Jorge Velasco
Van Nuys,CA
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
23
23
years of professional experience
Work History
Lead Claims Project Specialist
Regal Medical Group
04.2017 - Current
- Managed multiple projects simultaneously, ensuring timely completion and high-quality and compliance.
- Proficient in facility and professional claims. Established clear lines of communication between all parties involved in projects, preventing misunderstandings or miscommunications from jeopardizing outcomes.
- Improved project efficiency by streamlining communication and collaboration among team members.
- Maintained detailed documentation of project progress, facilitating smooth handovers and seamless transitions between phases.
Claims Examiner III
Cap Management/ Conifer
07.2013 - 02.2017
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
Skills
23 years of experience in medical field
Microsoft office
Microsoft Windows
Microsoft excel
Microsoft access
Organizational skills
Computer system skills(EZ-Cap, IDX, Amecus)
Knowledgeable in Current procedural terminology as well as ICD-9 & ICD-10 diagnosis codes
Languages
Spanish speaking and writing
Full Professional
Timeline
Lead Claims Project Specialist
Regal Medical Group
04.2017 - Current
Claims Examiner III
Cap Management/ Conifer
07.2013 - 02.2017