Miguel Angel Montes Lira
Chihuahua, Chihuahua
Summary
Adept Insurance Verification Specialist with a proven track record at Zahoree, excelling in patient rapport and medical billing. Demonstrated ability to manage high-volume insurance verifications, ensuring HIPAA compliance and enhancing medical operations efficiency. Skilled in communication, I also contributed as an Interpreter Volunteer, showcasing exceptional interpersonal and analytical thinking skills. I'm all for a challenge, if there is something new to learn I will at all times strive to do my best to accomplish outstanding results no matter what, specially when a customer is in need of assistance, as it is my passion to help others.
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. I also love learning new languages, I have finished learning Portuguese as my third and looking to score another language!
Overview
7
7
years of professional experience
Work History
Insurance Verification Specialist
Zahoree
10.2023 - 08.2024
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with Coverage Review department to facilitate decision-making for patient admissions and insurance coverage.
- Updated patient records with accurate, current insurance policy information.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Achieved insurance pre-authorizations to enable timely patient procedures.
Interpreter Volunteer
School Based
05.2017 - 06.2017
- Provided cultural input to speakers to help parties who did not speak similar languages communicate with and understand one another.
- Provided oral interpretations for clients during special events, successfully maintaining pace with native speakers to deliver real-time comprehension.
- Maintained message content, tone, and emotion as closely as possible.
- Facilitated communication between law enforcement personnel and individuals involved in crimes such as witnesses, persons of interest, and suspects.
- Collaborated with other interpreters to cross-check accuracy of interpretations.
- Used knowledge of accepted ethical guidelines to interpret confidential and sensitive information.
- Utilized active listening skills and cultural sensitivity to convey accurate interpretations.
- Communicated with clients to understand interpreting needs and provide best service possible.
- Assisted foreign language-speaking clients with inquiries.
Education
High School Diploma -
Escuela Preparatoria Federal Por Cooperación 20-30
Carlos Blake Av #2101 North, 33029 Delicias, Chih.07.2018
Skills
- Proficient in [Software]
- Patient Rapport
- Medical Billing
- Analytical Thinking
- Customer Service
- Data Entry and Review
- Communication and Interpersonal Skills
- Medical Terminology
- Attention to Detail
- HIPAA Compliance
- Data Verification
- Policy Interpretation
Accomplishments
- Resolved product issue through consumer testing involving automatization of an AI called Eva, for her to run down Benefit Verification tasks on her own and providing feedback to the engineering team, participated in the Johnson & Johnson automatization project for BV tasks regarding infusion therapy benefits for patients, as they collaborated with Infinitus a little while ago, the project our team was assigned to A.K.A. Infinitus AI.
- Achieved top performer during 'Blizzard', one of the company's most important events as most commercial plans have calendar start dates and renewals as well, we maintained five times more volume than ever, being one of the best operators for Zahoree
Play the piano, cook, basic programming skills and experience using MAtlab, Scilab and LaTex
I love playing the piano, everything I enjoy involves me passionately doing so, music and the art of cooking are things that fuel me up more than ever. I also do have a particular enjoyment for programming, although my knowledge is still basic, I learn quickly and adapt to the situation/task needed. I have worked around computers my whole entire life and have exceptional computer skills.
Languages
Portuguese
Intermediate (B1)
English
Bilingual or Proficient (C2)
Spanish
Bilingual or Proficient (C2)
Timeline
Insurance Verification Specialist
Zahoree
10.2023 - 08.2024
Interpreter Volunteer
School Based
05.2017 - 06.2017
High School Diploma -
Escuela Preparatoria Federal Por Cooperación 20-30
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