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Marco Salas

@marcosalas

Medical Appeals Specialist at Experian reviewing EOBs and payer contracts to identify reimbursement opportunities and prepare appeals.

Costa Rica

Message

What I'm looking for

I'm seeking a dedicated hourly or contract role supporting a U.S. medical practice.

At Experian, I analyze underpaid and incorrectly processed medical claims, reviewing EOBs and payer contracts to find discrepancies and reimbursement opportunities.

I prepare and submit written and verbal appeals to insurance payers, then track outcomes and document cases for financial reconciliation and audit readiness.

At United Collections Bureau, I supervised a team of 20 agents managing denied and underpaid healthcare insurance claims for Edward Hospital. I also automated invoice assignment and delivered KPI reporting using Citrix and SAP.

Earlier at United Collections Bureau, I followed up on disputed medical claims, submitted appeals, and tracked cases through resolution. I'm based in Costa Rica and seeking a dedicated hourly or contract role supporting a U.S. medical practice.

Experience

Work history, roles, and key accomplishments

Current

Medical Appeals Specialist

Current

Experian

Feb 2024 - Present (2 years 8 months)

Analyze underpaid and incorrectly processed medical claims, review EOBs and payer contracts, and prepare written and verbal appeals to recover accurate reimbursement. Track appeal outcomes and generate performance reports to support operational decision-making.

Medical Appeals Denial Management EOB Review Contract Review Claims Systems SAP Citrix KPI Reporting Trend Analysis Cross team Collaboration

Supervisor

United Collections Bureau

Sep 2022 - Jan 2024 (1 year 4 months)

Supervised a team of 20 agents managing denied and underpaid healthcare insurance claims for Edward Hospital. Designed collection strategies, automated invoice assignment, and delivered KPI reporting using Citrix and SAP.

Supervision Healthcare Claims Denial Management KPI Reporting Citrix SAP Process Automation Billing Communication Skills

Medical Provider Representative

United Collections Bureau

Mar 2018 - Aug 2022 (4 years 5 months)

Managed follow-up on disputed medical claims and reimbursement cases with insurance companies. Liaised with patients and insurance representatives to resolve payment issues and submitted appeals while tracking case status end-to-end.

Medical Claims Reimbursement Appeals Customer Service Communication Skills Case Management