Julie Ann Ortega

I am a dedicated and compassionate Customer Service and Medical Claims Specialist with a strong commitment to providing exceptional support to patients, healthcare providers, and insurance carriers. With a background in both customer service and medical claims management, I have developed the ability to navigate complex healthcare processes while maintaining a professional and empathetic approach in every interaction. My goal is to ensure that each claim is processed accurately, each issue is resolved promptly, and each customer feels valued and understood.

Throughout my career, I have gained extensive experience in claims processing, insurance verification, billing reconciliation, and appeals management. I am highly skilled in reviewing medical documentation, interpreting CPT and ICD codes, and ensuring that all claims meet payer and regulatory requirements. My attention to detail and understanding of healthcare policies allow me to identify discrepancies quickly and take proactive steps to resolve them, minimizing claim denials and improving reimbursement timelines.

Equally important to my technical skills is my dedication to customer service excellence. I believe that every conversation is an opportunity to build trust and confidence. Whether assisting patients with billing questions, coordinating with providers for additional documentation, or communicating with insurance representatives, I consistently aim to deliver clear, accurate, and compassionate support. My strong communication skills help me explain complex medical and insurance terminology in a way that is easy for clients to understand, ensuring a positive and transparent experience.

In addition to my core expertise, I thrive in fast-paced, team-oriented environments where adaptability and problem-solving are essential. I am proficient in using a variety of medical billing software, electronic health record (EHR) systems, and customer relationship management (CRM) tools. I am also committed to ongoing professional development and staying current with healthcare regulations, payer policy updates, and technology advancements that impact the claims process.

Ultimately, I take pride in being a reliable, detail-oriented, and compassionate professional who contributes to the overall efficiency and success of any healthcare organization. My combination of technical knowledge and genuine care for people allows me to make a meaningful difference in every claim I process and every customer I assist.