Summary
Overview
Work History
Education
Skills
Software Experience
Timeline
Generic

Rosangela Neris

Bronx

Summary

Precise with sound judgement and decision making skills. Self motivator with strong work ethics. Always determined to complete tasks accurately and in a timely fashion. Reliable along with proactive skills under direct supervision. More than 8 years of experience working in public service offering medical and social services.

Overview

24
24
years of professional experience

Work History

Denial Analyst

Acacia Network
07.2023 - Current

Managed insurance billing and payment processing tasks.

Evaluated financial records to verify correct account adjustments.

Supported loading encounters when necessary.

Maintains accurate records of billing and claim submissions.

Updating patient’s demographics and generating billing reports.

Check patient’s payments.

Reviewing Explanation of Benefits.

Managed reconciliation of denied claims.

Admissions Specialist

Acacia Network
02.2008 - 07.2023
  • Interviewed and assessed new clients daily.
  • Selected and compiled relevant information and resources for clients to support them in overcoming mental and emotional problems.
  • Analyzed financial information obtained from clients to determine eligibility.
  • Utilized ICD-10 and procedure codes, along with calling contracted insurance carriers to obtain authorization prior to finalizing admission process.
  • Carefully reviewed medical records for accuracy and completion as required by insurance companies.
  • Developed internal and external network with referral sources.

Health Care Associate

Planned Parenthood - Margaret Sanger Health Center
01.2003 - 02.2008
  • Thoroughly interviewed clients.
  • Provided personal nursing care in pre- and post-operative situations.
  • Completed and submitted clinical documentation in accordance with agency guidelines.
  • Provided necessary supplies, support and assistance to medical staff and patients for unit specific procedures.
  • Educated clients regarding family planning concerns as well as pre and post test education involving HIV testing.

Client Service Representative

Planned Parenthood - Margaret Sanger Health Center
01.2002 - 02.2003
  • Provided accurate and appropriate information in response to customer inquiries about Planned Parenthood Services
  • Addressed customer service inquiries in a timely and accurate fashion.
  • Made reasonable procedure exceptions to accommodate client's with appointments requested.

Education

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Certified Medical Interpreters
New York, NY
01.2007

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Hunter College
New York, NY
01.2000

Skills

  • Bilingual in [Spanish]
  • Exceptional problem solver
  • Nextgen [EPM and EHR]
  • Expert in customer relations
  • Effective time management
  • Goal-oriented

Software Experience

Windows NT 3.11, 95,97, Excel, Word, Power Point, Word Perfect for Windows, Microsoft Outlook, Nextgen, ADL, Smart System.

Timeline

Denial Analyst

Acacia Network
07.2023 - Current

Admissions Specialist

Acacia Network
02.2008 - 07.2023

Health Care Associate

Planned Parenthood - Margaret Sanger Health Center
01.2003 - 02.2008

Client Service Representative

Planned Parenthood - Margaret Sanger Health Center
01.2002 - 02.2003

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Certified Medical Interpreters

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Hunter College