Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Karen Dorantes

Nashville

Summary

Results-driven professional with strong analytical, communication, and teamwork skills, demonstrating a proven ability to adapt quickly to new environments. Committed to contributing to team success while pursuing opportunities for professional development. Passionate about leveraging skills to drive impactful results within a dynamic team setting.

Overview

8
8
years of professional experience

Work History

Billing Specialist

HHAeXchange
02.2025 - Current
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Guarded against fraud and abuse by verifying coded data accurately reflected services provided.

Utility Specialist

Metro Water Services
08.2024 - 02.2025
  • Responded to emergency calls for water and sewer service disruptions, providing timely resolutions.
  • Monitored water quality, pressure and flow levels in pipelines.
  • Investigated customer complaints about poor service quality or billing discrepancies related to utilities.

Personal Shopper

Instacart
05.2022 - 07.2024
  • Organized and executed shopping trips for clients, including scheduling and transportation arrangements.
  • Bagged groceries carefully to keep products in perfect condition, separated fragile products and kept frozen and perishable foods cold or fresh.
  • Processed purchases, returns, and exchanges on behalf of clients, ensuring a seamless shopping experience.

Healthcare Customer Service Representative

TennCare
03.2018 - 01.2019
  • Compiled and documented information regarding applicant's income, assets, insurance coverage and other relevant data.
  • Investigated complaints regarding eligibility determinations or denials.
  • Reviewed applications and supporting documents to determine applicant's eligibility for Medicaid benefits.
  • Processed requests for changes in existing Medicaid cases.

Education

Real Estate License - Real Estate

Institute of Continual Learning
Nashville, TN
09-2025

Skills

  • Investment asset management
  • Effective stormwater management
  • Utility service management
  • Comprehensive utility mapping
  • Billing cycle management
  • Revenue cycle management
  • Medical billing and collections
  • Verification of eligibility criteria
  • Precise data entry

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Billing Specialist

HHAeXchange
02.2025 - Current

Utility Specialist

Metro Water Services
08.2024 - 02.2025

Personal Shopper

Instacart
05.2022 - 07.2024

Healthcare Customer Service Representative

TennCare
03.2018 - 01.2019

Real Estate License - Real Estate

Institute of Continual Learning

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Karen Dorantes