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Denisse Betancourt Giraldo

Denisse Betancourt Giraldo

Pompano Beach

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Centene Corporate

Clinical Manager

Receive incoming prior authorization request for any medical procedure with Medicare in multiple states. Fax any letters needed to patients and Providers. Manage any cases that were urgent and needed to be worked on immediately. Used multiple systems, Microsoft Outlook, Excel and Microsoft Word. Used medical coding and billing CPT codes to build Prior authorizations.

Career medium 02
Career
Career medium 02

Arriva Medical

Case Manager

Help with diabetic patients on obtaining a glucometer when is needed, trouble shoot if it's broken, assist on helping to get their lancets and testing strips and helping the patients with their billing. We worked on multiple states with CMS and Medicaid. Multiple systems were used.

Career

United Healthcare

Member Services

Assisted members over the phone with change their PCP, home address and phone number and any billing inquiries. Took appeals over the phone and complaints. Performed searches for specialist in members area and hospitals and or Diagnostic Centers. Used multiple systems.

Career medium 06
Career

Concord College

Patient Care Technician

Marjory Stomen Douglas High School

High School Diploma