Susana Marmolejos
Dunellen,NJ
Summary
Dedicated and adaptable professional with a proactive attitude with solid background in high-volume office environments focused on delivering exceptional clerical and operational support for professionals. Strong work ethic and effective communication skills. Offers excellent technical abilities with software and applications, ability to handle challenging work, and excellent time management skills. Upbeat individual with friendly demeanor and sound judgment to handle diverse daily tasks with minimal oversight. Eager to contribute to a dynamic team and support organizational goals. Niche to finding things out.
Overview
16
16
years of professional experience
Work History
Receptionist
CareOne at Somerset Valley
Bound Brook, NJ
12.2022 - Current
- Serve visitors by greeting, welcoming, and directing them to appropriate personnel.
- Answer, screen, and forward incoming phone calls while managing multi-line telephone systems.
- Maintain a neat reception area by organizing materials and tidying up furniture.
- Perform data entry tasks into various computer systems accurately and promptly.
- Manage all incoming mail distribution, courier services, faxes, and photocopying documents as requested.
- Provide administrative support to staff members, including typing letters, filing documents, and scanning and copying documents when necessary.
- Respond to inquiries from internal staff members regarding office operations issues, such as mail delivery or office equipment maintenance.
- Create badges for temporary personnel who enter the building on a daily basis.
- Provide excellent customer service at all times while interacting with both internal and external customers.
- Handle customer inquiries and complaints, providing timely and appropriate solutions.
Credentialing Specialist
GenPsych Inc
Bridgewater, NJ
09.2022 - 12.2023
- Reviewed and processed credentialing applications to ensure accuracy, completeness, and compliance with all accreditation standards.
- Maintained detailed records of provider data in Microsoft Excel.
- Performed initial review for new providers to determine eligibility for enrollment into the network.
- Ensured timely completion of credentialing processes by providing guidance to providers on required documentation.
- Participated in periodic audits of credentialing files to maintain compliance with applicable regulations and policies.
- Conducted background checks on potential providers utilizing various resources including state licensing boards, OIG and GSA Exclusion List, NPDB.
- Processed re-credentialing applications for existing providers according to contractual requirements.
- Collaborated with internal teams regarding provider contracts and agreements.
- Interacted regularly with representatives from health plans and commercial payers regarding credentialing matters.
- Completed enrollments into Medicaid, Medicare and private insurance plans.
- Set up NPI numbers for providers and facilities and updated current profile information.
Credentialing Specialist & Customer Service
Hunterdon Healthcare
Flemington, New Jersey
10.2020 - 09.2022
Office Manager
Legacy Services Inc
Long Valley, NJ
01.2009 - 12.2020
- Performed general bookkeeping duties such as reconciling bank statements and creating journal entries.
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Administered payroll (ADP and PayChex) and maintained proper documentation of employee personnel.
- Managed, scheduled and coordinated office functions and activities for employees.
- Coded and entered daily invoices with in-house accounting software.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Resolved customer inquiries and complaints requiring management-level escalation.
- Delegated work to staff, setting priorities and goals.
- Reviewed completed work to verify consistency, quality, and conformance.
- Implemented quality control measures to uphold company standards.
Education
Associate of Applied Science - Psychology
Middlesex County College
Edison, NJ06-2026
Municipal Court Administration Certification - Municipal Court Administration
Raritan Valley Community College
Somerville, NJ04-2025
Skills
- Clear oral/written communication
- Bookkeeping
- Customer and client relations
- Reception desk management
- Recordkeeping and bookkeeping
- Organization skills
- Multitasking and prioritization
- Positive and professional
- Spreadsheet tracking
- Credit and collections
- Banking operations
- Office management software (Quickbooks desktop and online)
- License verifications
- Insurance procedures
- Facility credentialing
- EMR (NextGen)
- Service Level Agreements
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Receptionist
CareOne at Somerset Valley
12.2022 - Current
Credentialing Specialist
GenPsych Inc
09.2022 - 12.2023
Credentialing Specialist & Customer Service
Hunterdon Healthcare
10.2020 - 09.2022
Office Manager
Legacy Services Inc
01.2009 - 12.2020
Associate of Applied Science - Psychology
Middlesex County College
Municipal Court Administration Certification - Municipal Court Administration
Raritan Valley Community College
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