Summary
Overview
Work History
Education
Skills
Timeline
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ROSANA Y. VELASQUEZ

59-15 Van Doren Street, Corona ,NY

Summary

I'm versatile, driven and knowledgeable with over 10+ years of experience providing exceptional customer service, handling accounts, and managing inventory. Skilled ,organized and proactive with strong teamwork skills, but also an individual with a high level of critical thinking. These characteristics have allowed me to integrate, quickly and easily, into any professional environment.

Overview

11
11
years of professional experience

Work History

Medical Billing and Coding Specialist

Green Point Eye Care, NCICS
02.2020 - Current
  • Ensure codes are assigned correctly and sequenced appropriately as per government and insurance regulations.
  • Accurately enter EOB data into practice management system; -Revolution.
  • Complete Claims to Payers.
  • Resolve any denials to ensure we receive payment for services rendered.
  • Achieve maximum Reimbursement for Services provided.
  • Responsible for all aspects of insurance follow up and collections, including making telephone calls, accessing payer websites.
  • Support audit work/reports from assigned claims adjudication vendors to ensure quality - Review claims to ensure they are processed correctly and in a timely manner.
  • Reduces accounts receivable by reviewing claims with outstanding balances.

Staff Manager

King Of Tacos Restaurant
01.2017 - 01.2020
  • Safety and Sanitation compliance
  • Cost /Labor Controls
  • Strong leadership and communication skills
  • Reliable, dependable and motivated
  • Able to work 12 hour shifts with extensive standing/walking
  • P&L knowledge
  • ServSafe Food Manager + Alcohol Awareness Certification
  • Directly in charge of ordering and inventory
  • Responsible for recruiting, training and developing team members
  • Responsible for scheduling and employee retention.

Insurance Verifications Agent

Tower Auto Mall, Tower TLC Leasing & Rentals
01.2016 - 01.2017
  • Managed contracts, negotiations and all aspects of sales to finalize purchases and exceed customer expectations.
  • Assisted clients in financial planning.
  • Developed and maintained relationships with clients.
  • Collected fees and documented payment transactions.
  • Verified 1200 auto insurance policies weekly, to make sure they're in compliance with local and federal regulations.

Sales Person

Charter Communications, Time Warner Cable
01.2013 - 01.2016
  • Spending time with customers and asking questions to determine their needs and discuss options.
  • Maintain knowledge about product offerings, optional packages, and latest technologies.
  • Build and nurture relationships to build a strong and stable clientele for life.
  • Knowledge of transmission, broadcasting, switching, control, and operation of telecommunications systems.
  • Maintain strong knowledge of all TV, internet and wireless products, pricing plans, promotions and service features for Spectrum, as well as our competitors.

Education

Billing Specialist License -

Hunter Business Technical School, NCICS
Levittown, NY
2019

High School Diploma -

Benjamin N. Cardozo High School
Bayside, NY
06.2013

Skills

  • Bilingual (Spanish & English)
  • Strong work ethics
  • Problem solving and critical thinking skills
  • Accuracy and attention to details
  • Proficient with computer applications Microsoft Office (Word, Excel, PowerPoint, Adobe, etc),
  • Medical Terminology
  • CPT & HCPCS with Modifiers
  • Knowledge of Medicare & Medicaid / Managed Care Models
  • Decipher EOB & Remits

Timeline

Medical Billing and Coding Specialist

Green Point Eye Care, NCICS
02.2020 - Current

Staff Manager

King Of Tacos Restaurant
01.2017 - 01.2020

Insurance Verifications Agent

Tower Auto Mall, Tower TLC Leasing & Rentals
01.2016 - 01.2017

Sales Person

Charter Communications, Time Warner Cable
01.2013 - 01.2016

Billing Specialist License -

Hunter Business Technical School, NCICS

High School Diploma -

Benjamin N. Cardozo High School
ROSANA Y. VELASQUEZ