LEA NAVARRA
WORK SUMMARY
Virtual Administrative Assistant - 4 months
Medical Biller - 15 years
Spanish Financial Commucation Analyst - 4 years
CONTACT
WORK EXPERIENCE
Mobile no. :-
Email:-32 Tanchoco Ave. El monteverde subd.
Taytay, Rizal Philippines
About Me
Bilingual Healthcare Professional with strong
experience in financial communications,
medical billing, claims adjustment, and
healthcare administration. Experienced in
supporting U.S. health plans, providers, and
vendors while ensuring compliance with
state and federal regulations. Highly skilled
in communicating with both English- and
Spanish-speaking customers and patients
to efficiently resolve claims, authorization,
and billing concerns.
SKILLS
Sales Force
Oracle
Citrix
Amazon Workspace
Prior Authorization
Medical Billing
Medical Coding
Ingenix
EncodePro
EMR-Epic
Availity
Navinet
Outlook
Cisco Softphone
Google Workspace
Spanish Bilingual Specialist - Servicing
WNS | 2026
Provide accurate and comprehensive information about mortgage
options, interest rates, loan terms, and other relevant details to
assist customers in making informed decisions.
Assist customers in navigating online platforms and self-service
tools, guiding them through account setup, payments, document
submission, and other activities.
Maintain detailed records of customer interactions, transactions,
and inquiries using the company's CRM system.
Medical Administrative Asistant
Central Valley Medical Education | 2025
Draft, edit, and update RHCPs and SHCPs in compliance with Title
22 regulations.
Maintain accurate and organized records of plans and supporting
documentation.
Financial communications Analyst
Alldigi Tech Manila Inc. | 2021 - 2026
Handle complex vendor inquiries and ensure they are
resolved within required timeframes.
Proactively coordinate with vendors and internal
departments to resolve inquiries and issues.
Prior Authorization Specialist - DME
Dexcom Inc. | 2019 - 2021
Processing opportunities staged and status used under Managed
Care responsibilities requesting authorization and perform
appropriate following up on auth-requests.
Prepares correspondence to insurance companies, Health Care
Professionals (HCPs) & other affiliates on behalf of patients, such
as authorization requests, appeals & letters of agreement.
Billing Specialist
Convey Health Solutions | 2014 - 2018
Identify and post customer payments not automatically
identified by the appropriate system.
Review and investigate returned checks, rejected ACH
transactions and rejected credit card transactions.
LANGUAGES
English
Spanish
Denial Management
Optum Inc. | 2013 - 2014
Provide expertise claims support by reviewing, researching,
investigating, negotiating, and resolving all types of claims as
well as recovery and resolution for health plans, commercial
customers, and government entities.
Responsible for the accurate processing and completion of
medical claim denials and appeals.
Medical Coder
EXL | 2011 - 2012
Responsible for reviewing patient records and codifying results
for reimbursement or payment purposes.
Responsible for abstracting, coding, and sequencing the
classification of medical and surgical procedures, diagnosis, and
treatment modalities on Inpatient and Day Surgeries.
Select the latest, most accurate and descriptive codes from the
listings of International Classification of Diseases, Ninth Revision,
Clinical Modification (ICD-9 CM), American Medical Association
Current Procedural Terminology (CPT-4) coding system, and
Healthcare Common Procedure Coding System (HCPCS).
Claims Adjuster
Accenture Inc. | 2007 - 2011
Perform data entry and research in various systems and tracking
tools.
Apply knowledge of processes and related systems to assist in
identifying, assessing, and resolving issues/problems.
Assess and resolve non-standard and standard issues or
problems.
Conducts claim investigations via written correspondence.
Computes benefits for out of pocket expenses, percentages
covered under plan and other related calculations.
Seek advice and escalate issues when faced with asks/problems
outside the scope of the work.
EDUCATION
Unciano Colleges
Bachelor of Science in Nursing | 2001 -2006
Hola Amigos PH - 2021
Certificate of Completion Spanish Language Course
AIGPE
Lean Six Sigma - Yellow Belt
