now

  Medical Claims Processor