Karen Pacheco Email & Phone Number

Homestead, FL, US

Miami, Florida, United States

Promoted to position of increasing authority and responsibility due to exemplary performance and strong project management abilities. Manage a team of 7 members by delegating tasks and providing feedback to set expectations and improve performance. Monitoring budgets, resource allocation, timelines, and other key metrics to ensure project milestones are.

Miami, Florida, United States

Provide comprehensive support for an innovative digital transformation project aiming to improve the customer, agent and provider experience across Latin America assuring the project is completed on time. Worked heavy volumes, ran queries in SQL for analysis and continuously provided accurate work while continually exceeding expectations. Oversee all.

Miami, Florida, United States

Coordinate and perform extensive quality control audits to evaluate the accuracy and quality of processed work and identify areas for improvement, increasing quality ratings by 95%. Monitor claim payment accuracy by developing and implementing strategic standards and supporting sampling criteria to ensure an exemplary experience and minimal claim.

Miami, Florida, United States

Processed a wide array of Brazilian, Mexican, Latin American, and corporate health insurance claims including provider payments, member reimbursements, maternity, PPAs, coordination of benefits, subrogation’s, and third-party payments for deceased patients. Properly adjudicated a variety of medical claims based on eligibility and benefit plan.

Miami, Florida, United States

Improved organizational efforts by efficiently sorting, indexing, scanning, and screening a diverse range of claims. Created proper claims for both international/domestic bills involving headers and line details while expertly assigning to the designated region assuring 100% accuracy. Maintained data entry requirements by following data program techniques.

Miami, Florida, United States

Spearheaded all aspects of collections and billing for a variety of businesses including banks and a gynecologist office, generating $150k in potentially lost revenues. Skillfully managed several core data entry and administrative duties to guarantee maximized operational productivity and efficiency. Comprehensive training provided to all new employees.