Looking for a job

valentina alvarez

@valentinaalvarez2

Hi, I’m Paula Valentina Vega Alvarez, a Bilingual U.S. healthcare professional with 5+ years in billing, claims, coding, provider services,etc.

Colombia

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What I'm looking for

I'm seeking a Senior Medical Billing & Coding Specialist or Revenue Cycle Specialist role where I can apply my experience reviewing claims, researching denials and payment issues, and supporting providers across U.S. healthcare plans.

I’m a bilingual healthcare professional with a background in Linguistics and over five years of experience supporting U.S. healthcare organizations. I’m self-driven, highly organized, detail-oriented, and naturally competitive with myself—I’m always motivated to exceed my own expectations and deliver high-quality results. I enjoy both back-office work, especially billing, claims, and case analysis, and direct one-on-one interaction with patients, providers, and clients. I’m naturally analytical and curious, and I tend to notice when something doesn’t look right. I enjoy taking a deeper look into a case, understanding what happened, identifying discrepancies, and finding the most accurate resolution. I’m especially interested in healthcare, medical billing and coding, revenue cycle, claims, and operations roles where I can combine analytical work with communication and problem-solving.

Experience

Work history, roles, and key accomplishments

Expert Customer Advocate

Asurion

Jan 2025 - Apr 2026 (1 year 3 months)

Provided consultative customer support and solution-based service in a high-volume U.S. environment. Conducted needs analysis, managed objections, documented interactions, and consistently worked toward performance targets.

Customer Support Needs Analysis Objection Handling Documentation Performance Targets

Senior Healthcare Customer Advocate

Everise

Aug 2024 - Jan 2025 (5 months)

Supported Humana Medicare members with benefits, eligibility, claims, billing, and coverage-related inquiries. Investigated complex healthcare issues and coordinated with internal teams to resolve claims and billing concerns.

Medicare Claims Billing Eligibility HIPAA Customer Service Documentation Quality Assurance

Senior Healthcare Customer Advocate

Optum Global Solutions

Oct 2021 - May 2024 (2 years 7 months)

Supported multiple U.S. healthcare lines of business including Medicare Advantage, Commercial Insurance, Student Resources, and Provider Services. Reviewed medical claims and billing issues involving CPT, ICD-10, HCPCS, and modifiers to identify discrepancies and resolve denials.

Medical Billing Claims Review CPT ICD 10 HCPCS Modifier Review Denial Management Medicare Advantage Commercial Insurance Student Health Plans Prior Authorizations Eligibility Verification Provider Services Payment Research HIPAA Quality Assurance KPI Performance Bilingual Communication

Work at Home Agent

Teleperformance

Mar 2020 - Aug 2021 (1 year 5 months)

Supported Medicare Advantage members with benefits, eligibility, provider networks, pharmacy benefits, claims, and healthcare coverage. Resolved complex member inquiries while following U.S. healthcare procedures and compliance requirements.