Customer Service Social Media
Resume:
Jessenia Marquez
Avail to start immediately
Sanford, FL 32773
**************@*****.***
Professional Summary
To secure a position in that embraces diverse backgrounds and offers opportunities to development in career advancement.
Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Leasing Consultant
Timberland Partners-Davenport, FL
July 2024 to November 2024
Greet prospects, providing information on available apartments. Show property amenities and apartment of interest. Provide pricing on apartment availability
Create accounts as well as obtain any information required for the application process. Answer multiple phone lines to provide great customer service. Create workorder service requests or make ready workorders. Create leases and provide policies information as well as obtain payments Obtain pricing on other properties for marketing survey reporting on a weekly basis as well as advertise on social media.
Benefit Verification Specialist
Cornerstone Staffing Solutions, Inc.-Southlake, TX November 2023 to February 2024
Responsible for verifying patient insurance coverage and benefits. Receive inbound service requests from providers for benefits of procedure CPT codes and Diagnosis codes for In network providers.
Gather client deductibles, copays, coins and Out of pocket information. Update patient demographics with updated insurance coverage and send back to providers. Ensures adequate phone coverage by logging in and out of the phone queue in a timely manner. Accounting Assistant Specialist
CentricsIT-Sanford, FL
July 2022 to August 2023
Responsible for paying out all FedEx invoices billed. Entering all data charges into Microsoft Dynamics Nav system. Create pay journals and directly pay FedEx account via FedEx portal. Create credit memos for overpaid accounts. Obtain invoices from portal, save to share drive and label. Send emails to sales reps for pertaining information to create invoices to be paid and follow up emails. Create all journal documentation of payments made.
Beauty Advisor
Sephora 24-7 intouch-Altamonte Springs, FL
October 2020 to July 2022
Beauty advisor for Sephora customer service call center. Assist in client reshipment of lost, damaged or missing orders. Summit for immediate refunds. Assist client on updating profile and obtaining promo code discounts. Notate all accounts touched for future reference. Report fraudulent activity or transactions on client accounts. Translate any communication from Spanish to English in data system. Prior Authorization Specialist
Turning Point Healthcare Solutions LLC-Lake Mary, FL December 2019 to July 2020
Responsible for serving as primary contact for inbound calls. Duties include Intake via phone or forms received via fax. Working daily intakes faxed to initiate prior authorizations. Data entry of authorization request for elective surgeries. Responsibilities include making outbound calls to verify CPT codes/DX codes provider and facility TIN and NPI. Update CRM system to reflect updates accordingly. Translate any communication from Spanish to English in data system. Patient Care Specialist
Cyrus Diagnostic Imaging-Lake Mary, FL
December 2018 to December 2019
Responsible for serving as the primary contact point for patients at the reception desk. (PT Check-in Process) Verify Insurance is correct and make updates. Assisting with financial arrangements for Medical treatment Managing patient scheduling to achieve a successful and productive day. Taking payments of Co-pays, Deductible and Allowable. Also Translate any communication from Spanish to English in data system. As well as during exams.
Patient Care Coordinator
One Smile Brands-Clearwater, FL
October 2018 to January 2019
Responsible for serving as the primary contact point for patients at the reception desk and over the phone. Verifying and collecting insurance coverage information. Assisting with financial arrangements for dental treatment. Managing patient scheduling to achieve a successful and productive day. Benefit Analyst Rep
A3i, Inc-Lake Mary, FL
June 2016 to November 2017
Responsible for serving as the primary contact point for all referring entities and facilities. Acts ensure efficient case referral process.
Also responsible for receipt and accurate recording of referral information into the company database system. Answer
all inbound calls via the Call Queue, Verify patient medical coverage benefits, initiate prior authorization for outpatient procedures. Follow up with carrier's prior authorizations dept. for status of request. Send Status updates to physician's office on authorization process. Insurance companies worked with Aetna, United Health Care, CHIP, Workers comp, BCBS, Cigna G/U Specialist
A3i, Inc-Lake Mary, FL
June 2015 to June 2016
Warm intake- Set up patients in system Review consent information to ensure it has been entered into the company database system accurately
Contacts the consented patient to introduce the Patient Support Program Maintains timely and regular communications with the patient throughout their treatment process Creates and maintain accurate notes in the database system detailing all patient conversations Contacts physician offices, manufacturer representatives, or technical services when necessary information needs to be communicated. Ensures adequate phone coverage by logging in and out of the phone queue in a timely manner. Responds back to all patient messages no later than 24 hours after the message is received. Handle individual case or patient load in accordance with guidelines (i.e. turnaround time and patient follow up time) established by the client Manage patient care experience through the life of treatment.
A/R Rep II
Phy & Prof Sv CBO- Orlando Health-Orlando, FL
July 2014 to June 2015
Responsible for contractually adjusting claims overpaid, sending out overpayment notices to providers for refunds due. Reaching out to Insurance payers for monies owed, disputing underpayments on claim denials. Responsible for Preparing and Exporting claims into Excel spreadsheets format, scrub and pivot table AR accounts over 30days for monthly reporting. Compile Weekly Agendas to review Credit Balances Reconciliation reports. Reach out to Payer Contacts on Recon Calls to review provider issues with Maid Numbers, Demographic errors and or Provider Fee Schedule setups. Insurance's worked with CHIP, Aetna, UHC, Cigna, Medicare, Medicaid, Humana, FL Blue, BCBS Provider Operations Rep
Health First LLC Inc-Lake Mary, FL
August 2012 to July 2014
Responsible for receiving provider application verifying accurate information is submitted and data entry via Macess and service forms. Create Update or Delete provider information contract and fee schedules for proper provider setup of processing of claims. Responsible for fee schedule updates TIN/VIN and address changes.
Setup for HIX/Exchange, Sequestration Rates and Timely filing. Create Macess Service Forms for panel transfers for provider members. Reach out to Network management reps for clarifications on provider applications via email or phone for service form inquiries and provider applications received. Benefits Rep
COB Coordination-Lake Mary, FL
July 2010 to July 2012
Responsible for providing customer service for all coordination of benefits inquiries from internal and external
sources. Verifying Insurance of third-party insurance information and Entering into MHS database. Formatting, Data
Entry of TPL files on Excel spreadsheets. Responding to Macess Inquiries via Service Forms Overpayment Recovery Rep
Health First LLC Inc-Lake Mary, FL
May 2007 to July 2010
Responsible for entering correct use of CPT-4 and ICD-9 codes for diagnosis and procedures performed in both UB40 and HCFA-1500 forms. Inpatient billing entering Short Stay claims using Clinical Coding Expert. Claim Data entry in MHS system. Special Projects involving the use and creation of excel spreadsheets to generate reports and improve database. Data entry for payments received into Q drive shared book for finance dept., personally contact doctors to collect provider demographics. Update company database with demographics. Speak to doctors who have been overpaid and collect any amount due per signed agreements by fax or via email. Enter reversal claim codes for recovered overpaid amounts under correct line item unit. Reversal of claims for Overpayments or Members disenrolled. Send out correspondence to providers for reimbursements of overpaid claims. Short stay claim pricing using Citrix Access, Front end auditing on claims using Entrendex data base. Review and Reprocess Encounter claims for adjudication. Working Knowledge of Medicare A/B, Medicaid, Aetna, UHC, CHIP, Workers comp. AR Specialist-Florida Hospital Respiratory and Equipment BCBS, Florida Blue, Cigna-Longwood, FL
December 2006 to April 2007
Collections of patient balances, posting notes of payments collected and contacts made communicating with insurance companies on claims filed for payments. Customer Service Intake, data entry of new patients, verification of insurance for DME. Assist in filing, monthly billing and sending out of patient statements for collections.
Education
Certificate in Training in Crisis Intervention
Boston College Schools of Social Work
Certified/Licensed Notary Public in Public documentation Florida Notary Association, Inc - Orlando, FL
February 2024 to March 2024
Certificate in Introduction to Mortgage Industry & Collateral File Document Nationwide Title Clearing Inc - Palm Harbor, FL
June 2018 to July 2018
Certificate in Connections Between Trauma and Addiction Adcare Educational Institute,Inc - Worcester, MA
September 2001 to March 2002
Certificate in Harm Reduction Counseling
Harm Reduction Training Institute - New York, NY
November 2001
Graduate in Medical Terminology, Office System Technology Massachusetts Career Development Institute - Springfield, MA July 1997 to August 1999
High School Diploma
Danbury High School - Danbury, CT
December 1992
Skills
• Data entry
• Citrix
• Multi-line phone systems
• Office experience
• Accounts Receivable
• Bilingual
• Front desk
• Microsoft Office
• Windows
• Insurance Verification
Certifications and Licenses
Certified Notary Public
March 2024 to March 2025
Additional Information
Skills:
Self- Motivated, Typing 40 WPM
Ability to meet operational deadlines, Proven communication abilities both oral and written Spanish/ English
Experienced in working with physically challenged individuals case management for home care. Experienced in making referrals to community service programs, Group Facilitation and Curriculums Able to set effective priorities and implement decisions to achieve immediate and long-term goals. Working Knowledge in the following;
• Data Entry, Windows, WordPerfect, DME Systems
• MS-Word 97-2000, Medical Terminology, Database systems (within each company) MHS, GE, Macess, Sovera, Sunrise, Affinity, Citrix
• Basic Knowledge of Excel, Outlook and Internet, Clinical Coding/Pricing
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