# Gloria Elena Aguilar Ruiz Gloria Elena Aguilar Ruiz is a remote worker on Himalayas, Medical Billing and Insurance Follow-Up at CONAC International, based in Nicaragua. Source: https://himalayas.app/@gloriaelenaaguilarru ```text Medical billing and insurance specialist who handles claims, prior authorizations, and payer follow-up for Medicare, Medicaid, and commercial plans. ``` | Detail | Value | | --- | --- | | Availability | Looking for a job | | Location | Nicaragua | | Authorized to work in | Nicaragua | | Salary expectations | 60k+ USD | | Job categories | Medical Billing Follow Up, Insurance Verification Specialist, English Teacher, Customer Service | | Skills | Medical Billing, Insurance Verification, Claims Follow Up, Prior Authorizations, Denial Management, CMS 1500, UB 04, Medicare, Medicaid, Commercial Insurance, Payer Portals, Clearinghouses, Patient Registration, Insurance Eligibility, Benefits Verification | ## About ```text I verify eligibility, benefits, copays, deductibles, and authorization requirements for Medicare, Medicaid, and commercial plans. I submit and track prior authorizations, follow up on denials and coverage issues, and update patient and insurance records. At CONAC International, I reviewed and submitted CMS-1500 and UB-04 claims and handled follow-up, denials, corrections, appeals, and collections. I also bring bilingual customer service experience and have taught English to primary and secondary students, including at Colegio María Mazzarello. ``` ## Experience ### Medical Billing and Insurance Follow-Up CONAC International. Jan 2025 - Dec 2026 ```text Reviewed and submitted CMS-1500 and UB-04 claims and verified patient registration and insurance information. Tracked unpaid claims and payments through payer portals and clearinghouses, handling denials, corrections, appeals, collections, and escalations. ``` Skills: Medical-Billing, CMS-1500, UB-04, Claims-Processing, Payer-Portals, Denial-Management, Collections, Appeals ### Hotel Reservations InterContinental Metrocentro. Jan 2014 - Dec 2014 ```text Managed bookings, availability inquiries, and reservation updates. ``` Skills: Reservations, Booking-Management, Customer-Service ### Events and Banquets Hilton Princess. Jan 2012 - Dec 2012 ```text Coordinated guest requests and special arrangements with the events team. ``` Skills: Event-Coordination, Banquet-Service, Guest-Relations ### Front Desk and Guest Services Holiday Inn Select. Jan 2011 - Dec 2011 ```text Assisted with check-in, check-out, and guest inquiries. ``` Skills: Front-Desk-Operations, Guest-Service, Check-in-Check-out ### Insurance Verification Specialist Remote ```text Verify eligibility, benefits, copays, deductibles, and authorization requirements for Medicare, Medicaid, and commercial plans. Submit and track prior authorizations, follow up on denials and coverage issues, and update patient accounts and insurance records. ``` Skills: Insurance-Verification, Medicare, Medicaid, Prior-Authorizations, Denial-Management, Payer-Portals, Billing, Customer-Service ### English Instructor Colegio María Mazzarello ```text Taught English to primary and secondary school students. ``` Skills: English-Teaching, Curriculum-Delivery, Classroom-Management ### English Tutor Self Employed ```text Provided supplemental English lessons to reinforce classroom learning. ``` Skills: English-tutoring, Individualized-Instruction, Language-Reinforcement ### English Instructor Academy in Masaya ```text Taught English at an academy in Masaya, Nicaragua. ``` Skills: English-Teaching, Lesson-Planning, Student-Assessment ### Customer Service, Sales, Retention and Collections Various Companies ```text Provided bilingual customer support by chat, email, and phone, resolving account issues, service inquiries, and customer complaints. Supported sales, customer retention, collections, and account follow-up while meeting performance goals. ``` Skills: Bilingual-Customer-Support, Complaint-Resolution, Sales, Retention, Collections, Account-Management ## Education ### Universidad del Valle (UNIVALLE) Bachelor's Degree, Tourism and Hospitality Management. 2007 - 2011 ```text Bachelor's Degree in Tourism and Hospitality Management from Universidad del Valle (UNIVALLE), completed in 2011. ``` ## Tech stack - Microsoft Office To contact Gloria Elena, message them from this profile with a Himalayas employer account: [Hire on Himalayas](https://himalayas.app/hire). ## People also viewed - [Fernanda Canales](https://himalayas.app/@fernandacanales): Private English Teacher, Self Employed - [William Delfs](https://himalayas.app/@williamdelfs): Insurance Claims Collector, Oswaldo Manzanarez - [Scorpion Lyrics](https://himalayas.app/@scorpionlyrics): Medical Scheduler, Orthopedic Specialists of SW Florida - [silvia elena potoy rodriguez](https://himalayas.app/@silviaelenapotoyrodr): Virtual Intake Specialist, RCG Law Group - [LETTY CANTERO](https://himalayas.app/@lettycantero): Member Service Agent, AHP Medical Insurance - [josue zavala](https://himalayas.app/@josuezavala): Insurance Eligibility Specialist, Paragon Medical Consultants - [Anthony Zuniga](https://himalayas.app/@anthonyzuniga): Medical Billing Specialist, Connect International - [Yossetp Guzman](https://himalayas.app/@yossetpguzman): Account Success Representative, Imark Consulting LLC - [Jorge Luis Munguía Conrado](https://himalayas.app/@jorgeluismunguaconra): Virtual Assistant, Elevate Teams - [Josselyn Colindres](https://himalayas.app/@josselyncolindres): Billing Specialist, AMS Solutions Group