Open to opportunities

A Edrei Matos Meléndez

@aedreimatosmelndez

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Medical Liens Negotiation Manager with expertise in personal injury cases.

Colombia

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What I'm looking for

I seek a role that fosters collaboration, values strategic negotiation, and offers opportunities for professional growth.

As a Medical Liens Negotiation Manager at Beverly Law Firm, I lead a dedicated team focused on reducing medical liens and maximizing settlements for personal injury cases. My extensive experience encompasses lien negotiation, subrogation, and insurance claims, enabling me to achieve optimal financial outcomes for our clients.

My key strengths include managing and mentoring a team of negotiators, strategic negotiations to reduce medical bills, and collaborating with attorneys and medical institutions. I am proficient in CasePeer and SignNow, ensuring a streamlined lien resolution process while maintaining strong relationships with all stakeholders. Bilingual in English and Spanish, I bring a data-driven approach to my work, consistently striving for excellence in every case.

Experience

Work history, roles, and key accomplishments

Current

Lien Negotiations Manager

Current

Beverly Law Firm

Jan 2024 - Present (1 year 4 months)

Managed the medical lien negotiation department, handling personal injury cases and leading settlements with providers and insurance companies. Developed negotiation strategies, managed forms for child support submissions, and assisted with minors’ comp cases in court.

Insurance SignNow

Bilingual Customer Service Representative

Sanitas Medical Center

Oct 2021 - Dec 2023 (2 years 2 months)

Managed inbound calls from patients, providers, Medicare, and medical specialists, handling CPT and DX code issues. Scheduled medical appointments and coordinated diagnostic testing statewide using the eClinicalWorks (ECW) system.

Customer Service DX Codes Scheduling EClinicalWorks (ECW)HIPAA

Office Assistant

Policlinica San Antonio

Jan 2012 - Dec 2014 (2 years 11 months)

Implemented cost-effective software to monitor print activities and conducted a comprehensive inventory of medical and IT equipment across seven companies. Gained knowledge about medical equipment, brands, and their applications, including tomographs and magnetic resonators.

Management Administration Excel Macros Inventory Management Software Implementation

Education

Degrees, certifications, and relevant coursework

Universidad del Magdalena

Industrial Engineering, Industrial Engineering

Pursued a comprehensive curriculum in industrial engineering, focusing on optimizing complex processes and systems. Gained expertise in areas such as operations research, supply chain management, and quality control to improve efficiency and productivity.

Escuela Normal Superior María Auxiliadora

Bachelor's degree, Elementary Education and Teaching

Completed a Bachelor's degree with a focus on elementary education and teaching methodologies. Developed skills in curriculum development, classroom management, and child psychology to prepare for a career in primary education.

Universidad Nacional Experimental 'Rafael María Baralt'

Informatics, Computer Science

Studied computer science with a strong emphasis on informatics, covering foundational concepts in programming, data structures, and algorithms. Acquired practical skills in software development and system analysis.