Felix Cruz
About Felix Cruz
Felix Cruz is a Lead Business Analyst at EmblemHealth, where he has worked since 2012. He previously held positions at HEALTHPLUS, including Senior Claims Analyst and Claims Supervisor, and has a diploma in Business Administration from Murray Bergtraum.
Work at EmblemHealth
Felix Cruz has been employed at EmblemHealth since 2012, serving as the Lead Business Analysis. His role involves writing, reviewing, and approving Business Requirement Documents (BRDs). He is responsible for overseeing the maintenance of the Global Fee Schedule Implementation, which includes managing various components such as RBRVS, DME, ASP Drug File, and Fair Health/HIAA. Additionally, he implements the Yearly and Quarterly CPT/HCPCS codes into the mainframe system GHIPro. Cruz's tenure at EmblemHealth spans over a decade, reflecting his commitment to the organization.
Previous Experience at HEALTHPLUS
Prior to his current role, Felix Cruz worked at HEALTHPLUS in various capacities. He served as a Senior Claims Analyst from 2007 to 2011, accumulating four years of experience. Following this position, he became a Claims Supervisor for a brief period of three months in 2011 to 2012. His work at HEALTHPLUS provided him with a solid foundation in claims analysis and supervision, contributing to his expertise in the healthcare industry.
Education and Expertise
Felix Cruz studied at Murray Bergtraum, where he pursued a Diploma in Business Administration, Management, and Operations from 1992 to 1997. This educational background has equipped him with essential skills and knowledge relevant to his roles in business analysis and claims management. His expertise in these areas is demonstrated through his responsibilities at EmblemHealth and his previous positions at HEALTHPLUS.
Responsibilities and Skills
In his current position as Lead Business Analysis at EmblemHealth, Felix Cruz is tasked with reviewing and responding to audit errors and interdepartmental errors. His role requires a keen attention to detail and strong analytical skills, which are essential for maintaining the integrity of business processes. Cruz's responsibilities also include the implementation of coding systems, which are critical for accurate billing and reimbursement in the healthcare sector.