Andrea Forero
RCM - Autorización de seguros de EE. UU.
Professional profile
Bilingual Registered Nursing Assistant and Healthcare Support Specialist with 8+ years of experience in clinical care and U.S.-facing healthcare administration . Skilled in insurance authorization , document validation , EMR , and patient scheduling . Fluent in English and Spanish
Work experience
Handles authorization documentation for radiology, cardiology, and rehab services. Uses EIQ, Epic, Five9, and Salesforce CRM. Coordinates with insurance carriers and clinical teams, ensuring compliance and efficient workflows.
Major achievementValidates and processes insurance authorizations for U.S. hospitals, manages intake and triage, coordinates with insurers, and leverages EMR and CRM tools.
Verified documentation, ensured compliance, responded to employee inquiries, and collaborated with HR for smooth onboarding and integration.
Major achievementLed onboarding, managed benefits enrollment, and maintained HR data accuracy.
Handled scheduling, inquiries, care coordination, maintained patient databases, and processed clinical documentation with accuracy and empathy.
Major achievementManaged medical records, coordinated appointments, and provided patient support via phone and chat.
Education experience
Incea | Técnico/Tecnólogo
