Krystie Mendez
New York,NY
Summary
Adaptable employee with a proven track record of delivering exceptional customer service across diverse industries. Known for quickly adapting to new environments and effectively collaborating with team members to achieve shared goals. Demonstrated ability to consistently exceed customer expectations and drive positive outcomes. Results-oriented professional with a strong work ethic and a passion for delivering top-notch service.
Overview
13
13
years of professional experience
Work History
Insurance Verification Specialist
Centene Corportarion
New York, NY, USA
05.2022 - Current
- Verify insurance eligibility for services and ensure accurate documentation in system.
- Conducted prior authorizations as mandated by payor source, securing necessary documentation through collaboration with physicians' offices and insurance companies.
- Gather clinical data including lab values and diagnosis codes.
- Configured coordination of benefits data for each referral.
- Managed inbound calls from patients, physician offices, and insurance companies.
Clinical Intake Coordinator/ Verification Specialist
City Physical Therapy
New York, NY, USA
09.2019 - 05.2022
- Contacted insurances (by phone, e-mail and regular mail) for eligibility, verification of benefits, network status and authorization, documenting information
- Responded to correspondence from insurance companies
- Efficiently navigated the process of handling authorization denials and appeals.
- Reviewed insurance coverage, deductibles, and potential payments from carriers.
- Processed referral requests and transmitted medical records via fax.
Receptionist
Cornerstone Physical Therapy
Asheville, NC, USA
08.2012 - 03.2019
- Facilitated patient check-in by collecting necessary personal, medical, and insurance information.
- Ensured accuracy in appointment verification and coordination with secondary care providers.
- Coordinated and scheduled program and provider visits; communicated appointments to patients and provided customized written and verbal instructions
- Oversaw audit process for scanning and uploading former patient charts into Electronic Medical Records.
- Processed referral requests efficiently.
Education
Bachelor's degree - Law and Society
John Jay College
New York, NYRegents Diploma -
Millennium High School
New York, NYSkills
- Scheduling
- Insurance Verification
- Customer Service
- Medical Records
- HIPAA
- Salesforce
- Administrative Support
- Microsoft Office
Timeline
Insurance Verification Specialist
Centene Corportarion
05.2022 - Current
Clinical Intake Coordinator/ Verification Specialist
City Physical Therapy
09.2019 - 05.2022
Receptionist
Cornerstone Physical Therapy
08.2012 - 03.2019
Bachelor's degree - Law and Society
John Jay College
Regents Diploma -
Millennium High School