Zuleyka Santos
Union County Healthcare Associates
Somerset,NJ
17
years of professional experience
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Work History
Medical Receptionist
6 Years 11 Months- Adhered to strict HIPAA guidelines to protect patient privacy.
- Checked patient insurance, demographic, and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
Prior Authorization Specialist
1 Year 5 Months- Input all patient data regarding claims and prior authorizations into system accurately.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Provided prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Patient Registration Representative
1 Year 9 Months- Set up patients in system by documenting key data, confirming eligibility, and verifying insurance benefits.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Provided counseling to help patients navigate financial assistance programs for uncovered bills.
Data Entry Specialist
7 Years- Completed accurate and efficient data entry and database updates to support business operations.
- Created spreadsheets for tracking incoming orders and outgoing shipments.
- Generated reports on discrepancies between physical counts and computer records.
- Maintained client confidence by keeping information confidential.
Education
No Degree - Medical Assisting
High School Diploma
Skills
Data Processing
Referral Verification
Billing Support
Insurance Verification
Payment Collection
Telephone Etiquette
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Medical Receptionist
Union County Healthcare Associates
07.2019 - CurrentRead More
Prior Authorization Specialist
Salerno Medical Associates
02.2018 - 07.2019Read More
Patient Registration Representative
Metroplitan Family Health Network
05.2016 - 02.2018Read More
Data Entry Specialist
Central Poly Corporation
05.2009 - 05.2016Read More
Union County Vocational Technical School
High School Diploma
Read More
Lincoln Technical Institute - Edison
No Degree from Medical Assisting
Read More