Catherine Rodriguez
Weymouth,MA
Summary
Senior Billing Specialist with extensive experience in billing and medical administration. Skilled in resolving billing discrepancies, reviewing claims, and verifying insurance. Proficient in training and mentoring staff. Demonstrated success in improving payment processes and collaborating with healthcare providers. Results-oriented professional committed to continuous learning and innovation.
Overview
15
15
years of professional experience
Work History
Senior Billing Specialist-Remote
Central Boston Elderly Company
Boston, MA
08.2018 - Current
- Updated consumer files with accurate personal and medical billing information to ensure compliance and accuracy
- Trained and mentored new employees, enhancing team performance and operational efficiency
- Resolved billing discrepancies and handled co-pay adjustments, contributing to improved provider relations and client satisfaction
- Assist with training new employees
- Coordinated with management to address and resolve payment issues, streamlining the invoicing and claims process
- Resolved billing discrepancies, co-pay adjustments and verified client health insurance
- Reviewed all invoices for appropriate documentation and approval prior to payment
- Review and identify claims
- Uploading 835 and 837 files
- Generate services
- Follow up with reports
- Communicate with providers via email and phone regarding billing issues
- Coordinate with managers to resolve payment issues
Billing Assistant
Central Boston Elderly Company
Boston, MA
08.2015 - 04.2018
- Reconciled service dates across multiple clinics and physicians to ensure accurate billing records
- Developed and maintained billing and reimbursement spreadsheets, enhancing company record-keeping practices
- Researched and resolved billing discrepancies, contributing to the efficiency of cash receipt processing and maintaining clear communication with consumers about payments
Administrative Medical Assistant
Hyde Park Health Associates
Hyde Park, MA
03.2015 - 04.2016
- Recorded patient vital signs, including height, weight, and EKGs, and accurately documented medical information to maintain comprehensive patient records
- Coordinated insurance verifications and handled prior authorizations to ensure coverage for patient appointments, while effectively communicating with patients about payment obligations
Consumer Service Representative
Central Boston Elder Services
08.2011 - 08.2013
- Resolved customer issues with a 90%+ adherence rate by employing effective problem-solving skills and ensuring thorough follow-up via phone and email
- Managed a high volume of inbound calls, addressing concerns and medical issues, and offered comprehensive explanations of services to ensure client satisfaction
- Maintained productive relationships with providers and affiliated agencies, processing referrals, schedule modifications, and program transitions to support client services
Consumer Service Representative (call center)
Central Boston Elderly Company
Boston, MA
08.2011 - 08.2013
- Provided detailed explanations of services to clients and successfully resolved all other issues
- Maintained productive partnerships with providers and affiliated agencies responsible for servicing our clients
- Processed new referrals/intakes, service suspensions/resumptions, schedule changes, program transfers and case closings
- Resolving issues with consumers/answering questions
- Communicating with consumers via phone and emails
- Receiving high volume of incoming calls
Salesclerk / Cashier/Customer service Rep
Frugal Fannies
06.2009 - 08.2011
- Assisted an average of 40 customers per day, addressing inquiries such as exchanges, replacements, and order tracking, while also documenting prevalent customer concerns to enhance training materials
- Collaborated with cross-functional teams to communicate customer feedback, leading to product and service improvements, and supported the implementation of new quality control procedures to bolster customer satisfaction
Education
Business Administration -
Quincy College
MA10.2024
Skills
- Problem Solving
- Operating Within a Team
- Microsoft Teams
- Microsoft Office
- Microsoft Excel
- 55 Words Per Minute Typing Speed
- Google Meet
- Customer Relationship Management
- Working Efficiently in a Remote Setting
- Proficient in Spanish
Languages
Spanish
Professional
Timeline
Senior Billing Specialist-Remote
Central Boston Elderly Company
08.2018 - Current
Billing Assistant
Central Boston Elderly Company
08.2015 - 04.2018
Administrative Medical Assistant
Hyde Park Health Associates
03.2015 - 04.2016
Consumer Service Representative
Central Boston Elder Services
08.2011 - 08.2013
Consumer Service Representative (call center)
Central Boston Elderly Company
08.2011 - 08.2013
Salesclerk / Cashier/Customer service Rep
Frugal Fannies
06.2009 - 08.2011
Business Administration -
Quincy College
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