Joy Munar
Los Angeles,CA
Summary
Committed employee with a history of meeting company needs with consistent and organized practices. Through the years I have obtained the ability and knowledge to listen closely to detail, identify a need and work quickly and accordingly to resolve the issue with minimal supervision. I am highly-motivated with desire to take on new challenges and apply time management and organizational skills in various environments. I have the ability to adapting to new situations and challenges to best enhance the organizational brand.
Overview
28
28
years of professional experience
Work History
Administrative Assistant
City of Los Angeles Department of Recreation and Parks
Los Angeles
2023.01 - Current
- Provided administrative support to my Park Maintenance Supervisor in the management of 28 parks and their employees.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Composed letters, memos, reports, emails and other written correspondence as required by our department.
- Created spreadsheets in Microsoft Excel for record-keeping and reporting.
- Maintained the supply inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
- Handled confidential documents such as Worker's Compensation, FMLA, CAL OSHA and employee performance documents in an organized fashion according to established protocol.
- Tracked and submitted employee timesheets to prepare for payroll processing.
- Assisted with the process of job applications and employee onboarding.
- Developed administrative processes to achieve organizational objectives and improve office efficiency.
Order Administrator/Renewal Billing Specialist
XEROX CORPORATION
EL SEGUNDO , CA
2015.06 - 2021.01
- Validate, generate and process all support renewals, quotes and invoicing based on contract type.
- Generate monthly support expiration reports for processing.
- Performed post-order activities for timely and accurate follow up of order acknowledgments, vendor approvals and confirmations.
- Ensure all incoming correspondence in regard to open orders and renewals which includes e-mails of customer purchase orders and/or order changes are processed and confirmed in a timely manner to assure order is processed correctly.
- Post sales operations: manage the order cycle from new to renewals, including but not limited to reviewing, confirming and processing new orders.
- Monitor and ensure that customer invoices are generated.
- Support special projects as required
- Participated in training classes and actively seek professional development.
Insurance Verification Specialist
THE DISCOVERY HOUSE
RESEDA , CA
2015.02 - 2015.06
- Contact member’s Healthcare insurance company and obtain their In and Out of Network benefits for all levels of care pertaining to their treatment.
- Advised the intake coordinators and the necessary departments of the member‘s benefits which also includes the member’s responsibility such as deductibles, copays and coinsurance.
- Enter data and file information received into the system.
Insurance Verifier
PASSAGES MALIBU
MALIBU , CA
2014.09 - 2015.02
- Contacts member’s healthcare insurance company to retrieve benefit coverage and eligibility for treatment.
- Calculate member’s out of pocket responsibilities.
- Obtain prior authorization if required for treatment.
- Maintain member’s data as well as any correspondence related to their eligibility and benefits.
Administrative Assistant
FIRST PRIORITY MANAGEMENT SERVICES, LLC
WOODLAND HILLS , CA
2010.10 - 2012.12
- Communicated via e-mail as well as verbally with Attorney Assistants in regards to Imaging reports such as X-Rays, CT Scans, MRIs and billing inquires of their clients for Personal Injury cases.
- These results are obtained within 24-48 hours from the day which the patient was scheduled for the studies from various Doctors, MRI and Radiology Facilities as well as Hospitals where Epidurals and Surgeries were performed.
- Generated billing invoices according to Procedure Codes and fee schedules along with the results to the referring Doctor and the Attorney’s Office.
- Worked closely with the Account Manager or the claims representative in resolving billing issues and following up on cases in a timely manner.
- Accomplishments.
- Established good rapport with billing department contacts within the participating Facilities to obtain reports and billing corrections in a timely manner for Epidurals and Surgeries as well as Anesthesia charges.
- Developed a process to have archived files to be scanned into pdf format and logged into the company database for any future reference to be accessed to anyone in the company network.
- Created training sheets which included each facilities fee schedule, guideline for CPT codes and various workflow material for new hires.
- Developed a system where our contracted facilities are pinned in Google Maps therefore making it easier to determine facilities in the area convenient for our patients.
Denial and Appeals Representative
WALGREENS OPTION CARE / BURBANK
, CA
2008.07 - 2008.10
- Receive the warrants for Medi-Cal claims that have been submitted, reviewed and denied for payment.
- Review TARs and SARs and communicated with Care Coordinators if new Treatment Request is needed.
- Reviewed CCS denied accounts as well.
- Researched and gathered the necessary information for resubmission and payment on CIF.
Accounts Receivable Collector
GLENDALE , CA
2008.05 - 2008.07
- Recover outstanding balances on patient accounts from insurance companies for medication dispensed from providers.
- Contact claims adjusters to follow up on claims and negotiate balances.
- Generate demand and confirmation letters.
- File medical liens via Edex, prepare necessary documents needed for court hearings following the Ca Worker's Compensation rules and regulations.
Accounts Receivable Specialist
EMERGENCY GROUPS OFFICE / ARCADIA
, CA
2007.09 - 2008.03
- Handle correspondence from members, health plans and medical groups in regards to payment for ER services.
- Verify insurance, update and input insurance information, research and resolve issues of unpaid claims and have direct contact with payors to have claims paid in a timely manner and according to Health Insurance Guidelines.
Collector
MEDTRONIC / NORTHRIDGE
, CA
2005.05 - 2006.01
- Access and process workflow items to completion.
- Contact assigned payors in designated aging categories.
- Process denials, appeals and other correspondence from third-party payors and validate data as appropriate and identify and report payor trends.
Customer Claims Representative
US BEHAVIORAL HEALTHPLAN
SAN DIEGO , CA
2001.06 - 2003.12
- Assist in telephone inquiries from members, providers and facilities with regards claims issues and benefit information.
- Implement necessary action to solve these claims issues.
- Handle the correspondences that are sent by these members, facilities and providers with a status/resolution within a 48 hour turn around time upon receipt.
- Working closely with different departments within our company such as Case Managers for clinical and authorization issues, Provider Relations in regards to contract agreements for our In Network and Out of Network Providers and Claims/Adjustments Department to utilize the information that has been researched to either generate payment or decline request.
- Assisted the Intake Department dealing with members, providers and facilities to verify eligibility, provide appropriate referrals for treatment, generate authorizations and to provide benefit information and clarification of the member.
Members Service Representative
Pacificare Behavioral Health
Van Nuys , CA
1997.06 - 2001.03
- Respond to member's inquiries and complaints in regards to referrals, benefits, appeals and grievances and claims information.
- Give authorizations to members who did not have need to speak or work directly with Care Managers, but for the sole purpose of seeking therapy.
- Work closely with Case Managers as well as Facility representatives.
Members Service Representative
Prudential Healthcare
Los Angeles , CA
1996.05 - 1997.06
- Educate members in regards of their benefits and assist in selecting providers for their needs as well as resolve claim issues.
Education
Associates Degree -
Concorde Career Institute
1996
Diploma - General Education
Holy Family Girls High School
1991
General Education
Pasadena City College
Skills
- WPM 55+
- Microsoft Word
- Data Entry
- Microsoft Excel
- Invoice Processing
- Budget Tracking
- Meticulous attention to detail
- Prioritization
- Timeline Planning and Management
REFERENCES
- Yovonte Robinson | Park Maintenance Supervisor Los Angeles Department of Recreation and Parks | (213)284-1061
- Juan Bonilla
Timeline
Administrative Assistant
City of Los Angeles Department of Recreation and Parks
2023.01 - Current
Order Administrator/Renewal Billing Specialist
XEROX CORPORATION
2015.06 - 2021.01
Insurance Verification Specialist
THE DISCOVERY HOUSE
2015.02 - 2015.06
Insurance Verifier
PASSAGES MALIBU
2014.09 - 2015.02
Administrative Assistant
FIRST PRIORITY MANAGEMENT SERVICES, LLC
2010.10 - 2012.12
Denial and Appeals Representative
WALGREENS OPTION CARE / BURBANK
2008.07 - 2008.10
Accounts Receivable Collector
2008.05 - 2008.07
Accounts Receivable Specialist
EMERGENCY GROUPS OFFICE / ARCADIA
2007.09 - 2008.03
Collector
MEDTRONIC / NORTHRIDGE
2005.05 - 2006.01
Customer Claims Representative
US BEHAVIORAL HEALTHPLAN
2001.06 - 2003.12
Members Service Representative
Pacificare Behavioral Health
1997.06 - 2001.03
Members Service Representative
Prudential Healthcare
1996.05 - 1997.06
Associates Degree -
Concorde Career Institute
Diploma - General Education
Holy Family Girls High School
General Education
Pasadena City College
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