Reimy Guzman
Salem,USA
Summary
Bilingual professional with 8+ years of experience in healthcare, case management, and administrative support. Skilled in coordinating services, client advocacy, and collaborating with multidisciplinary teams. Proficient in healthcare software and managing client needs across various programs. Seeking a case management position to utilize my expertise in service coordination and client support.
Overview
11
11
years of professional experience
Work History
Senior Care Options Geriatric Support Service Coordinator
Greater Lynn Senior Services, Inc.
Lynn, USA
01.2021 - Current
- Coordinate care plans and assessments for Senior Care Options members with Primary Care Team and other members
- Conduct in-home visits for initial assessments and reassessments with Senior Care Options RNs
- Arrange, monitor, and authorize home/community-based long-term care and support services
- Provide advocacy, crisis case management, and assist with entitlement programs
- Collaborate with interdisciplinary teams to assess appropriateness for institutional care and adjust care plans post-hospitalization
PCA Skills Trainer
Greater Lynn Senior Services, Inc.
Lynn, USA
08.2017 - 01.2021
- Perform intake, orientation, and ongoing case management for new PCA referrals
- Instruct consumers and surrogates in personal care service programs, medical issues, and time sheet management
- Conduct quarterly evaluations and provide additional training as needed
- Assist with Medicaid applications, Social Security, and other related benefits
Practice Billing Coordinator
Tufts Medical Center
Boston, USA
07.2015 - 08.2017
- Managed charge entry and monitored billing reports for the New England Eye Center
- Analyzed billing data, resolved patient billing inquiries, and communicated with physicians regarding billing errors
- Obtained prior authorizations, processed surgical charges, and ensured accurate insurance eligibility and demographic information
Medical Billing Internship/Medical Billing Specialist
Microsurgical Eye Consultants
Peabody, USA
09.2013 - 07.2015
- Entered charges from encounter forms and verified patient insurance and demographic details
- Obtained referrals, processed payments, and assisted patients with billing inquiries
Education
Bachelor’s Degree - Education and Sociology
Salem State University
Salem, MA01.2019
Professional Medical Claim Specialist Certificate -
Salter School
Malden, MA01.2013
Associate Degree - Early Childhood Education
North Shore Community College
Lynn, MA01.2009
Skills
- Microsoft Office Suite
- Compulink
- Epic
- IMedicWare
- IDX
- Patient Keeper
- Huron
- Soarian
- Invision
- Divenci
- MMIS Virtual Gateway
- Medical Billing & Coding
- ICD-10-CM
- CPT
- Encoder Pro
- Cash Posting
- Ophthalmology Billing
- Case Management
- Crisis Support
- Advocacy
- Entitlement Program Assistance
Languages
English
Full Professional
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Senior Care Options Geriatric Support Service Coordinator
Greater Lynn Senior Services, Inc.
01.2021 - Current
PCA Skills Trainer
Greater Lynn Senior Services, Inc.
08.2017 - 01.2021
Practice Billing Coordinator
Tufts Medical Center
07.2015 - 08.2017
Medical Billing Internship/Medical Billing Specialist
Microsurgical Eye Consultants
09.2013 - 07.2015
Bachelor’s Degree - Education and Sociology
Salem State University
Professional Medical Claim Specialist Certificate -
Salter School
Associate Degree - Early Childhood Education
North Shore Community College
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