Celeste Jimenez

Celeste Jimenez Email and Phone Number

EDI Specialist at MedPoint Management @ MedPOINT Management
california, united states
Celeste Jimenez's Location
San Diego, California, United States, United States
Celeste Jimenez's Contact Details

Celeste Jimenez work email

Celeste Jimenez personal email

n/a
About Celeste Jimenez

I'm a highly skilled and motivated professional with a passion for data and a strong background in SQL. With three years of experience in data management and analysis, I have honed my expertise in crafting efficient and complex SQL queries, ensuring data accuracy, and uncovering valuable insights. With a sharp eye for detail, excellent problem-solving skills, and a dedication to delivering results, I am well-prepared and eager to take on new challenges in the data field.

Celeste Jimenez's Current Company Details
MedPOINT Management

Medpoint Management

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EDI Specialist at MedPoint Management
california, united states
Employees:
316
Celeste Jimenez Work Experience Details
  • Medpoint Management
    Edi Specialist
    Medpoint Management Jan 2024 - Present
    Sherman Oaks
  • Network Medical Management
    Eligibility Coordinator
    Network Medical Management Aug 2020 - Jan 2024
    El Monte, California, United States
    Formulate and run advanced SQL queries, determining and outlining criteria in order to obtain the data required to maintain accurate databases, generating a decrease in requests to our department. Analyze data in order to discover trends, encourage research, and influence management decisions.Utilize SSRS to extract capitation data, assess amounts received and deducted, guarantee accurate payments and member eligibility, resulting in proper member updates and a decrease in claims inquiries.Corroborate processing transactions; ensure all the necessary eligibility files are processed, uncover errors, and collaborate with the processing team to revamp as needed, maintaining accurate updates to our databases, diminishing additional requestsProcess over 120 requests per day, across five platforms, supporting multiple departments and hundreds of healthcare providers by fulfilling requests to verify member eligibility and coordination of benefits, and updating databases in order to ensure timely care for our patients.Demonstrated attention to detail, accelerated learning abilities, and success in mentoring my team, resulting in my promotion and assignment of more tasks.
  • Fox Benefits Insurance Agency
    Benefits Assistant
    Fox Benefits Insurance Agency Jan 2019 - Aug 2020
    Long Beach, California, United States
    Trained five other team members in innovative office practices and in producing enhanced reports in order to become suitable liaisons between insurance carriers and clients, resolving issues that require negotiation and excellent customer service, bringing about strong relationships and satisfied clients.Responsible for creating proposals and presentations inclusive of budget and benefit analysis for fifteen businesses of up to 200 employees in order to prepare for their annual renewal, applied detail-oriented practices to continuously monitor transactions and guarantee accuracy. Communicated with employees and employers of changes in the industry.Intensified the use of technology and applied spreadsheet modeling skills in order to streamline the company’s business processes and produce efficient reports that facilitated management decisions.HR: Processed payroll, interviewed potential hires, new hire onboarding.
  • Irvine Valley College
    Project Specialist
    Irvine Valley College Nov 2018 - Jul 2019
    Irvine, California, United States
    Work closely with a Mathematics professor in order to prepare class material resulting in an improvement in students' grades and an increase in communication and management skills.
  • California State University-Long Beach
    Supplemental Instruction Leader
    California State University-Long Beach Aug 2017 - Dec 2018
    Long Beach, California, United States
    Apply leadership skills by leading a class of 26 students and helping them prepare for class material through activities resulting in an increase in test scores.

Celeste Jimenez Education Details

Frequently Asked Questions about Celeste Jimenez

What company does Celeste Jimenez work for?

Celeste Jimenez works for Medpoint Management

What is Celeste Jimenez's role at the current company?

Celeste Jimenez's current role is EDI Specialist at MedPoint Management.

What is Celeste Jimenez's email address?

Celeste Jimenez's email address is celeste.jimenez@nmm.cc

What schools did Celeste Jimenez attend?

Celeste Jimenez attended California State University-Long Beach.

Who are Celeste Jimenez's colleagues?

Celeste Jimenez's colleagues are Janice Alvarado, Mary Comstock, Isabel Franco, Lizet Caldera, Quincy Roberts, Mph, Jacquie Wilkinson, Michael Putnam.

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