Experienced in evaluating and processing insurance claims accurately and efficiently. Utilizes strong analytical and communication skills to identify and resolve problems. Proficient in managing complex claims processes, data and billing analysis, administrative processes, coordination, and organization, ensuring regulatory compliance. Trained in medical terminology and skilled in Microsoft Office. Recognized for excellent teamwork and adaptability in dynamic environments, being friendly and effective, consistently contributing to organizational success.
Overview
12
12
years of professional experience
Work History
Pediatrician
Self-employed
Maracaibo, Zulia, Venezuela.
04.2012 - 07.2024
Diagnosed and treated various pediatric conditions, both on an outpatient basis and within the hospital, to ensure optimal health outcomes for patients.
Developed individualized care plans tailored to each child's unique medical needs and family circumstances.
Educated parents on child development, nutrition, and preventive healthcare to promote overall wellness.
Collaborated with specialists to coordinate comprehensive care for children with complex medical issues.
University Professor
Universidad Del Zulia
Maracaibo, Zulia Venezuela.
12.2015 - 07.2024
Mentored, coordinate, and supervise students' learning activities in pediatrics, such as internships, seminars, classes, discussion, and emergency shifts, collaborating with faculty and other specialists to enhance interdisciplinary learning opportunities.
Conducted and published numerous articles in peer-reviewed research, contributing to academic publications and conferences.
Integrated technology in classroom settings to foster interactive learning environments, incorporating multimedia presentations and online discussion forums.
Evaluated curriculum effectiveness by analyzing student feedback and making necessary adjustments for continuous improvement.
Assistant to the Medical Management & Call Center.
Salud Vital Medicina Prepagada SA
Maracaibo, Zulia, Venezuela.
07.2017 - 08.2020
Assisted the Medical Manager in coordinating, hiring, and managing medical staff, supervising and controlling health services and programs, handling payroll and budgets, and planning activities and services throughout the national territory.
Assisted in developing patient care plans, appointments and scheduling enhancing service delivery and satisfaction.
Evaluate the medical records of service beneficiaries during hospitalizations to ensure proper care, suggest actions, approve or deny procedures, and upon medical discharge, approve the payment of expenses incurred to the service provider or request the review of invoices.
Supervise communication between healthcare providers and patients to streamline processes.
Evaluated administrative procedures for efficiency improvements within the office environment.
Facilitated training sessions for new staff, promoting best practices in patient interaction.
Increased efficiency by implementing new processes and providing administrative support to management.
Education
Master of Science - Pediatrics
Universidad Del Zulia
Maracaibo, Zulia, Venezuela.
12-2012
Skills
Expertise in subject matter
Interdisciplinary knowledge
Innovative teaching methods
Cultural history
Time management
Attention to detail
Critical thinking
Active listening
Organization and prioritization
Team building
Technological proficiency
Conflict resolution
Languages
English
Professional Working
Spanish
Native or Bilingual
Timeline
Assistant to the Medical Management & Call Center.
Instructor for Graduate Training Program at National Institute of Education, Sri LankaInstructor for Graduate Training Program at National Institute of Education, Sri Lanka