Dedicated Registered Medical Assistant with 25 years of healthcare experience, specializing in patient care, insurance verification, and medication management. Proven track record in enhancing patient outcomes through effective clinical support and team leadership. Expertise in prior authorization processes and specialty provider coordination, driving operational efficiency and quality care. Committed to advocating for patients while fostering interdisciplinary communication and developing comprehensive care plans.
Hi, I’m
Diana Rojas
Orlando,FL
Summary
Overview
25
years of professional experience
Work History
Included Health
Care Coordinator II (Remote)
01.2022 - Current
Job overview
- Manage and process prior authorizations for specialty procedures, imaging (MRI, CT scans, radiology), DME, and mammograms
- Obtain approvals for high-cost specialty medications, ensuring compliance with insurance guidelines
- Facilitate consult orders for specialist office visits and coordinate with providers to expedite referrals
- Support healthcare providers with clinically urgent tasks in both in-office and remote settings
- Assist patients with authorization and scheduling for complex reproductive health procedures
HealthMote
Remote Care Coordinator
03.2021 - Current
Job overview
- Conducted daily monitoring of patient's blood pressure with a WiFi BP monitor.
- Performed follow-ups to ensure care management reviews were updated.
- Maintained performance benchmarks while mentoring incoming Care Coach personnel on operational protocols.
- Facilitated ongoing assessment of patient and family needs and oversaw implementation of interdisciplinary team care plan.
- Coordinated with other health professionals to develop individualized plans of care for patients.
- Communicated with patients with compassion while keeping medical information private.
- Assisted in developing discharge plans for clients transitioning out of care programs.
- Monitored and evaluated patient progress, adjusting treatment plans as needed.
- Educated clients on available resources and services within their communities.
- Provided emotional support to patients dealing with difficult health issues.
Safari Pediatrics
Registered Medical Assistant
02.2020 - 08.2020
Job overview
- Performed vitals, administered pediatric vaccinations, and supported minor procedures
- Coordinated prescription management, handling Rx overrides and patient inquiries
Community Health Centers, Pine Hills
Registered Medical Assistant (Float)
03.2018 - 10.2019
Job overview
- Conducted patient assessments, obtained vitals, and assisted in minor medical procedures
- Supported medication refills, referrals, and maintained patient medical records
All Star Pediatrics
Lead Medical Assistant
12.2014 - 09.2017
Job overview
- Supervised and trained medical assistants and front desk team, ensuring smooth operations
- Assisted physicians with medical procedures, immunizations, and coordinated patient care plans
- Managed patient information, including HIPAA compliance and medical documentation
Education
Keiser University
Associate of Science from Medical Assisting
05-2001
University Overview
Skills
- Prior Authorization & Insurance Verification
- Specialty & High-Cost Medication Approvals
- Advanced Multitasking & Task Management
- Provider & Patient Coordination
- Compliance with Service-Level Agreements
- Electronic Health Record (EHR) Management
- Reproductive Health & Complex Procedure Coordination
- Medical Office Administration
- Insurance practices
- HIPAA compliance
- Quality assurance
- Progress monitoring
- Team collaboration
- Monitoring tools
- Time management
- Strategic planning
- Treatment Planning
- Goal setting
- Ethical judgment
- Active listening
- Healthcare operations
- Verbal and written communication
- Empathy and compassion
- Patient education
- Medical terminology understanding
- Data entry
- At-home care instruction
Accomplishments
Accomplishments
- Recognized for consistently exceeding service-level targets in prior authorization processing.
- Successfully handled high volumes of complex insurance authorizations with accuracy and efficiency.
- Assisted in streamlining provider support tasks, improving workflow and response times.
Certifications And Skills
Certifications And Skills
- Registered Medical Assistant (RMA)
- HIPAA & OSHA Compliance
- Electronic Health Records (EHR) & Insurance Portals
- Proficient in Epic
Languages
Spanish
Native/ Bilingual
References
References
References available upon request.Timeline
Care Coordinator II (Remote)
Included Health
01.2022 - Current
Remote Care Coordinator
HealthMote
03.2021 - Current
Registered Medical Assistant
Safari Pediatrics
02.2020 - 08.2020
Registered Medical Assistant (Float)
Community Health Centers, Pine Hills
03.2018 - 10.2019
Lead Medical Assistant
All Star Pediatrics
12.2014 - 09.2017
Keiser University
Associate of Science from Medical Assisting
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