Open to opportunities

Mabel Penzo

@mabelpenzo

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Bilingual Healthcare Administration | Medical Auditing, Coding & Provider Contracting

Dominican Republic

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What I'm looking for

I’m looking for a role where I can drive competitive provider network growth by negotiating medical agreements, strengthening insurer-provider relationships, and using medical auditing, coding (ICD-10/CPT), and performance analysis to reduce costs and improve efficiency.

With 5+ years of experience in medical agreements, provider network management, and healthcare operations, I specialize in strategic negotiations and medical expense control. I’m recognized for reducing operating costs while strengthening insurer–provider partnerships through auditing, claims management, and performance analysis.

Previously, I led provider contracting and network management across Latin America and the Caribbean for an international health insurance company. I developed tariff benchmarks, optimized authorization workflows, directed claims processing, and delivered provider training. Using performance metrics, I identified coverage gaps and drove competitive network expansion, integrating clinical quality with financial sustainability.

Experience

Work history, roles, and key accomplishments

Head of Provider Contracting

Bupa Global Latin America

Apr 2024 - Mar 2026 (1 year 11 months)

Led negotiations with strategic providers and high-complexity centers across Latin America and the Caribbean, driving measurable annual operating cost reductions. Oversaw medical network management, medical auditing and claims/authorization workflows, and developed provider training to ensure contractual compliance.

Provider Network Management Contract Negotiation Medical Auditing Claims Management ICD 10 Coding CPT Coding

Junior Medical Advisor

Bupa Global Latin America

Feb 2022 - Apr 2024 (2 years 2 months)

Conducted technical evaluations of healthcare service requests to ensure compliance with benefit plans and clinical guidelines. Performed authorizations and audits using ICD-10 and CPT coding, and analyzed admissions medical relevance to optimize resource utilization and cost control.

Medical Authorization ICD 10 Coding CPT Coding Medical Auditing Regulatory Compliance Admissions Medical Relevance Analysis Process Improvement Healthcare Operations

Provider Services Specialist

Bupa Global Latin America

Jun 2020 - Feb 2022 (1 year 8 months)

Supported medical providers by resolving requests and serving as a liaison between the insurer, hospitals, clinics, and physicians. Reconciled claims and managed payments while maintaining accurate provider information in internal systems to ensure contractual compliance and operational efficiency.

Provider Relations Payment management Provider Data Management & Compliance

Medical Assistant

Cosmo Stetic and Medicine

Jan 2018 - Apr 2020 (2 years 3 months)

Assisted in direct patient care under medical supervision by collecting vital signs, supporting procedures, and preparing patients for consultations and interventions. Managed and organized clinical records with accuracy and confidentiality, administered medications per protocols, and guided patients on post-consultation care.

Patient Care Support Vital Signs Clinical Records Medication Management Confidentiality Patient Preparation