Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Certification
Languages
Timeline
Generic

Gloria M. Rodriguez, MSc

Port St. Lucie,FL

Summary

Accomplished leader with extensive experience in banking, sales, accounts receivables, billing, payables, cash flow, quality assurance, and operations management. Skilled in providing strategic leadership for short- and long-term goals to achieve business and financial objectives. Adept at identifying optimal solutions for various scenarios, communication strategies, and organizational development. Results-driven professional with expertise in training strategy and planning, effectively prioritizing tasks, managing time efficiently, and demonstrating strong leadership skills to ensure top performance and drive growth. Committed team player with a determined work ethic excelling in communicating with individuals at all levels of an organization.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Insurance Agent

Pinnacle
06.2024 - Current

Sale Life Insurance

Accounts Payable Manager

Prosegur
03.2022 - 03.2023
  • Oversee AP Team, GL coding, month-end close, GAAP, and reconciliation.

Accounts Payable Manager

Medi Trans - MTI America
07.2019 - 03.2022
  • Oversight of the accounts payable department in hiring, training, building, and maintaining relationships with vendors.
  • Directed 14 reports in managing, training, and development.
  • Ensured routine functions were executed promptly, including disbursing checks, processing payroll, and identifying and establishing key accounts payable metrics and targets to optimize fiscal performance.
  • Served as a liaison in resolving invoice disputes and inquiries from external and internal departments.
  • Managed the bi-weekly AP aging reports and analysis of open payables balances, oversaw the reconciliation of key vendor accounts and balances, and updated financial, employee, and client records.
  • Compiled, analyzed, and reported the financial information to management and prioritized department objectives achieved, and the month-end close.
  • Driven improvements in enforcing budgets, policies, and department controls to increase accuracy and efficiency.

Senior Revenue Financial Analyst (Consultant)

Open Door Medical Center
04.2018 - 08.2018
  • Focused efforts on denials, 4028 non-par, and missing wrap report updates for Medicaid and Medicare billings, and provided documented revenues for Medicaid and Medicare to the CFO and direct reports weekly.
  • Generated aging report updates by sites to the billing department and supervisor.
  • Ensured that the additions and removals were provided to the PCMH Clinician Recognition Directory Monthly.
  • Delivered bucket status updates on Signature Supervisor required, OB pending, ultrasounds, vaccine reviews, etc.

Research Finance Analyst (Consultant)

Stamford Hospital
06.2017 - 12.2017
  • Assisted with inputting clinical trial study budgets and financials into Allegro CTMS for invoices and the payment system.
  • Attended weekly staff meetings for Oncology and Non-Oncology Sponsor discussion, visit updates.
  • Executed independent reviews of revisions to sponsor contracts and budgets for management and legal assessment.
  • Administered research billing reviews of TSH outpatient visits in Meditech and coding corrections.
  • Completed Non-Oncology Subject payments for W-9 new and ongoing weekly visits.
  • Prepared spreadsheets for Subject/Principal Investigator payment specialties, including Oncology, Cardiology, Nephrology, Radiology, Gynecology, Pulmonary, Pain Management, Hematology, I Specimen, Femassy, and Tact 2.

A/R Contract (Consultant)

Access Nursing Services
10.2016 - 02.2017
  • Analyzed and edited contract rates, provided timely filing updates, investigated insurance denials, and identified appropriate action necessary.

Director of Administration/Finance/Collections

RAIN Home Health Care Services, Inc.
01.2014 - 02.2016
  • Managed staff, payroll, cash flow, reconciliation, bank relationships, and over 35 managed care vendors.
  • Oversaw the Agency's payroll processing for staff, vendor payments, MMIS billings, and financial statements, and provided feedback to the Board of Directors on fiscal disbursements and decisions.
  • Liaised with HRA and NYS DOH on budget preparation, audits, and MMIS billings, and with the HRA Field Auditors, as well as informed the CPA/Board of Directors on issues and updates about the Agency's fiscal audit.
  • Worked with IT in implementation for 2 Managed Care Companies, which collected over $14M within 5 months.

Education

Master of Science (MSc) - Organizational Leadership

Mercy College
Dobbs Ferry, NY

Bachelor of Science (BS) - Business Administration/Finance

Mercy College
Bronx, NY

Associate of Science (AS) - Computer Science

Monroe College
Bronx, NY

Skills

  • NetSuite, AP/AR, Billing, Payroll, DRG, CPT, Cash Flow Management, Vendor Relations, Microsoft Dynamics 365, ERP, SAP, OneDrive, Teams, Zoom, SharePoint, Outlook/Exchange Migrations, Sage, Mineral Tree, Field Support, WinTeam, 360MT, Mas200, ADP, Smart Sheet, Bright Tree, Dropbox, Bridgit, Relevant, eClinicalWorks, Allegro, Meditech, GE Centricity
  • CITI Program, JCAHO, HHA Exchange, ZirMed, MedAssets, Arrow, SANDATA/Pay Pro Programs, QuickBooks, SOX Emdeon, Excel, Pivot, Publisher, Access, Facets Medicaid - EPACES/EMEDNY, CMS, EASY-Scan (NH) Medicare, AMISYS, HEDIS, Ingenix, Winstrat/Webstrat Pricing Programs

Accomplishments

  • Responsible for overseeing the AP Team's operations at MTI America - Home Health, Diagnostics, IT, Office, Physical Medicine, Dental, Transportation, Interpreters, and Operations.
  • Billed $36M to CMS, the Department of Health, Medicaid/Managed Care, stop-loss recovery, and receivables.
  • Overall, collected $65M from managed care companies and private contracts for rendered services.
  • Instituted corrective measures for 35 managed care contracts in collections, MMIS, pends, holds, denials, and surplus accounts at RAIN.
  • Oversaw the planning, organizing, and enforcing of all financials, administrative policies, and procedures for billing, accounts receivables, accounts payables, and nursing departments at RAIN.
  • Implemented IP Address with the IT department for billing two managed care companies, and collected $14M within 5 months.
  • Collected $10 M+ in revenue for inpatient and rehabilitation in less than one year at St. Mary's.
  • Collected $ 250 K+ from the State Dept. of Health, Medicaid/Managed Care, and stop-loss receivables aging report.

Affiliations

  • Southern State Member of New York Nursing Home & Medicaid/Medicare Part D | Managed Care Advisory Council
  • National Association Member of Accountants | (PPT) | New York City Substitute Math/Science Teacher
  • (HRA) Department of Social Services | 11 years as a Bilingual-Eligibility Specialist III/Caseworker
  • Consultant (Appeals) - Schumacher Center for Rehabilitation - & Judith Lynn Assisted Living

Certification

  • Good Clinical Practice (GCP)
  • FLA Health and Life and Annuity (incl. Var. Contracts) Agent (02-15)

Languages

Spanish
Professional Working

Timeline

Insurance Agent

Pinnacle
06.2024 - Current

Accounts Payable Manager

Prosegur
03.2022 - 03.2023

Accounts Payable Manager

Medi Trans - MTI America
07.2019 - 03.2022

Senior Revenue Financial Analyst (Consultant)

Open Door Medical Center
04.2018 - 08.2018

Research Finance Analyst (Consultant)

Stamford Hospital
06.2017 - 12.2017

A/R Contract (Consultant)

Access Nursing Services
10.2016 - 02.2017

Director of Administration/Finance/Collections

RAIN Home Health Care Services, Inc.
01.2014 - 02.2016

Bachelor of Science (BS) - Business Administration/Finance

Mercy College

Associate of Science (AS) - Computer Science

Monroe College

Master of Science (MSc) - Organizational Leadership

Mercy College
Gloria M. Rodriguez, MSc