Jose Gomez
Jose Gomez

Medical Billing and Revenue Cycle Management Specialist

Open to offers · Member since 20 Oct 2026
Location
Cali, Colombia
Desired salary
Unspecified
Work preference
On-site
Experience level
Junior

About

Professional summary

I am a detail-oriented bilingual professional with experience in customer support, medical billing, claims management, and administrative operations.

I have hands-on experience managing end-to-end revenue cycle processes, including insurance claim posting, corrections, appeals, follow-ups, and accounts receivable activities.

I work effectively as a liaison between healthcare providers and insurance companies to resolve payment issues and maximize revenue recovery.

My strengths include technical troubleshooting, data entry, information management, problem solving, critical thinking, and time management.

I am committed to protecting confidential patient and insurance information while maintaining compliance with healthcare industry standards.

I am a native Spanish speaker with upper-intermediate English proficiency and can provide professional support in bilingual environments.

Skills

13 capabilities

Experience

Career history

Medical Billing, RCM PRC AR Specialist Health Prime Colombia

Managed end-to-end medical billing operations and served as a liaison between US hospitals and insurance providers to resolve payment claims. Handled accounts receivable activities for multiple hospitals across various US states while maintaining compliance with industry standards.

Posted and corrected insurance claims, processed appeals, and conducted ongoing follow-ups to support revenue recovery. Calculated and collected patient deductibles, co-payments, and coinsurance, updated sensitive patient and insurance records, and consistently met daily operational and quality targets.

Education

Learning history

Rafael Navia Varón School

High School Diploma, Computer Systems

High School Diploma in Computer Systems.

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