Summary
Overview
Work History
Education
Skills
Timeline
SoftwareDeveloper

MARLEN D. GARAY

EAST ORANGE,NJ

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills with excellent time management, independently problem-solving skills, Self-motivated, highly organized, detail-oriented, strong work ethic, and dedication to achieving goals.

Overview

16
16
years of professional experience
7
7
years of post-secondary education
2
2
Languages

Work History

PRESUMPTIVE ELIGIBILITY AND LOA COORDINATOR

NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS
Newark, NJ
2017 - Current

PE (PRESUMPTIVE ELIGIBILITY) COORDINATOR

  • PROVIDE TRAINING FOR ALL STAFF INVOLVED IN PE APPLICATIONS PROCESSES.
  • COMPLETE AND FILE REPORTS.
  • MONITOR PE APPLICATIONS FOR THREE SITES.
  • PROBLEM-SOLVING AND THE DISTRIBUTION OF INFORMATION TO ALL PE STAFF.

LOA/UNCOMPENSATED CARE PROGRAM (LETTER OF AGREEMENT FOR HEALTH SERVICES) COORDINATOR.

  • TO SCREEN ALL UNINSURED PATIENTS FINANCIALLY TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR LOA/UNCOMPENSATED CARE PROGRAM AND REIMBURSEMENT UNDER THE LOA AGREEMENT.
  • PREPARE INTERNAL AUDITS IN TERMS OF SCREENING FOR APPROPRIATE DOCUMENTATION.
  • REVIEW ALL LOA CLAIMS BEFORE SUBMISSION TO THE STATE OF NEW JERSEY FOR REIMBURSEMENT.
  • TRAINED STAFF ON CURRENT ELIGIBILITY REQUIREMENTS AND POLICIES.

PATIENT REGISTRATION AND MEDICAL RECORDS SUPERVISOR

NEWARK DEPARTMENT OF HEALTH COMMUNITY WELLNESS
2013 - 2017
  • LIAISON BETWEEN MANAGERS AND STAFF MEMBERS
  • RESPONSIBLE FOR SUPERVISING, TRAINING, AND RETRAINING ALL REGISTRATION AND MEDICAL RECORD STAFFI EHS (ELECTRONIC HEALTH RECORD) PATIENT REGISTRATION PROGRAM
  • MAINTAINS AND OVERSEES THE EFFICIENT AND ORDERLY REGISTRATION OF PATIENT FLOW
  • ENSURE STAFF COVERAGE FOR THE DAILY SHIFT OF THE REGISTRATION DEPARTMENT
  • MAINTAINS OPEN COMMUNICATION WITH ALL DEPARTMENTS TO ENSURE CONTINUITY OF CARE AND PROCESSES ARE MET IN THE AREA OF REGISTRATION
  • TRAINING AND OVERSIGHT OF CUSTOMER SERVICE PRACTICES AND IMPLEMENTATION OF PROCEDURES TO ENSURE EFFICIENT OPERATION OF THE REGISTRATION DEPARTMENT
  • SUSTAIN FRONT-END COLLECTION PROCEDURES TO ENSURE PAPERWORK AND FEE-FOR-SERVICES ARE ESTABLISHED UPON REGISTRATION
  • STRIVES TO CREATE MODALITIES THAT WILL IMPROVE DEPARTMENTAL PRODUCTIVITY AND SERVE TO ACCOMPLISH GREATER EMPLOYEE UNDERSTANDING AND EMPOWERMENT
  • COMPLETE AND FILE REPORTS
  • MAINTAINING REGISTRATION AND MEDICAL RECORDS DEPARTMENT POLICIES & PROCEDURES AS WELL AS SECURING ALL MEDICAL RECORDS FILES AND PATIENT CONFIDENTIAL INFORMATION
  • COMPLY WITH HIPPA FEDERAL REGULATION AS MANDATED
  • CHILD AND FAMILY WELL- BEING/HOMELESS HEALTH CARE

PATIENT REGISTRATION REPRESENTATIVE

NEWARK DEPARTMENT OF HEALTH COMMUNITY WELLNESS
NEWARK, NJ
2010 - 2013
  • REGISTRATION OF PATIENTS TO BE SEEN BY PHYSICIANS.
  • CREATE ENCOUNTERS AND RECORDS FOR NEW AND EXISTING PATIENTS.
  • ANSWER PHONE CALLS.
  • SCHEDULE PATIENT APPOINTMENTS.
  • INSURANCE VERIFICATION.
  • FORWARD MESSAGES FROM HOSPITALS TO DOCTORS.
  • FORWARD MESSAGES FROM PHARMACIES TO DOCTORS REGARDING PATIENTS’ PRESCRIPTIONS.

SHIFT SUPERVISOR, LIAISON BETWEEN ASSISTANT MANAGER AND STAFF

CVS PHARMACY
HACKENSACK, NEW JERSEY
2007 - 2010
  • RESPONSIBLE FOR MAINTAINING SHIFT SCHEDULES AND DAILY OPERATIONS.
  • COMPLETE AND FILE REPORTS.
  • RESPONSIBLE FOR OPENING AND CLOSING THE STORE.
  • DEVELOP AND MAINTAIN STAFF MEMBERS’ SCHEDULES.
  • ASSIGN STAFF MEMBERS TO COVER CRITICAL WORKING AREAS.
  • COLLECT REPORTS AND DEPOSIT ALL SALES RECEIPTS FOR THE DAY.
  • RESPONSIBLE FOR PROCESSING 30-40 PACKAGES OF PHOTO FILM.
  • RESPONSIBLE FOR HALLMARK CARD DISPLAY FOR FOUR DIFFERENT STORES.
  • ACCOUNTABLE FOR THE INVENTORY AND SEASONAL EVENT CELEBRATION SALES CARDS.

Education

BACHELOR’S DEGREE - INDUSTRIAL ENGINEERING

CENTRAL EAST UNIVERSITY, DE MACORIS
09.1992 - 09.1997

Certification - Certified Billing And Coding Speciast

Penn Foster Career School
Scranton, PA
01.2020 - 08.2021

Skills

MICROSOFT OFFICEundefined

Timeline

Certification - Certified Billing And Coding Speciast

Penn Foster Career School
01.2020 - 08.2021

PRESUMPTIVE ELIGIBILITY AND LOA COORDINATOR

NEWARK DEPARTMENT OF HEALTH AND COMMUNITY WELLNESS
2017 - Current

PATIENT REGISTRATION AND MEDICAL RECORDS SUPERVISOR

NEWARK DEPARTMENT OF HEALTH COMMUNITY WELLNESS
2013 - 2017

PATIENT REGISTRATION REPRESENTATIVE

NEWARK DEPARTMENT OF HEALTH COMMUNITY WELLNESS
2010 - 2013

SHIFT SUPERVISOR, LIAISON BETWEEN ASSISTANT MANAGER AND STAFF

CVS PHARMACY
2007 - 2010

BACHELOR’S DEGREE - INDUSTRIAL ENGINEERING

CENTRAL EAST UNIVERSITY, DE MACORIS
09.1992 - 09.1997
MARLEN D. GARAY