Brenda Rodriguez
Tomball,TX
Summary
Dedicated and organized financial professional with outstanding relationship-building and problem-solving skills. Driven to exceed expectations and operate effectively in fast-paced, high-pressure environments. Self-motivated team player adept at cultivating partnerships and building lasting relationships across all demographics and management levels. Dynamic and reliable with exceptional customer service and communication skills.
Overview
22
22
years of professional experience
Work History
Financial Counselor
Houston Methodist Willowbrook Methodist
07.2009 - Current
- Offered specialized guidance and support to indigent patients, facilitating access to essential healthcare services from optimal providers.
- Review all high-risk or high utilization patients to assure appropriate, complete, and accurate financial and demographic Information is being used.
- Facilitated thorough discussions with patients to review and clarify co-payment and deductible estimates, ensuring a transparent comprehension of their financial obligations related to healthcare services.
- Addressed inquiries from patients regarding billing statements and account payment status from prior hospital visits, ensuring clarity and resolution of any financial concerns or uncertainties.
- Managed self-pay inpatient and outpatient accounts, as well as non-resource inpatient accounts, with a focus on thorough review and resolution. Conducted detailed assessments of self-pay procedures for inpatient and outpatient services, providing transparent pricing quotes to patients.
- Successfully navigate insurance denials through strategic appeals.
- Negotiate Single Case Rate Agreement, ensuring optimal reimbursement for healthcare services.
- Insurance Verification and Authorizations.
- Provided compassionate assistance to financially challenged patients, identifying potential sources of funding or discounts when applicable.
Insurance Verification Specialist
Medco Medical Supply
05.2007 - 07.2009
- Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for Medical Supplies.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Expedited patient registration process by efficiently validating eligibility for various insurance plans.
- Reduced claim denials by thoroughly reviewing patient eligibility and coverage details.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
Patient Admitting Representative
Christus St. Catherine Hospital
12.2001 - 04.2007
- Obtain Personal demographics insurance and financial information from patient and /or guarantor.
- Completing insurance verification, pre-certification, manage care contrast interpretation and deposit calculation and collection.
- Collaborated with medical staff, ensuring timely communication of pertinent information for optimal patient care.
- Expedited emergency admissions by prioritizing tasks effectively during high-pressure situations.
Education
Associate of Science -
Lone Star College
Katy, TX08.2006
High School Diploma -
Spring Woods High School
Houston, TX05.1999
Skills
- Financial Counseling
- Healthcare Insurance Knowledge
- Medical Billing
- Insurance Plan Verification/Authorization
- Fluent in Spanish
- Cash Handling
- Team Leadership
- 50 WPM Typing Speed
- Customer service-focused
- Data Entry
- Administrative Procedures
- Attention to Detail
- Critical thinking abilities
Well-Trained in Epic
Languages
Spanish
Full Professional
Timeline
Financial Counselor
Houston Methodist Willowbrook Methodist
07.2009 - Current
Insurance Verification Specialist
Medco Medical Supply
05.2007 - 07.2009
Patient Admitting Representative
Christus St. Catherine Hospital
12.2001 - 04.2007
Associate of Science -
Lone Star College
High School Diploma -
Spring Woods High School
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