Denise Allen-Perez
Jersey City
Summary
With 9 years of experience evaluating and processing medical claims for a local union, and 10 years as a hospital registrar, I am a dedicated and hardworking professional seeking a position where my skills in customer service and administrative duties can be utilized. I have a strong background in efficiently handling medical claims, ensuring accuracy, and providing exceptional customer service. With a proven track record in healthcare and administrative roles, I am confident in my ability to contribute to a team and make a positive impact.
Overview
25
25
years of professional experience
Work History
Insurance Claims
Local 560 Benefit Funds
06.2015 - 10.2024
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Field inquiries from members and providers, via phone and/or in-person.
- Manage assigned liens and requests made by Fund Counsel.
- Performed follow up actions necessary to ensure member satisfaction.
- Additional duties and/or special projects as assigned by the Welfare Manager.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Made contact with insurance liaison to discuss claim matters.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Collaborated with healthcare providers to ensure accurate billing information was submitted, resulting in fewer denied or delayed payments.
- Verified medical benefits coverage for members and healthcare providers.
Registration/Outpatient Unit Clerk
Saint Vincent's Catholic Medical Center
11.1999 - 05.2010
- Conducted patient intake interviews, collecting and documenting relevant information for registration.
- Answered phone calls and messages for multiple physicians and medical staff in a clinical setting.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Answered patient questions and inquiries regarding registration process and documentation.
- Provided training to new registration clerks on policies, procedures, and best practices for maintaining an efficient workflow within the department.
- Upheld HIPAA regulations and standards for protecting patient information.
- Explained form wording to patients to help each understand information required.
- Collaborated with hospital staff to ensure smooth transitions between departments and services for patients.
Education
Associate of Arts - Liberal Arts
Hudson County Community College
Jersey City, NJ01-2000
Skills
- Bilingual in Spanish
- Client-centered approach
- Meticulous attention to detail
- Organizing successful gatherings
- Experienced with Microsoft Office applications
- Solution-Focused
- Medical claims processing
- Verification and eligibility of insurance coverage
- Health Benefits Orientation
Timeline
Insurance Claims
Local 560 Benefit Funds
06.2015 - 10.2024
Registration/Outpatient Unit Clerk
Saint Vincent's Catholic Medical Center
11.1999 - 05.2010
Associate of Arts - Liberal Arts
Hudson County Community College
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