Jessenia Quinones
Cape Coral
Summary
Insurance industry professional with strong expertise in claims management, negotiation, and customer service. Proven ability to analyze complex information, make sound decisions, and ensure optimal outcomes. Highly valued for teamwork, adaptability, and delivering results. Possesses skills in conflict resolution, data analysis, and regulatory compliance. Reliable and flexible in meeting changing needs and priorities.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Insurance Claims Representative
Florida Cancer Specialist
10.2022 - Current
- Reviewing claim denials
- Researching payer specific guidelines
- Creating appeals
- Calling insurance companies
- Verifying insurance eligibility
- Correcting claims
- Remote
Insurance Claims Specialist
Lee Health
10.2019 - 08.2020
- Reviewing claims
- Calling insurance companies
- Correcting claims
- Creating appeals
- Reviewing medical records for accurate information
- Checking insurance eligibility
HIM Specialist
Lee Health
01.2019 - 07.2019
- Answering patient calls
- Making pre-procedure appointments
- Requesting/reviewing medical records
Director of Guest Relations
Florida Skin Center
02.2018 - 08.2018
- Check in/out patients
- Entering/verifying insurance
- Reviewing medical insurance
- Answering phones
- Scheduling appointments
- Selling products
- Collecting copays/balances
Customer Service Representative
Lee Physicians Group Pediatrics
03.2016 - 02.2018
- Check in/out patients
- Scheduling appointments
- Handling referrals/authorizations
- Phone operator
- Reviewing/collecting balances
- Open/Closing all locations
Front Desk Customer Service Representative
All Children's Outpatient Center
02.2012 - 02.2014
- Check in/out patients
- Entering charges
- Reviewing insurance
- Scheduling appointments
- Collecting copays/balances
- Obtaining authorizations
- Handling providers schedules/making templates
Education
Associates Degree - General Studies
Florida Southwestern State College
04.2021
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High Tech Central
Fort Myers, FL01.2019
Certified Nursing Assistant CNA - undefined
Cape Coral Technical College
Cape Coral, FL12.2015
High School Diploma - undefined
North Fort Myers High School
North Fort Myers, FL05.2006
Office Assistant Program - undefined
Cape Coral Technical College
Cape Coral, FL05.2006
Skills
- Claims investigation
- Policy interpretation
- Insurance claims review
- Decision-making
- Documentation review
- Coverage determination
- Claims trend analysis
- Problem-solving
- Multitasking
Certification
- Certified Professional Coder (CPC)
- American Academy of Professional Coders (AAPC)
Timeline
Insurance Claims Representative
Florida Cancer Specialist
10.2022 - Current
Insurance Claims Specialist
Lee Health
10.2019 - 08.2020
HIM Specialist
Lee Health
01.2019 - 07.2019
Director of Guest Relations
Florida Skin Center
02.2018 - 08.2018
Customer Service Representative
Lee Physicians Group Pediatrics
03.2016 - 02.2018
Front Desk Customer Service Representative
All Children's Outpatient Center
02.2012 - 02.2014
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High Tech Central
Certified Nursing Assistant CNA - undefined
Cape Coral Technical College
High School Diploma - undefined
North Fort Myers High School
Office Assistant Program - undefined
Cape Coral Technical College
Associates Degree - General Studies
Florida Southwestern State College