KARLA Y NIEVES BATISTA
BAYAMON
Summary
Medical billing and claims professional specializing in denial management and effective communication with health insurance providers. Proven track record of organized and process-driven case management, ensuring accurate and timely follow-ups. Proficient in navigating insurance portals, verifying claim statuses, and analyzing aging reports. Actively pursuing roles in Puerto Rico's medical billing and revenue cycle sectors within stable organizations that promote professional development.
Overview
2026
2026
years of professional experience
Work History
Medical Billing Specialist
EMERGENCY BILLING SERVICES CORP
TOA ALTA
02.2024 - Current
- Managed and tracked denied medical claims to ensure resolution.
- Analyzed denial reasons and implemented necessary corrections.
- Communicated directly with medical plans via phone and electronic portals.
- Validated claim statuses and case references through email correspondence.
- Organized and distributed cases by provider for efficient handling.
- Analyzed aging reports to identify trends and improve processes.
- Utilized medical plan portals and internal systems (Secure Claim) for data management.
- Recorded, analyzed, and controlled financial data using Excel.
Data entry
CT Radiology
Bayamon, Puerto rico
2023 - 2023
- Executed administrative tasks, including document filing and data entry.
- Ensured accuracy and efficiency in day-to-day operations.
- Managed electronic health records for precise documentation of patient interactions and treatments.
Warehouse Worker
Amazon Fulfillment Center
Windsor, CT
2022 - 2023
- Maintained stock levels in accordance with company policies.
- Received and tracked incoming inventory shipments to ensure proper stock management.
- Tagged and wrote identifying information on containers, boxes and cargo.
- Adapted to sorting protocols to ensure efficient processing of items.
- Followed safety protocols to maintain a secure work environment.
- Utilized scanning devices to track inventory movement accurately.
Education
Associate -
Bayamón Community Collage
Bayamón01-2018
Skills
- Medical Billing & Claims Follow-Up
- Denial Analysis and Resolution
- Insurance Portals Navigation
- Inbound & Outbound Patient and Payer Calls
- Customer Service in Healthcare Settings
- Data Analysis, Reporting & Organization
- Microsoft Office 365 (Excel, Outlook, Word)
- Multitasking in Fast-Paced Environments
Languages
Spanish
Native
Native
English
Elementary (A2)
A2
Timeline
Medical Billing Specialist
EMERGENCY BILLING SERVICES CORP
02.2024 - Current
Data entry
CT Radiology
2023 - 2023
Warehouse Worker
Amazon Fulfillment Center
2022 - 2023
Associate -
Bayamón Community Collage