Yuli Cabrera

Reviewed medical documentation, prior authorizations, and payer guidelines prior to claim submission to ensure compliance and prevent denials.
Analyzed denied and rejected claims to identify documentation deficiencies and implement corrective actions.
Validated accuracy of CPT, ICD-10, HCPCS coding and ensured alignment with Medicare and managed care billing requirements.

Verified insurance eligibility and processed medical treatment plans. Utilized knowledge of ICD-10 and CPT to confirm referred services and verified demographic and eligibility information.

Responded to over 150 inbound customer requests weekly via telephone, email, and chat, resolving 95% on first contact. Assisted clients with claim denials, rejections, or delays from payers and managed time effectively to provide prompt technical responses.

Welcomed patients and served as the primary point of contact, scheduling appointments and managing check-in/check-out procedures. Functioned as a liaison between clinical staff and patients, demonstrating knowledge of various medical coding systems and forms.

Greeted and registered patients, verifying insurance eligibility and providing financial counseling. Managed scheduling for dental/medical providers and handled incoming calls, recording messages and directing inquiries appropriately.

Handled calls from members and providers, assisting with benefit questions, scheduling appointments, and screening assessments. Documented accurate member information and managed a caseload of 200 cases.

Currently pursuing certification in Medical Billing and Coding.

Completed an Associate of Arts degree with a focus on Human Services.

Obtained a Certificate for Medical Assistant.