Academic Service: Genevieve Cruz
Apply the knowledge, skills, and behaviors acquired through both formal and informal learning, as well as life experiences, to new situations. I carefully revised my resume to align with the requirements of specific job listings I am interested in. This involved highlighting my relevant skills and experiences that directly match the qualifications outlined in those postings. I tailored the language used to emphasize my accomplishments in previous roles, ensuring that my strengths stand out to potential employers. Additionally, I incorporated keywords from the job descriptions to improve my resume View

Academic Service: Genevieve Cruz

• Ensuring codes are assigned accurately and sequenced according to government and insurance regulations.
• Complying with medical coding guidelines and policies
• Reviewing patient charts and documents to verify accuracy.
• Following up and clarifying any information that is not clear to other staff members
• Collecting information provided by the Physician from different sources to prepare monthly reports
• Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
• Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses, or events that lead to the negligence

Resource Link

Competency Assessments: Genevieve Cruz
Continuing Education: learning center, my cases, exams, CEU center, and/or memberships.

https://AHIMA.org Resource Link

Continuing Education (CE, CME, CEU...): Genevieve Cruz

Educational Background: Genevieve Cruz

• Ensuring codes are assigned accurately and sequenced according to government and insurance regulations.
• Complying with medical coding guidelines and policies
• Reviewing patient charts and documents to verify accuracy.
• Following up and clarifying any information that is not clear to other staff members
• Collecting information provided by the Physician from different sources to prepare monthly reports
• Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results
• Examining any medical malpractice that has been reported by analyzing and identifying the medical procedures, diagnoses, or events that led to the negligence

Educational Background: Genevieve Cruz
Class of 2000 
Diploma

Educational Background: Genevieve Cruz

Ultimate Medical Academy – Tampa, FL                                                      05/2020 – 05/2021
Full-Time Student

• Remained self-directed, motivated, and accountable for personal actions
• Came prepared for class and completed assignments on time
• Navigated new technology, utilized available resources, and set realistic expectations

Resource Link

Educational Background: Genevieve Cruz

Ultimate Medical Academy – Tampa, FL                                                      05/2020 – 05/2021
Full-Time Student

• Remained self-directed, motivated, and accountable for personal actions
• Came prepared for class and completed assignments on time
• Navigated new technology, utilized available resources, and set realistic expectations

Resource Link

Employment History: Genevieve Cruz

• Interfaced with customers via inbound and outbound phone calls
• Sold policies, upsold services, and helped generate new leads
• Provided customers with benefit information on healthcare and prescription drug plans
• Enrolled new customers into healthcare and prescription plans
• Set up new client accounts, scheduled appointments, and met enrollment quotas

Employment History: Genevieve Cruz

• Assisted customers with company products and programs via inbound and outbound phone calls
• Explained benefit information regarding healthcare and prescription drug plans
• Scheduled appointments for clients, enrolled new members, and maintained HIPAA compliance

Employment History: Genevieve Cruz

• Communicated with Anthem Healthcare customers via inbound and outbound phone calls
• Enrolled new customers, scheduled appointments, and upsold products and services
• Utilized CRM Software to assist callers and met daily enrollment quotas and metrics

 

Employment History: Genevieve Cruz

• Provided clients with information regarding medical, dental, and prescription plans
• Located resources for customers and processed requests for new plans
• Reviewed current healthcare plans and determined if it met current healthcare needs
• Updated client files and provided information regarding tax credits

Employment History: Genevieve Cruz

• Scheduled appointments and callbacks for customers via inbound and outbound phone calls
• Assisted customer with password resets and provided information regarding products and services
• Offered technical assistance and answered questions regarding company software
• Enrolled clients in tax preparation classes and provided training as needed

 

Employment History: Genevieve Cruz

• Answered inbound phone calls and assisted Medicare clients with benefit questions and services
• Verified account information and enrolled new customers
• Provided claim status, transferred inbound calls as needed, and maintained HIPAA compliance

 

Employment History: Genevieve Cruz

• Work in call center environment and answer inbound calls
• Use Sunfire Software to quote insurance policies, eligibility, cost, and services
• Access Salesforce System to update client information
• Confirm permissions and make sure all information matches
• Verify doctors, specialists, pharmacies, and in-network information and discuss summary of benefits
• Enroll clients in healthcare plans and medication

Employment History: Genevieve Cruz

• Submitting and tracking medical claims to insurance companies, following up on unpaid or denied claims, and resolving any billing discrepancies
• Accurately recording all billing and payment information, updating patient records, and ensuring data integrity
• Communicating with patients, insurance companies, and other healthcare professionals to address billing inquiries and resolve issues
• Staying compliant with important rules like HIPAA and keeping updated on changes in billing and coding
• Software Skills, I use billing software and electronic health record (EHR) systems to handle billing tasks
• Financial Reporting, generating reports to track billing and collection performance. 

Exam History: Genevieve Cruz
98/100points Resource Link

Exam History: Genevieve Cruz
Resource Link

Fraternal Organizations: Genevieve Cruz

Ultimate Medical Academy – Tampa, FL                                                      05/2020 – 05/2021

Full-Time Student

• Remained self-directed, motivated, and accountable for personal actions
• Came prepared for class and completed assignments on time
• Navigated new technology, utilized available resources, and set realistic expectations

https://connectuma.com/user/1487939

Goals (Personal & Professional): Genevieve Cruz

• Diagnosis of a patient's health condition
• Reasons for medical treatments and services or clinical supplies
• Unusual circumstances hampering a patient's medical treatments or services
• Ways to use medical resources
• Management of risk

Resource Link

Resume & CV: Genevieve Cruz

Genevieve Cruz

Medical Reimbursement & Coding

+91 347 9551744 | genevieve.1820.cruz@icloud.com

 

 

Date:

Hiring Manager:

COMPANY’s name & address:

 

Dear Hiring Manager)

 

I am eager to submit my application for the [Title] position. With five years of experience in submitting and monitoring medical claims to insurance [Company], as well as following up on unpaid or denied claims, resolving billing discrepancies, and verifying insurance coverage, I am aptly qualified to contribute effectively to your team in this capacity.

 

Genuinely, I love helping customers/clients, and it brings me so much joy. I have a deep passion for client success and derive immense personal satisfaction from providing exceptional support. I thrive on connecting with customers to understand their unique challenges and am committed to going above and beyond to find effective solutions. The moment a customer expresses relief or gratitude after resolving a complicated issue is incredibly rewarding and motivates me to support the highest standard of service. I genuinely enjoy making a positive impact on people's days and building lasting, positive relationships.

 

Thank you for considering my application. I look forward to discussing how I can contribute to your team’s success.

 

 

Best regards,

Genevieve Cruz

Resource Link

Resume & CV: Genevieve Cruz

• Academic Honors Recognition / Honor Roll
• Pay close attention to customer interactions and use active listening skills to determine customer needs
• Able to work in a deadline-driven environment and meet company guidelines for productivity and quality
• Function independently with minimal direction and guidance
• Software: Salesforce, CRM, Sunfire.
• Microsoft Office Applications / MS Excel | MS Word | MS Outlook | Typing Speed: 30 WPM

Resource Link

Technical & Computer Skills: Genevieve Cruz

• Software: Salesforce, CRM, 3M, EPIC, Sunfire.
• Microsoft Office Applications / MS Excel | MS Word | MS Outlook | Typing Speed: 30 WPM

Transcripts: Genevieve Cruz
Official Transcript
Transfer Credits Awarded
12
2024 251126103736_Cruz_Genevieve_MCCG.xlsx (.xlsx) 0.04mb

Transcripts: Genevieve Cruz
Official Transcript
Transfer Credits Awarded
15 
2020-21 251126103548_Cruz_Genevieve_MCCG.xlsx (.xlsx) 0.04mb