Summary
Overview
Work History
Education
Skills
Languages
Custom
Timeline
Generic

Chelsea Perez

Miami,FL

Summary

Dedicated and compassionate professional with over 10 years of experience in healthcare. Demonstrated expertise in administrative tasks, team management, and effective communication with patients and staff. Known for reliability, adaptability, and thriving in fast-paced environments.

Overview

12
12
years of professional experience

Work History

Supervisor

Banyan Treatment Center
Miami, FL
10.2017 - Current
  • Developed strategies to improve team performance and productivity within the VA/Tricare department.
  • Conducted regular performance evaluations, provided constructive feedback, and set individual goals.
  • Submitted all behavioral health/Mental Health (MH) claims to VA, TriWest, and Tricare.
  • Managed payroll for employees and approved/denied time-off requests.
  • Ensured accuracy of claims coding, using ICD-10, to prevent discrepancies.
  • Audited medical records before submitting to the payer, ensuring all requested documentation was accurate and complete.
  • Followed up on claim statuses and negotiated with third-party payers for payment.
  • Reopened claims for reconsideration/settlement and followed up on insurance claim checks.
  • Verified insurance information and managed the authorization process, including prior authorizations, continued stays, and new authorizations with case managers.

Front Desk/New Patient Coordinator

Georgia Reproductive Associate
Atlanta, GA
09.2016 - 06.2017
  • Managed patient check-in and check-out processes.
  • Conducted insurance verification for new and existing patients.
  • Scheduled appointments for new patients and assisted in patient intake.
  • Performed pregnancy tests via urine samples and communicated results to patients.
  • Explained insurance benefits to patients to ensure they understood their coverage.

Donor/Recipient Coordinator

My Egg Bank
Atlanta, GA
01.2016 - 04.2016
  • Created and managed recipient IDs and demographic profiles.
  • Assisted recipients in reviewing donor profiles and facilitated the matching process.
  • Handled inbound calls and managed donor profiles and acknowledgment forms.
  • Maintained weekly reports on donor and recipient matches.
  • Managed egg log inventory to ensure accurate tracking of available donors.

Front Desk Receptionist

IVF Florida
Margate, FL
06.2013 - 08.2015
  • Managed patient calls, providing exceptional customer service and support.
  • Checked patients in and out and scheduled appointments as necessary.
  • Retrieved patient charts and prepared them for upcoming appointments.
  • Collected co-insurance, deductibles, co-pays, and IVF fees, ensuring accurate financial transactions.
  • Verified insurance benefits and handled authorization for outpatient procedures.
  • Ensured accurate coding of CPT and diagnosis codes to prevent claim issues.
  • Responsible for closing cash drawer at the end of the day.

Education

High School Diploma -

American Senior High School
Miami, FL
05-2011

Skills

  • Insurance Verification & Authorization
  • Medical Billing & Coding (ICD-10, CPT)
  • Claims Submission & Follow-Up
  • Performance Management & Staff Development
  • Customer Service & Patient Communication
  • Payroll Management
  • Medical Records Auditing
  • Third-Party Negotiations
  • Data Entry & Report Generation

Languages

English
Professional
Spanish
Professional

Custom

References available upon request.

Timeline

Supervisor

Banyan Treatment Center
10.2017 - Current

Front Desk/New Patient Coordinator

Georgia Reproductive Associate
09.2016 - 06.2017

Donor/Recipient Coordinator

My Egg Bank
01.2016 - 04.2016

Front Desk Receptionist

IVF Florida
06.2013 - 08.2015

High School Diploma -

American Senior High School

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Chelsea Perez