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Manuela Gallego ValderramaMV
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Manuela Gallego Valderrama

@manuelagallegovalder

Patient Financial Specialist at Health Prime Colombia S.A.S, correcting rejected medical claims and preparing them for resubmission.

Colombia
Message

At Health Prime Colombia S.A.S, I corrected rejected medical claims and resolved EOB, TOB, and payer ID errors on UB-04 and CMS-1500 claims. I also checked patient information against medical insurance and records in EMR systems before claims were sent to the clearinghouse.

I evaluated skipped claims, reviewed patient accounts for possible consolidation or transfer, and processed late charges according to SOPs.

At Premier MD Services S.A.S, I scheduled appointments for Florida Lung, Asthma and Sleep Specialists (FLASS) and supported patients in Spanish, Portuguese, and English. I managed medical records in EMR systems and updated patient information in EHR systems.

As a biomedical engineer apprentice at Clínica Las Vegas, I supported equipment calibration and maintenance scheduling, documented biomedical equipment management, and updated equipment inventories. I also conducted training for healthcare staff.

Experience

Work history, roles, and key accomplishments

HS

Patient Financial Specialist

Health Prime Colombia S.A.S

Aug 2025 - Jul 2026 (11 months)

Guaranteed patient information accuracy and completeness in EMR systems before submitting medical claims. Corrected rejected claims, resolved EOB/TOB/payer ID errors, and processed late charges and cancellations per SOPs.

Education

Degrees, certifications, and relevant coursework

Instituto Tecnológico Metropolitano logoIM

Instituto Tecnológico Metropolitano

Bachelor's degree, Biomedical Engineering

Grade: 4.2

Bachelor's degree in biomedical engineering, finished in 2023 with a grade average of 4.2.

IC

Institución Educativa Fe y Alegría la Cima

Technical bachelor, Commerce

Technical bachelor in commerce, finished in 2016.

SENA logoSE

SENA

National Technovigilance Program Course, Technovigilance

2024 -

Completed the National Technovigilance Program Course in 2024.

SENA logoSE

SENA

Use of Microsoft Office 2016: Excel Course, Microsoft Office

2024 -

Completed the Use of Microsoft Office 2016: Excel Course in 2024.

Alison logoAL

Alison

Coding and Medical Billing Diploma, Medical Billing

2026 -

Completed the Coding and Medical Billing Diploma Course in 2026.

SENA logoSE

SENA

Management Indication Course, Management

2024 -

Completed the Management Indication Course in 2024.

SENA logoSE

SENA

Humanization of the Health Assistance Course, Health Assistance

2024 -

Completed the Humanization of the Health Assistance Course in 2024.

PC

Politécnico de Colombia

Health Accreditation Diploma, Health Accreditation

2024 -

Completed the Health Accreditation Diploma Course in 2024.

SENA logoSE

SENA

Foundation of the Time Management Course, Time Management

2024 -

Completed the Foundation of the Time Management Course in 2024.

SENA logoSE

SENA

Formulation of Projects in my Profession Course, Project Formulation

2024 -

Completed the Formulation of Projects in my Profession Course in 2024.

Tech stack

Software and tools used professionally

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