josue zavala
@josuezavala
Bilingual healthcare revenue cycle specialist focused on accurate E&V and denial prevention.
NicaraguaWhat I'm looking for
I’m a Bilingual Healthcare Revenue Cycle Specialist with hands-on experience in Insurance Eligibility & Verification (E&V) and Medical Billing operations. I verify insurance eligibility for 50+ patients daily across multiple specialties, using Availity and major payer portals (UHC, BCBS, Cigna, Oscar) to validate deductibles, co-insurance, copays, and OOPM while staying strictly HIPAA-compliant.
I’ve built a strong record of reducing claim denials by identifying coverage issues and authorization requirements early, then coordinating benefits across primary, secondary, and tertiary insurances. Previously, I supported billing workflows as a Medical Billing Data Entry Clerk with near 100% accuracy, applied ICD-10 codes, and helped organize denied claims for resubmission—backed by customer communication strengths from my customer service experience.
Experience
Work history, roles, and key accomplishments
Insurance Eligibility Specialist
Paragon Medical Consultants
Jun 2025 - Present (1 year)
Verified insurance eligibility for 50+ patients daily across multiple specialties using Availity and major payer portals (UHC, BCBS, Cigna, Oscar). Reduced claim denials by identifying coverage and authorization issues early while maintaining strict HIPAA compliance and coordinating primary/secondary/tertiary benefits.
Medical Billing Data Entry Clerk
Vitality Medical Solutions
Mar 2023 - May 2025 (2 years 2 months)
Processed and verified patient demographics and insurance data with near 100% accuracy to support billing operations. Applied ICD-10 coding, corrected denied claims for resubmission, and maintained structured documentation to support timely follow-up.
Customer Service Agent
Concentrix
Aug 2021 - Feb 2023 (1 year 6 months)
Provided customer support handling 25+ calls daily and resolved client inquiries to maintain high customer satisfaction. Achieved 95% NPS for 6 consecutive months through effective English communication and issue resolution.
Education
Degrees, certifications, and relevant coursework
Keiser University
Diploma, Sales Strategy
2022 - 2022
Earned a Diploma in Sales Strategy from Keiser University in 2022.
Keiser University
Diploma in Sales Strategy, Sales Strategy
Earned a Diploma in Sales Strategy from Keiser University in 2022.
University of Managua
Business Administration (completed coursework), Business Administration
Completed coursework in Business Administration over three years at the University of Managua.
Availability
Location
NicaraguaAuthorized to work in
Job categories
Skills
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