Anita Velazquez
Rochester
Summary
Customer-focused professional with extensive experience in customer service and sales within fast-paced environments. Skilled in resolving inquiries and complaints while maintaining strong relationships with clients and colleagues. Proven ability to manage billing processes efficiently, ensuring optimal account management. Strong organizational and problem-solving capabilities enhance overall client service delivery.
Overview
20
20
years of professional experience
Work History
Biller
Delphi Drug and Alcohol Council
Rochester
09.2020 - Current
- Resolved insurance claim denials through documentation review and payer communication, improving claim approval rates.
- Attached Authorization to claims to bill to insurance companies.
- Create Charges and submit claims for billing.
- Perform Payment posting charges on a weekly basis.
- Followed up on aged claims to ensure timely resolution and payment.
- Verify Insurance for clients through payer portals.
- Correct any claims that are rejected by our Clearinghouse through Ability.
- Submit payment retractions through payer portals for incorrect payments.
- Worked on accounts receivable and denial reports to track payment statuses.
- Obtain Prior Authorizations from insurance companies for Medicaid Restricted clients.
- Assist Billing Supervisor on special projects.
- Balanced client ledgers and insurance buckets to maintain accurate financial records.
- Assisted accounts payable to enter check information, print, and mail checks to pay company bills.
Janitor
Midnight Janitorial Inc.
Rochester
10.2017 - 11.2024
- Cleaned and disinfected bathrooms, maintaining hygiene standards and replenishing supplies.
- Cleaning breakrooms, wiping down tables, emptying trash and recyclables.
- Cleaning hallways and lobbies with Floor scrubber.
- Wiped down elevator surfaces to maintain cleanliness and hygiene.
- Emptying trash from offices and lobbies.
- Sweeping and mopping stairways.
- Conducted weekly inventory counts and managed supply requests to ensure availability.
Medical Secretary
Delphi Drug and Alcohol Council
Rochester
04.2019 - 09.2020
- Scheduling all Evaluations for Outpatient program.
- Checked in new clients, ensuring all intake paperwork was completed accurately for efficient onboarding.
- Checking in clients and verifying information is correct upon arrival.
- Verified insurance and entered data into client charts to maintain up-to-date records.
- Creating new charts for clients and entering all demographic information.
- Collecting Copays and deductible payments.
- Reschedule appointments for clients.
- Familiar with DHS process and applications. When the Office Manager was out, I would update Ares system for clients with schedule Evaluation appointments.
- Answering all inbound phone calls and transferring to correct department.
- On downtime I would help the billing department post payments.
- Managed postage for all outgoing mail, ensuring timely delivery and proper labeling.
- Distributed all incoming mail for the agency to appropriate departments, ensuring prompt delivery.
- Preparing urine screens for the providers.
- Placing order for urine screens.
- Collected rent payments for COC department, ensuring accurate processing and documentation for financial accountability.
Insurance Collection Specialist
University Of Rochester
Rochester
11.2017 - 04.2019
- Monitored and analyzed performance metrics for assigned tasks to identify areas for efficiency improvement.
- Resolved aged insurance accounts through targeted billing and thorough follow-up efforts.
- Contacted insurance companies to verify status of claims and facilitate timely resolution.
- Performed insurance claim follow-ups on denials and appeals.
- Processed insurance claims daily using Flowcast and Epic systems to maintain workflow.
- Requested Medical records for appeals.
- Gathered correct documents to mail appeals.
- Worked on monthly AR and Delinquency reports.
- Sorted and delivered incoming mail to appropriate departments to facilitate communication.
Business Site Representative
Lifetime Health Medical Group
Rochester
08.2017 - 11.2017
- BSR are responsible for all the money on site.
- Processed payments and balanced accounts, ensuring accurate daily deposits.
- Checked and corrected insurance information, running dollar sign report for next day's scheduled appointments.
- Verified if patient insurance would cover Tdap and Zostavax using TransactRX.
- Sending out Phreesia payment reminders through email for current and past balances and creating charge notes and encounter notes.
- Evaluated and monitored patient accounts on dual monitors.
- Ran reports to monitor Self Pay accounts.
- Creating batches in NextGen to work the unapplied reports.
- Printing encounter bills for patients and answering questions they may have about their bill.
- Reviewing patient registrations for accuracy and providing on-site education and support for the Patient Site Representatives.
- Processing urgent care discounts.
- Executed voids and refunds, ensuring accurate account adjustments for patients not receiving services.
- (Company was sold and was laid off)
Human Resources Manager
BJ's Wholesale Club
Webster
08.2016 - 08.2017
- Oversaw new hire and annual training programs for all team members, enhancing onboarding and compliance.
- Entered new employee information through PeopleSoft, including address, phone numbers, tax information, and direct deposit details.
- Managed complete scheduling process for hourly team members, ensuring productive workforce within payroll budget.
- Conducted self-audits to verify compliance with policies and ensure operational accuracy.
- Key carrier, closing and alarming the club at night.
- Overseeing the Cafe, making sure we are up to date with sanitation requirements.
- Overseeing the Maintenance department and the cleansing of the store.
- Managed inbound and outbound calls to assist customers.
- Handle customer complaints, over the phone or face to face.
- When I am Manager on Duty in the morning, I am responsible for checking the sales floor, and ensuring that we are ready for business. Walking the sales floor and making sure we have no holes; all product is out for sale. That we have no missing signs. The store is cleaned all garbage is empty. Checking all departments and verifying that we are fully staffed and filling in any call ins for that day.
Asset Protection Manager
BJ's Wholesale Club
04.2014 - 01.2015
- Contributed significantly to protecting the assets of the club as Asset Protection Manager.
- Collaborated with Front Door Team Members to address suspected theft incidents.
- Notified the General Manager and Regional Asset Protection Manager of theft incidents and entered the details into the LPMS.
- Notified sister clubs of potential theft, coordinating with Greece Police Department to file reports.
- Monitored shrinkage sources by reviewing CCTV security footage.
- I would work with my clerical to do daily and weekly counts.
- Inspected hazardous waste weekly to ensure compliance with disposal regulations.
- Conducted monthly inspections of fire extinguishers, fire doors, first aid kits, and spill kits.
Member Service Manager
BJ's Wholesale Club
Greece
01.2013 - 04.2014
- In January 2015 BJ’s eliminated the Asset Protection management position. I was offered the Member Service Management position.
- Led club membership initiatives to enhance member engagement and retention.
- Created effective and productive teams in the member service and frontline departments through selection, training, and coaching.
- Provided member support and directed team members at the frontline and member service desk.
- Cultivated positive a positive shopping atmosphere to enhance member and potential member satisfaction.
- Handled customer complaints, over the phone or face to face.
- Oversaw recovery team to ensure sales floor organization, proper signage, and customer-friendly environment.
- I oversaw donations and spoke to many businesses regarding certain fund raisers, and events that went on in the community. We would donate gift cards, paper products or food to help the community.
Cash Office Supervisor
BJ's Wholesale Club
11.2006 - 01.2013
- Accounted for all forms of tender and managed all store funds to ensure accurate financial reporting.
- Recorded cash and check deposits, prepared and processed daily deposits, and completed related paperwork for corporate submission.
- Process cashier drawers reconcile all cashier drawers, self-checkouts and gas station, Petty cash funds.
- Prepare and sign out register drawers and return register drawers at the end of shifts.
- Perform safe audits, Balance safe daily, keep inventory of all keys for the Club, Order all monies for Club, Responsible for yearly audit of cash office.
- Oversaw management of vending machines, lottery tickets, gift certificates, and water jug vouchers, ensuring timely collection and deposit of funds.
- Supervising other cash office team members.
- Instructed and assisted cash office employees.
- Managed time effectively to ensure efficient store operations.
Education
Some College - Liberal Arts
Monroe Community College
Rochester, NY10-2003
Diploma -
Gates Chili High School
Rochester, NY06-2002
Skills
- Medical billing knowledge
- Insurance verification
- Claims submission
- Self-sufficient work
- Calm under pressure
- Sanitation practices
- Laundry services
- Chemical handling
- Medical billing
- Prior authorizations
- Claims submissions
- Insurance verifications
- Payment postings
- Regulatory compliance
- Financial reporting
- Data entry accuracy
- Risk assessment
- Quality assurance
References
Available upon request.
Career Focus
Accomplished and experienced in directing customer service and sales. Support functions in a fast paced, high-volume environment. Excellent communication and interpersonal skills, build rapport and relationships with management, peers and clients using sound judgement to make the correct decisions. Deliver a first class, professional customer service by resolving customer enquiries, concerns, or complaints. Ability to remain calm when dealing with emotional, difficult, or distressed customers by providing excellent customer service.
Timeline
Biller
Delphi Drug and Alcohol Council
09.2020 - Current
Medical Secretary
Delphi Drug and Alcohol Council
04.2019 - 09.2020
Insurance Collection Specialist
University Of Rochester
11.2017 - 04.2019
Janitor
Midnight Janitorial Inc.
10.2017 - 11.2024
Business Site Representative
Lifetime Health Medical Group
08.2017 - 11.2017
Human Resources Manager
BJ's Wholesale Club
08.2016 - 08.2017
Asset Protection Manager
BJ's Wholesale Club
04.2014 - 01.2015
Member Service Manager
BJ's Wholesale Club
01.2013 - 04.2014
Cash Office Supervisor
BJ's Wholesale Club
11.2006 - 01.2013
Some College - Liberal Arts
Monroe Community College
Diploma -
Gates Chili High School