Zuleyka Pena-Edwards, Cbcs Email & Phone Number

Dothan, Alabama, United States

1. Enters/update all demographic information2. Enter financial/billing information3. Obtains/initiates authorizations for clinical services4. Verify patients Insurance benefits and eligibility5. Collects Co-Pay, Co-insurance & self-pay balances6. Transcribe providers’ referrals

1. Aid vender BCBS-Carefirst with authorizations2. Verify patients Insurance benefits and eligibility3. Verify and obtain authorization Request faxes4. Create authorizations for NICU and ER admits5. Respond to providers phone calls and emails6. Approve authorization days requested by provider7. Assure compliance with Medicare regulations 8. Create authorization For Inpatient and Outpatient services9. Enter demographics & UR info into patient’s medical record.

Dothan, Alabama, United States

1. Greet, register patients, make new charts, upload MRI 2. Answer and route phone calls and make appointments 3. Verify Insurance benefits and eligibility 4. Verify and obtain referral number or authorization 5. Prepare daily cashier report and Make daily Banks deposit 6. Enter/update patient demographics and scan all paperwork 7. Work remote to complete facilities medical billing claims 8. Verify CPT codes are correct on medical claims 9. Applied appropriate ICD-10 codes and correct charges 10. Submit billing & coding claims for 4 different facilities 11. Possess strong communication, writing skills & computer skills 12. Verify and collect Patients Co-pays, Co-insurance & deductible 13. Attach Tricare and VA referral to patients chart/billing claim 14. Verify doctors note & billing code match diagnosis/procedure 15. Provide patients with their medical records or office notes

New York, United States

1. Protect and promote patient’s rights by adhering to HIPAA 2. Adhere to the safety guidelines, Joint Commission Policies and company regulations 3. Collaborate effectively with interdisciplinary team to carry out doctors orders in order to provide optimal treatment4. Provide quality care for patients diagnosed with mental illness, distress, or disabilities by providing therapeutic interventions5. Ensure the accurate, timely flow of patient information by maintaining thorough patient records and updating health care team of patients status

New York, New York, United States

1. Managed staff schedules to ensure proper coverage in the Pharmacy department2. Provide various administrative duties such as filing, sorting and distributing files3. Managed medication statistics on a monthly basis which included counting each medication used per unit4. Responsible for inventory and distribution of medication and medical supplies for the hospital. This included maintenance of expired medication and supplies which are vital to patient safety.

New York, United States

1. Developed high empathetic client relationship and provide exceptional customer service2. Led healthy cooking classes to create awareness on how to use the food items provided by W.I.C.3. Provided clerical support for nutritionist by Interviewing participants, answering phones and translating4. Facilitated Nutrition education for W.I.C participant’s and family members by providing Nutrition classes5. Responsible for scheduling patients future appointments

Bachelor Of Science - Bs, Health/Health Care Administration/Management, 3.8

Activities and Societies: Minor Health Education & promotion

Associate Of Science - As, Community Health Services/Liaison/Counseling