Jannett Retamar Pérez
San Juan
Summary
Administrative support professional offering versatile office management skills and proficiency in Microsoft Office programs. Strong planner and problem solver who readily adapts to change, works independently and exceeds expectations. Able to juggle multiple priorities and meet tight deadlines without compromising quality. Work well under pressure. Very dependable and hardworking. Highly motivated and eager to learn and accept new challenges.
Overview
22
22
years of professional experience
Work History
Claims Analyst
MULTINATIONAL LIFE INSURANCE COMPANY
10.2014 - 12.2024
- Responsible for accurate and prompt payment of claims, in addition to reporting of statistics/data
- Responsible for adjudication of all claims, handling customer service calls as needed and recalculating claims as needed
- Adjudicate claims appropriately per contract or standard processing guidelines which includes appropriate coding of CPT and ICD codes against charges that are being billed and entered
- Coordinate with the Claims Manager and/or Claims Supervisor on workflow issues and the handling of batches in date order
Claim Analyst II
MCS MEDICAL CARD SYSTEMS (PROTALENTS)
10.2011 - 03.2012
- Processing claims and understands the HCPCS / CPT Codes, ICD-9 codes; also, claims adjunction with strong knowledge with Power MHS program
- Responsible for verifying coverage and benefits for providers and claimants
- Responsible for performing data entry skills as well as clerical skills
Billing Officer
HOSPITAL SAN FRANCISCO
10.2009 - 08.2011
- Assist the Billing and Collection Department office in their administrative work responsibilities and duties
- Apply Medicare Advantages and commercial insurance plans payments
- Maintain control of office documents and files
- Request and provide follow-up of materials, equipments or services
- Prepared reimbursement and adjustment for the patient accounts
Administrative Assistant
ALRM ENGINEERING CONSULTANTS
08.2002 - 09.2009
- In charge of administrative and office support activities for the members of the executive staff
- Works with the clerical duties like serving as information and communication managers for the office
- Organize and maintain paper and electronic files
- Prepare, submit and give follows up to the documents required by the government agencies in order to get the approval for projects development construction
- Performed weekly accounting procedures for accounts receivable/payable using computerized systems
- Prepared, verified and issued monthly billing statements, and balanced monthly cash flow transactions
- Purchased goods and supplies, maintained equipment inventory
Education
BA - Business Administration
Universidad Metropolitana
12.2017
Secretarial - Word Processing
MBTI Business Institute
01.1995
Skills
- General Office Skills
- HCPCS / CPT Codes
- ICD-10
- Power Point
- Word
- Excel
- Basic English
Timeline
Claims Analyst
MULTINATIONAL LIFE INSURANCE COMPANY
10.2014 - 12.2024
Claim Analyst II
MCS MEDICAL CARD SYSTEMS (PROTALENTS)
10.2011 - 03.2012
Billing Officer
HOSPITAL SAN FRANCISCO
10.2009 - 08.2011
Administrative Assistant
ALRM ENGINEERING CONSULTANTS
08.2002 - 09.2009
Secretarial - Word Processing
MBTI Business Institute
BA - Business Administration
Universidad Metropolitana
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