Nelbert Penalosa
Customer Service Representative at Fairfax Radiology Centers- Claim this Profile
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Bio
Experience
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Fairfax Radiology Centers
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United States
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Medical Practices
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100 - 200 Employee
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Customer Service Representative
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Nov 2018 - Present
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Inova Health System
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United States
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Hospitals and Health Care
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700 & Above Employee
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Patient Financial Services Rep III (Part time)
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Nov 2011 - Present
•Analyze and review outstanding hospital receivable accounts •Monitor patients accounts for overdue balances •Review patient accounts for correct payer information, analyzing primary insurance's explanation of benefits, and billing secondary insurances •Responsible for accounts receivable over 60 days old to collect patient co-payments and billed secondary insurances •Update patient accounts with third party medical and commercial payer information •Write medical letters of appeals to medical, workers compensation and automotive insurance payers for hospital reimbursements •Evaluate underpaid claims, correcting primary insurances contractual adjustments •Accept and process ten customer phone inquiries per hour •Correspond with patients and departmental supervisors concerning billing and medical coding errors
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Greyston Servicing Corporation
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419 Belle Air Ln, Warrenton va 20183
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Insurance Analyst
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Oct 2017 - Oct 2018
Proficient in loan documentation and agency guidelines • Proficient in multifamily insurance documentation and terminology • Maintain tracking report for insurance information • Review of insurance evidence for compliance • Perform quality control review for portfolio • Performing other related duties as assigned Proficient in loan documentation and agency guidelines • Proficient in multifamily insurance documentation and terminology • Maintain tracking report for insurance information • Review of insurance evidence for compliance • Perform quality control review for portfolio • Performing other related duties as assigned
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Medical billing customers service
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Sep 2015 - Sep 2017
• Assist patients with billing questions, reviewing patients accounts • Taking payments, answering high volume of inbound/outbound calls • Utilizes various resources to determine patient’s eligibility benefits, and health plan • Review EOBs for accuracy of patient responsibility • Assist patients with billing questions, reviewing patients accounts • Taking payments, answering high volume of inbound/outbound calls • Utilizes various resources to determine patient’s eligibility benefits, and health plan • Review EOBs for accuracy of patient responsibility
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Direct Connect LLC
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United States
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Financial Services
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1 - 100 Employee
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Account Specialist
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Oct 2012 - Oct 2015
Providing customer service regarding collection issues, process customer refunds, process and review account adjustments, resolve client discrepancies and short payments. Responsible for monitoring and maintaining assigned accounts. Customer calls, account adjustments. Perform other assigned tasks and duties necessary to support the Accounts Receivable Department Provide excellent customer service to all merchants Reconcile customer disputes as they pertain to payment of outstanding balances that are due Establish and maintain effective and cooperative working relationships with Sales agent and Merchants. Communicate & follow up effectively with sales dept regarding customer accounts on a timely basis. Complete high customer service call volume in a timely manner as assigned.
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Sage
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United Kingdom
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Software Development
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700 & Above Employee
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Merchant Accounting Specialist
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Nov 2006 - Jun 2012
•Process approximately 200 request and updates from Independent Sales Owners (ISO) in the UNO system monthly, resulting in a 3% increase in account revenue •Review and process approximately 300 commercial merchant discount rates in Sage's merchant database monthly •Post and reconcile debits and bet change request in the UNO and Vital merchant systems •Record and distribute change requests from ISO to the appropriate client relationship mangers •Reconcile merchant accounts revenues and collaborate with the staff accountants to resolve inaccuracies •Record and resolve over 100 merchant inquires per month •Collaborate with departmental managers to review and approve customer rate request •Serve as liaison between Merchant Accounts and Client Services departments
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