Julissa Colon
Bloomfield,NJ
Summary
Effective Medical Claims Processor with strong background building rapport with providers to discuss claim status or claim denials. Driven performer equipped to handle multiple administrative tasks effectively. Exemplary worker with highly investigative skills when processing claims.
Overview
12
12
years of professional experience
Work History
Customer Services /Medical Claims Representative
ConnectiveRx
Fairfield, NJ
11.2019 - Current
- Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
- Managed large volume of medical claims on daily basis.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Paid or denied medical claims based upon established claims processing criteria.
- Responded to correspondence from insurance companies.
- Reviewed provider coding information to report services and verify correctness.
- Reviewed 200 patient cases per week and verified insurance coverage information
Assistant Manager
Coach Handbags
Garden State Mall , NJ
08.2018 - 10.2019
- Exceeded sales goals and accomplished business objectives by inspiring staff and promoting target products.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
- Developed loyal and highly satisfied customer base through proactive management of team customer service strategies
- Managed 100 credit cards every month
Assistant Manager
Victoria Secret
Short Hills, NJ
01.2015 - 04.2019
- Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
- Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs.
- Brought in bra sale by 55%
Assistant Manager
Victoria's Secret & PINK
Jersey City, NJ
04.2018 - 08.2018
- Helped with planning schedules and delegating assignments to meet coverage and service demands.
- Developed loyal and highly satisfied customer base through proactive management of team customer service strategies.
- Exceeded sales goals and accomplished business objectives by inspiring staff and promoting target products.
- Became # 1 seller in NJ District
Education
Bachelor of Arts -
Monroe Collage
The Bronx, NY1996
Associate of Science - Business Administration And Management
Monroe College
The Bronx, NY1992
Skills
- Priority management
- Operations management
- Search Engine Optimization
- Strategic planning
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
It is never too late to be what you might have been.
George Eliot
Timeline
Customer Services /Medical Claims Representative
ConnectiveRx
11.2019 - Current
Assistant Manager
Coach Handbags
08.2018 - 10.2019
Assistant Manager
Victoria's Secret & PINK
04.2018 - 08.2018
Assistant Manager
Victoria Secret
01.2015 - 04.2019
Bachelor of Arts -
Monroe Collage
Associate of Science - Business Administration And Management
Monroe College
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