JESIMAR CRUZ
Conover,NC
Summary
I am seeking employment with a reputable and stable employer within my chosen field that will allow me to utilize my skills and past experiences in a way that is mutually beneficial to both myself and my employer. I am eager to set roots in a company that will make a positive impact long-term.
Overview
5
5
years of professional experience
Work History
Remote Eligibility & Authorization Specialist for Home Health
HealthRev Partners
Ozark, MI
03.2024 - 12.2024
- Conduct eligibility and benefit verification for Home Health Services prior to or upon admission, as well as on a monthly basis, to ensure proper coverage for the requested services, ensuring patients receive the services required without unnecessary financial burden.
- Initiate start-of-care (SOC) authorization, as well as ongoing authorization requests, in adherence to established guidelines and per payor requirements.
- Ensuring data entry into the designated EMR/EHR system is accurate and up to date.
- Regularly review and optimize workflow, making necessary adjustments.
- Communicate potential authorization lapses that could impact patient access to necessary services, promptly, to relevant staff.
Housekeeping
Abernethy Laurels
Newton, NC
01.2024 - 03.2024
- Maintained a clean working environment through regular housekeeping duties.
- Performed housekeeping duties such as putting away residents' laundry, dusting, sweeping, mopping, and trash removal.
- Cleaning and restocking bathrooms.
- Sterilized residents' rooms and employees' workspaces.
- Worked as a team to clean the dining and activity rooms.
- Cleared out, then sterilized rooms to relocate residents to another room or out of the facility.
- Assisted with the laundry room when needed.
Manufacturing Associate
Corning Optical Communications
Hickory, NC
07.2022 - 07.2023
- Worked as a team to meet company and departmental production goals.
- Headed production and staged areas in preparation for the completed product.
- Followed several SOPs for distinct products.
- Followed 5S procedures to maintain a safe and productive working environment.
- Ability to man my station for up to 12 hours per shift.
Specimen Accessioner
LabCorp
Hickory, NC
11.2020 - 06.2022
- Prepare biological specimens for the laboratory to ensure accurate processing.
- Verify patient demographics, and assure they match the requisitions.
- Data entry of patient information for tracking purposes.
- Meet key production metrics and quality measures to ensure timely, accurate results.
- Handle and dispose of medical and chemical waste.
- Comply with applicable environmental, health, and safety policies and procedures.
Warehouse Processor
Corning Optical Communications
Hickory, NC
10.2019 - 10.2020
- Inspect the product and verify that the data on the document and reels match.
- Satisfy requirements by ensuring that accurate data is entered correctly.
- Re-verify details to ensure information is without error.
- Client satisfaction and their continued business were our daily goals.
Education
Phlebotomy Technician -
Catawba Valley Community College
01.2014
High School Diploma -
Fred T. Ford High School
01.2007
Skills
- Computer knowledge
- 10-key proficient
- Excellent verbal and communicational skills
- Microsoft Office
- Windows
- Internet Explorer
- Reliable with consistent attendance
- Exceptional customer service skill
- Bilingual - English and Spanish
- EMR data entry
- Eligibility verification
- Insurance verification
- Data entry proficiency
- Telephone etiquette
References
- Maricelli Vera, Authorization Specialist, (828) 461-2668
- Gregory Crandall, LabCorp Supervisor, (828) 303-5252
- Sheccaro Davis, HRP E&A Team Lead, (210) 815-8182
Timeline
Remote Eligibility & Authorization Specialist for Home Health
HealthRev Partners
03.2024 - 12.2024
Housekeeping
Abernethy Laurels
01.2024 - 03.2024
Manufacturing Associate
Corning Optical Communications
07.2022 - 07.2023
Specimen Accessioner
LabCorp
11.2020 - 06.2022
Warehouse Processor
Corning Optical Communications
10.2019 - 10.2020
Phlebotomy Technician -
Catawba Valley Community College
High School Diploma -
Fred T. Ford High School
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