
Pablo Puerta
@pablopuerta
Biologist at Mordor Staffing-Hansei Solutions, managing utilization reviews for mental health and substance abuse facilities.
What I'm looking for
At Mordor Staffing-Hansei Solutions, I managed utilization reviews for mental health and substance abuse facilities, advocating for accurate and consistent clinical information in clinical management systems.
At ABA Centers of America-ABATech-Exact Billing Solutions, I supported and mentored team members as upper manager of the department. I also assigned workloads and worked with BCBAs, administrative staff, and insurance representatives on utilization review.
My biology degree from EAFIT University emphasized Molecular Biotechnology. My academic work included a gene-editing proof of concept in Pichia pastoris and a project developing a breeding stock of Spodoptera frugiperda from different ecoregions of Colombia.
Experience
Work history, roles, and key accomplishments
Utilization Review Advocate
Mordor Staffing-Hansei Solutions
Feb 2025 - Apr 2026 (1 year 2 months)
Managed DX, RTC, PHP, IOP & OP in mental health and substance abuse facilities. Advocated for clinical information to be correct, accurate, and consistent within clinical management systems.
Upper Manager of Department
ABA Centers of America-ABATech-Exact Billing Solutions
Jan 2024 - Jan 2025 (1 year)
Supported and mentored team members by providing guidance, training, and constructive feedback on reviewing treatment plans, obtaining authorizations, and appealing denials. Assigned and delegated workload efficiently among the team of Utilization Review Specialists.
Advocate-Billing Department Representative
Concentrix-CityMD
Oct 2022 - Apr 2023 (6 months)
Handled HIPAA-sensitive position involving validation for diagnosis and procedure codes in urgent-type encounters.
QA Manager & Processing Department
Catapult Steel Buildings
May 2021 - Mar 2022 (10 months)
Served as top-head representative of the department, managing customer management systems focused on best-sales investment. Conducted training sessions with different departments to create marketing strategies to improve monthly sales rates.
Education
Degrees, certifications, and relevant coursework
EAFIT University
Biologist, Molecular Biotechnology
2015 - 2020
Activities and societies: Plant Biotechnology Seedbed; Project development; Establishment of a breeding stock of Spodoptera frugiperda (Lepidoptera: Noctuidae) from different ecoregions of Colombia.
Biologist with an emphasis on Molecular Biotechnology. Completed a proof of concept on gene editing in Pichia pastoris and participated in a Plant Biotechnology Seedbed.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Social media
Job categories
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