María Fernanda García Email & Phone Number

San Jose, Costa Rica

• Verified that coding and billing information aligns with healthcare guidelines and regulations.
• Maintained compliance with healthcare regulations, including HIPAA.
• Ensured the accuracy and completeness of documentation for billing purposes, including patient records, encounter forms, and insurance information.
• Identified and flagging potential issues or areas of improvement in documentation.
• Analyzed data trends or patterns within medical documents to improve billing… Show more
• Analyzed data trends or patterns within medical documents to improve billing processes using Electronic Health Record (EHR) tools.

San Jose, Costa Rica

• Supported the implementation of a comprehensive monitoring program that evaluates compliance with regard to the client service policy, employees spending practices and related standards by selecting samples, reviewing.
• Coordinated and implement risk and compliance programs for defined regions/areas in Latin and north America, Europe and Asia including, coordinating… Show more
• Coordinated and implement risk and compliance programs for defined regions/areas in Latin and north America, Europe and Asia including, coordinating roll-out projects, monitoring risk assessment process, and.
• Collaborated with stakeholders and the ethics and legal team members by reviewing and providing feedback on projects, helping coordinate meetings with stakeholders and testing new policy standardization processes that.
• Assisted with enhancing the Travel & Expenses audit standards, processes, templates and audit techniques to increase overall efficiency and quality of audit delivery. Show less

San Jose, Costa Rica

• Conducted customer and account reviews to identify suspicious activities, including transactional fraud, account takeover, identity theft, and other fraudulent activities.
• Analyzed fraud data, trends, and patterns to identify emerging fraud techniques and recommend appropriate mitigation measures.
• Collaborated with cross-functional teams, including legal, compliance, and risk management, to ensure alignment and adherence to regulatory requirements and internal… Show more
• Collaborated with cross-functional teams, including legal, compliance, and risk management, to ensure alignment and adherence to regulatory requirements and internal policies.
• Provided regular reports and updates on fraud investigation findings, trends, and recommendations to senior management.
• Communicated and collaborated proactively with various business partners and management to resolve issues or alert in case of compliance discrepancies or potential fraud risks. Show less

Master'S Degree, Business Management/ Social Management

Social Work, Bachelor