Nitza Mercado
About Nitza Mercado
Nitza Mercado serves as the Manager of Enrollment Operation at EmblemHealth and as the Medicare Operations Manager at Horizon Blue Cross Blue Shield of New Jersey. She holds multiple degrees in education and business administration and possesses strong analytical, communication, and project management skills.
Work at EmblemHealth
Nitza Mercado has held the position of Manager of Enrollment Operation at EmblemHealth since 2001. In this role, she oversees various aspects of enrollment processes, ensuring efficient operations within the organization. Her extensive experience in managing staff and operations contributes to the effectiveness of the enrollment team. Mercado's long tenure at EmblemHealth highlights her commitment to the organization and her expertise in the field.
Current Role at Horizon Blue Cross Blue Shield of New Jersey
Since 2017, Nitza Mercado has served as the Medicare Operations Manager at Horizon Blue Cross Blue Shield of New Jersey. Located in Newark, NJ, she is responsible for managing Medicare operations, which includes overseeing enrollment and compliance processes. Her role requires a strong understanding of healthcare regulations and operational efficiency, which she applies to enhance the organization's service delivery.
Education and Expertise
Nitza Mercado holds a Master's degree in Education/Teaching of Individuals in Elementary Special Education Programs from Mercy College, which she completed between 2005 and 2011. Additionally, she earned a Master of Science degree from the same institution during the same period. Earlier, she obtained a Bachelor of Science in Business Administration from Metropolitan College of New York from 2002 to 2005. This educational background equips her with strong analytical and communication skills, essential for her roles in healthcare operations.
Professional Skills and Experience
Nitza Mercado possesses a range of professional skills, including project management and the implementation of new systems and technological enhancements. She has extensive experience working with EDI files, particularly with HIPAA 834 codes and transactions. Her organizational skills and strong work ethic support her ability to manage staff effectively in call center, claims, and enrollment operations, contributing to the overall success of her teams.