Adela Rodriguez
Elizabeth,NJ
Summary
Experienced Healthcare Administrator with a decade of successful leadership in optimizing operational performance across multiple sites. Expertise in cross-functional management, value-based care, and clinical development, dedicated to achieving excellence in healthcare operations and transformative outcomes.
Overview
10
10
years of professional experience
Work History
Internal Medicine Department Manager
Optum, UnitedHealth Group
Belleville
01.2022 - Current
- Develop and execute strategic plans, aligning with industry trends and company objectives
- Lead planning, supervision, and coordination of administrative staff across 6 district sites in collaboration with the medical directors and district managers
- Achieved a 20% increase in volume and reduced the no-show rate to 7-10% by coordinating and analyzing key performance indicators (KPIs)
- Implement performance improvement initiatives based on KPI and weekly target and tactics reports to enhance offices and providers' performance
- Provide support, leadership, training, coaching, and mentorship to site managers to meet department goals in patient volume, patient care satisfaction and to foster a culture of continuous improvement
- Collaborate with HR, IT, and finance to resolve operational challenges and streamline processes
- Foster strong relationships with supervising physicians to ensure effective collaboration
- Coordinated with medical providers to establish and achieve quality care goals, increasing annual wellness visits and physicals to 25% in the first year
- Actively participated in quality improvement processes, focusing on positive patient outcomes, closing gaps in Value-Based care, and providing regular performance feedback to practices managers and providers, contributing to an increase in our overall STAR rating score
- Coordinate and create providers’ schedule to ensure all offices are cover during office hours, and hospital shift
- Assist in the establishment of new sites, ensuring a smooth transition and operational readiness.
Operations Administrator
Americare Physical Therapy
Mountainside
02.2018 - 01.2022
- Directed and executed strategies to optimize patient care, staff performance, and operational efficiency across four sites
- Led recruitment, non-clinical training, and performance evaluations
- Managed revenue cycles, achieving a remarkable 20% increase in claims revenue and reducing claim denials by 30%
- Ensured clinic adherence to healthcare regulations, including HIPAA, OSHA, and licensure requirements.
Medical Billing Manager
Premier Urology Group
Cranford
08.2014 - 02.2018
- Managed a team of 6 medical billing specialists, improving A/R production expectations by 15%
- Oversaw the entire revenue cycle process, generated financial reports, and analyzed billing performance metrics
- Developed and implemented strategies to reduce claim denials and facilitate timely appeals
- Conducted training programs to stay current with industry changes and best practices
- Maintained positive relationships with clients, insurance companies, and patients
- Improved collection rate by 6% through automated communication cycles for late payments.
Education
MBA - Global Studies - Healthcare Administration Concentration -
Kean University
05.2024
Bachelor of Science, Business Administration and Management – HR -
Kean University
Skills
- Management: Cross-Functional facility Management, Leadership, Staff Management
- Situation Background Assessment Recommendation (SBAR)
- Healthcare: Value-Based Care, Quality Metrics, Clinical background, EHR Systems, Epic
- Strategic Planning: Performance Review, Workflow Optimization
- Financial: Revenue Cycle Management, Data Analysis
- Soft: Self-Discipline, Problem Solving, Resilience Under Pressure, Strong Communication, Bilingual (English and Spanish)
Timeline
Internal Medicine Department Manager
Optum, UnitedHealth Group
01.2022 - Current
Operations Administrator
Americare Physical Therapy
02.2018 - 01.2022
Medical Billing Manager
Premier Urology Group
08.2014 - 02.2018
MBA - Global Studies - Healthcare Administration Concentration -
Kean University
Bachelor of Science, Business Administration and Management – HR -
Kean University
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