Marilitza Munoz
Claims Configuration Analyst at Healthfirst | Altamonte Springs, Florida, United States
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Marilitza Muñoz Perez is a seasoned Claims Configuration Analyst at Healthfirst, where she leverages her 14 years of extensive experience in the healthcare industry to drive efficiency and accuracy in claims processing. In her current role, Marilitza plays a pivotal part in the ongoing evaluation and enhancement of claims business rules, ensuring that member benefits, claims editing, reference data, and system functionality are meticulously configured within the claims processing system. Her deep understanding of HIPAA regulations, HCPCS, CPT, and ICD-10 codes enables her to analyze complex explanation of coverage documents effectively, allowing her to determine the optimal approach for configuring benefits, including member cost shares and deductibles.
Marilitza's expertise extends beyond technical skills; she is also a natural leader and coach, guiding her team through systems installation, configuration, upgrading, monitoring, and evaluation processes. Her commitment to process improvement and adherence to business policies and procedures ensures that Healthfirst remains compliant and efficient in its operations. Key projects she has spearheaded include the successful implementation of new claims processing workflows that have significantly reduced turnaround times and improved accuracy in claims adjudication.
Her ability to interact effectively with cross-functional teams and stakeholders has been instrumental in fostering a collaborative environment that prioritizes quality and member satisfaction. As a dedicated professional, Marilitza continues to seek innovative solutions that enhance the claims processing experience for both the organization and its members, solidifying her reputation as a valuable asset in the healthcare insurance landscape.
Claims Configuration Analyst at Healthfirst in September 2021 to July 2023
Business and System Configuration Team Lead at MMM Holdings LLC in August 2017 to August 2021
Senior Claims Analyst - Team Lead at Molina Healthcare in March 2015 to August 2017
Senior Claims Specialist at First Medical Health Plan, Inc. in May 2012 to February 2015
Claims Specialist at Medical Card System, Inc. in June 2009 to February 2012
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Universidad De Puerto Rico -Cayey Campus, Puerto Rico, BBA: Business Administration / Management, September 1998 to September 2026
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Knowledge in HIPAA Regulations, HCPCS, CPT, ICD-10
QNXT System, PMHS
Experience in the healthcare insurance industry
Business policies and procedures
Systems Installation, Configuration, Upgrading, Monitoring, and Evaluation
Team leadership and coaching
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Discover more about HealthfirstWhat is Marilitza Munoz email address?
Email Marilitza Munoz at [email protected]. This email is the most updated Marilitza Munoz's email found in 2026.
How to contact Marilitza Munoz?
To contact Marilitza Munoz send an email to [email protected]. (updated on September 07, 2024)
What company does Marilitza Munoz work for?
Marilitza Munoz works for Healthfirst
What is Marilitza Munoz's role at Healthfirst?
Marilitza Munoz is Claims Configuration Analyst
What is Marilitza Munoz's Phone Number?
Marilitza Munoz's phone (305) ***-*231
What industry does Marilitza Munoz work in?
Marilitza Munoz works in the Hospital & Health Care industry.
Marilitza Munoz Email Addresses
Marilitza Munoz Phone Numbers
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