Destiny Velez
Lodi,NJ
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
14
14
years of professional experience
Work History
Claims Analyst/ Medical Biller
Aspirion Health
01.2023 - 07.2025
- Verifying insurance eligibility via phone calls or insurance portals
- Reviewing claims for coding errors to ensure payment upon payer submission.
- Creating and submitting Outpatient Appeals for denied services such as no auth or medical necessities
- Requesting Medical Records for payer submissions upon request
- Maintaining awareness of and ensuring adherence to the healthcare facility’s privacy standards (HIPAA Certified)
- Maintaining company’s KPIs/quotas
- Following up with insurance companies on claim status
- Contacting insurances or patients to update COB issues and/or denials
- Billing UB04
- Reviewing contracts to ensure payer’s payment is accurate
- Reviewed misapplied payments and provided all related information to cash posting to locate and post payments
- EPIC hospital system knowledge
- Medical Terminology knowledge
Billing Specialist
Always Home Care
Hackensack, NJ
10.2020 - 01.2023
- Processed high-volume billing transactions accurately and efficiently.
- Managed customer account inquiries and resolved billing discrepancies.
- Maintained detailed records of payments and customer communications.
- Conducted audits of billing statements for accuracy and completeness.
- Answered customer inquiries regarding billings, payments, account status.
- Worked closely with patients to discuss payment arrangements when needed.
Insurance Verification Specialist
Riverside Medical Group
Paterson, NJ
07.2019 - 10.2020
- Communicated effectively with patients regarding their coverage options and requirements.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Following up on Claims via telephone with insurance payers
- Medical terminology knowledge
- Review denied claims for coding issues
- Verified insurance eligibility
- Contacted patients when needed for insurance
- COB updates with patients and or insurance companies
Receptionist Administrator
New Jersey Motor Vehicle Commission
01.2017 - 01.2021
- Responsible for technical and clerical functions under the direction of a supervisor
- Reviews and process multiple license types in accordance with state and federal laws
- Administered oral written examination for license and registration
- Ensured all patrons had a pleasant and quick process
Lead Receptionist
Garden State Honda
01.2015 - 01.2017
- Responsible for welcoming visitors by greeting them, in person or on the telephone.
- Receives, screen and manage a large influx of calls; take and provide information, answers inquiries
- Provides executive-level administrative support to Management.
- Maintains daily calendar, composed, prepared, and routed correspondences.
- Kept records of materials filed or removed, using logbooks or computers
- Maintains safe and clean reception area by complying with procedures, rules, and regulations.
- Responsible for training new reception employees and part time associates.
- Directed visitors by maintaining employee and department directories; giving instructions.
Administrative Assistant
World Business Lenders
01.2014 - 01.2015
- Responsible for monitoring and directing the company telecommunication system
- Kept records of materials filed or removed, using logbooks or computers
- Regularly invoiced clients and customers using quick books and in house accounting systems.
Marketing Assc.
Tri-Star Productions Telemarketing
01.2012 - 01.2014
- Consistently exceeded daily, weekly and monthly sales goals by 10%+
- Responsible for marketing a diverse product line ranging from health products and services to kitchen appliances.
- Maintained a service orientated attitude while dealing with customers of all backgrounds
- Responsible for welcoming visitors by greeting them, in person or on the telephone.
Education
High School -
Lodi High School
Lodi, NJ01-2013
Skills
- Bilingual
- Microsoft Office
- QuickBooks
- Communication
- Multi-tasking
- Patient Care
- Epic
- Typing
- Customer Service
References
Available Upon request
Timeline
Claims Analyst/ Medical Biller
Aspirion Health
01.2023 - 07.2025
Billing Specialist
Always Home Care
10.2020 - 01.2023
Insurance Verification Specialist
Riverside Medical Group
07.2019 - 10.2020
Receptionist Administrator
New Jersey Motor Vehicle Commission
01.2017 - 01.2021
Lead Receptionist
Garden State Honda
01.2015 - 01.2017
Administrative Assistant
World Business Lenders
01.2014 - 01.2015
Marketing Assc.
Tri-Star Productions Telemarketing
01.2012 - 01.2014
High School -
Lodi High School
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