New York Life Insurance Company

Insurance Agent

Opya Inc. 

Analyze denied claims, resubmit claims, document claim statuses, request medical records, file appeals, re-determinations, etc.
Adjust balances left on outstanding claims per contracted rates.
Submit correct claims to be reconsidered for payment. 
High level understanding of insurance benefits and payment guidelines.
Obtain and maintain all referrals and pre-authorizations to ensure adequate reimbursement.
Maintain insurance verifications, cash posting and collections.
High level of understanding of insurance coordination of benefits and reimbursement.
Implement new ideas and procedures for efficient workflow.
Established and maintained relationships with new clients as well as current clients.
Settle patient complaints and provided patient advocacy.
Collaborate with providers to resolve clinical documentation inaccuracies, incomplete documentation and corrections when necessary.
Collaborate with billing department to resolve insurance denial and other billing questions.
Submit billing/follow adherence to guidelines to ensure we maintain compliant standards.

Revenue Cycle Management

Schedule Behavior Technicians to provide ABA services to three different clients a day, calculating in drive-time, locations, traffic, taking into account staff health issues (allergies), and parental preferences. 
Professionally inform/verify appointment times with parents. 
Identify and resolve patient billing and payment issues in a timely manner. 
Update patient financial information/re-authorization to guarantee accuracy. 
Assist in resolving and satisfying client requests and internal operational issues. 
Developed a system to identify client availability to provide sub-sessions when staff has cancellations. 
Consistently comply with applicable laws and ensure facility adheres to HIPAA regulations. 
Treat all clients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Assisted in scheduling the highest number of ABA services rendered within my first month.

Client Service Coordinator/Clinical Scheduler

ACES (Comprehensive Educational Services, Inc.)

To enhance the quality of life for individuals and families impacted with autism or other special needs.
Provide comprehensive, professional services to maximize individual's potential in the home, school and life. 
Run individualized programs based on the client's needs. 
Provide clinic, school and home based interventions along with social skill classes.
Interpreted results and proposed intervention plans, including short and long-range goals, frequency and duration. 
Collaborated with other area service providers.

Behavior Interventionist

Macy's

Recommend merchandise based on customer needs.
Work as a team member performing cashier duties, product assistance and cleaning.
Enter product notes into “MyClient” system regarding information collected or received.
Organize weekly sales reports for the sales department to track product success.
Excel in exceeding daily credit card application goals.
Maintain up-to-date knowledge of store policies regarding payments, returns and exchanges.
Successfully open and close register.

Cosmetics Associate

Saraba Inc.

Facilitated monthly and quarterly physical inventory counts.
Verified that information in the computer system was up-to-date and accurate.
Assisted with payroll preparation and entered data into cumulative payroll document.
Developed and created a more effective filing system to accelerate paperwork processing.

Data Entry and Management

Valero Energy Corporation

Used communication skills to provide excellent customer service.
Operated cash register, which included handling large amounts of money.
Maintained a sanitary store that exceeded health standards.
Made sure inventory was current and always stocked.  
Successfully opened and closed shifts, as well as handed off register to next employee.

Cashier

I offer a variety of products that can help you meet a number of insurance and financial needs, including, but not limited to college funding, retirement, managing costs for extended periods of care and lifetime income strategies. Please contact me to help you fully analyze your needs and recommend appropriate solutions.

Neither New York Life Insurance Company, nor its agents, provide tax, legal, or accounting advice. Please consult your own tax, legal, or accounting professionals before making any decisions.
I am not licensed in all jurisdictions.

Any testimonial on this site is based on an individual’s experience and may not be representative of the experience of other customers. These testimonials are no guarantee of future performance or success.

2999 Douglas Blvd. Suite 350 Roseville, CA, 95661
My California Insurance license number is 4367189

—Agency Standards

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