Emily Rodriguez
Wichita Falls,TX
Summary
Seasoned insurance professional with extensive experience at Momentum Specialty Surgery, excelling in claims follow-up and insurance verification. Proven ability to enhance revenue cycle efficiency and resolve billing issues with exceptional customer service skills. Adept at utilizing WebPT software to streamline processes and improve patient collections.
Overview
7
7
years of professional experience
Work History
Insurance Clerk
Momentum Specialty Surgery
Wichita Falls, TX
07.2023 - Current
- Checked patient insurance eligibility for specialty surgeries at the clinic.
- Reviewed prior authorization requirements for surgical procedures.
- Processed insurance documents for Momentum Specialty Surgery patients.
- Verified insurance and followed up on claims to ensure timely payment, while scanning medical records for efficient processing.
Medical Insurance Collections Representative
Synergy Physical Therapy
Fort Worth, TX
01.2022 - 07.2023
- Followed up on denied claims to ensure resolution and timely processing. Provide medical records and post adjustments for finalized claims based on EOB. Verified claims were submitted accurately, confirming status of electronic and manual submissions in WEBPT. Appealed denied claims by contacting insurance companies, advocating for claim approvals. The position was remote.
- Examined claims for accuracy and completeness and payment denials for unresolved balances
- Oversaw patient billing accounts for physical therapy billing and collections
- Communicated with patients regarding accounts about account status and payment arrangements
Senior Customer Service Representative
City of Fort Worth Water Department
Fort Worth, TX
03.2021 - 02.2022
- Resolved billing issues and verified account information, enhancing customer satisfaction during inquiries and complaints.
- Assisted Fort Worth water customers with billing, service, and account questions.
- Processed water payments, adjustments, and account updates using department systems.
- Explained City water policies, rates, and service procedures to residents.
Customer Service Representative
Maxim Healthcare Group / US Health Group
Fort Worth, TX
11.2020 - 03.2021
- Answered inbound calls for healthcare staffing and insurance member inquiries.
- Verified patient eligibility and benefits using company systems and records.
- Scheduled appointments and coordinated service requests with care teams.
- Aligned insurance billing dates with client requests and payment schedules to enhance accuracy and client satisfaction.
Patient Service Coordinator
Healthcare Associates of Texas
Southlake, TX
03.2020 - 11.2020
- Coordinated patient scheduling, referrals, and appointment changes for Texas healthcare practice.
- Verified insurance details and eligibility before patient visits.
- Registered new patients and updated demographic information in electronic records.
- Answered and routed incoming calls, updated patient information, processed medical record requests, and faxed and scanned patient documents to ensure accurate patient records. Gathered patient personal and insurance information and scheduled appointments to facilitate timely patient care. Processed payments from patients for copays and deductibles, ensuring accurate financial transactions.
Education
Certification - Medical Billing And Coding
American Commercial College
Wichita Falls, TX04-2010
High School Diploma -
Hirschi High School
Wichita Falls, TX05-1989
Skills
- Insurance verification
- Prior authorization
- Claims follow-up
- EOB posting
- Medical billing
- Payment posting
- Patient collections
- Medical records
- WebPT system
- Revenue cycle
Timeline
Insurance Clerk
Momentum Specialty Surgery
07.2023 - Current
Medical Insurance Collections Representative
Synergy Physical Therapy
01.2022 - 07.2023
Senior Customer Service Representative
City of Fort Worth Water Department
03.2021 - 02.2022
Customer Service Representative
Maxim Healthcare Group / US Health Group
11.2020 - 03.2021
Patient Service Coordinator
Healthcare Associates of Texas
03.2020 - 11.2020
Certification - Medical Billing And Coding
American Commercial College
High School Diploma -
Hirschi High School