Romina Coreces

Claim Analyst

Professional Overview

Romina Coreces is a skilled Claim Analyst with extensive experience in the healthcare industry. She specializes in efficiently processing and resolving insurance claims, ensuring accurate and timely reimbursement for medical services. Romina's expertise lies in navigating complex insurance policies, accurately interpreting coverage details, and collaborating with healthcare providers and insurance companies to achieve optimal outcomes for patients.

Experience Summary

Current Role

As a Claim Analyst at Community Health Group, Romina is responsible for reviewing and processing a high volume of insurance claims. She leverages her deep understanding of various insurance policies and procedures to identify and resolve discrepancies, ensure compliance with regulatory requirements, and facilitate prompt reimbursement for the organization. Romina's attention to detail, problem-solving skills, and strong communication abilities have made her a valuable asset to the team, contributing to the company's overall financial performance and patient satisfaction.

Career Progression

Prior to her current role, Romina held positions as a Medical Billing Specialist at Accelerated Rehabilitation Centers and an Office Clerk at the Navy College Office. She also gained valuable experience as a volunteer in the medical field, assisting with various administrative tasks and supporting medical missions at the Philippine Red Cross and Batangas Keppel. Romina's diverse background and dedication to continuous learning have enabled her to develop a well-rounded skill set, which she now applies to her role as a Claim Analyst.

Academic Background

Romina holds an Associate's degree in Management from ITT Technical Institute and an Associate's degree from Concorde Career College. She also completed her secondary education at Paracale National High School.

Areas of Expertise

• Proficient in interpreting and applying complex insurance policies and regulations

• Skilled in identifying and resolving discrepancies in insurance claims

• Adept at collaborating with healthcare providers and insurance companies to achieve optimal reimbursement outcomes

• Excellent problem-solving and analytical skills

• Strong attention to detail and ability to work under pressure

• Effective communication and customer service orientation

Professional Impact

Throughout her career, Romina has consistently demonstrated her commitment to providing exceptional service and contributing to the success of the organizations she has been a part of. In her current role as a Claim Analyst, Romina has played a crucial role in streamlining the claims processing workflow, leading to a significant reduction in turnaround time and improved financial performance for Community Health Group. Her dedication and problem-solving skills have made her a valued member of the team, and she continues to explore opportunities to enhance her expertise and drive positive change within the healthcare industry.

Conclusion

Romina Coreces is a seasoned Claim Analyst with a proven track record of success in the healthcare industry. Her extensive experience, strong technical skills, and customer-centric approach make her a valuable asset to any organization. Romina is dedicated to ongoing professional development and is committed to contributing to the improvement of healthcare delivery and patient outcomes.