Gloria Navarro

Collected, analyzed, and reported HEDIS metrics to evaluate healthcare quality and performance, collaborating with clinical teams. Managed payment processing workflows, reviewed cycles, and resolved billing issues to minimize outstanding balances. Coordinated with billing staff on unpaid claims and maintained organizational compliance with healthcare laws and policies.

Supported clinical teams in managing patient care, records, and billing inquiries, conducting HEDIS research for quality assurance. Managed patient accounts, ensuring accurate billing and payment processing, and collaborated with providers to resolve insurance discrepancies. Developed strong communication skills by interacting with patients and staff to address concerns and provide information.

Currently pursuing a Bachelor of Science in Business and Administration. This program focuses on developing strong organizational, data management, and customer service skills.

Completed training and obtained certification as a General Lines Agent. This involved studying insurance principles and regulations.

Graduated with a High School Equivalency. This credential demonstrates foundational academic knowledge.

Completed a Medical Assistant program. This training provided skills in clinical and administrative tasks within a healthcare setting.