Jomary Rojas
Ocoee
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Admissions Coordinator
Select Speciality Hospital
Orlando
01.2023 - Current
- Conducted daily lead conversion calls with business development team to enhance patient referral process.
- Verified insurance plans for all referred patients and initiated authorizations.
- Entered accurate referral admission denial and conversion data using online programs and databases.
- Maintained 0% deficiency rate to eliminate holds and support financial viability of hospital.
- Communicated relevant data to clinical liaisons, case managers, and physicians for admission preparation.
- Coordinated day-of admissions, ensuring availability of all necessary equipment and medications for patient readiness.
- Physically admitted patients, provided facility tours, and collected signed consent forms for treatment.
Intake Specialist
Soleo Health
Orlando
06.2018 - 12.2022
- Conducted benefit verification for patient insurance plans, detailing coverage for medications and supplies.
- Recorded coinsurance, copay, deductibles, and authorization requirements to ensure accurate patient billing.
- Calculated estimated patient financial responsibility using benefit verification and payer contracts.
- Initiated follow-ups to secure prior authorization, pre-determination, or medical review documentation.
- Reviewed and obtained clinical documents for submission to relevant parties.
- Updated patients, referral sources, and departments on referral coverage status and provided timely information.
- Assisted patients with financial needs in accessing manufacturer copay assistance programs or foundations.
- Generated new patient start of care paperwork accurately and efficiently.
HIM/Medical records/coding assistant
CENTRAL FLORIDA BEHAVIORAL HOSPITAL
Orlando
02.2016 - 05.2018
- Maintained up-to-date knowledge of CPT and ICD-10 coding principles and regulations for compliance.
- Reviewed patient health data, including diagnoses and treatments, for accurate coding.
- Applied modifiers, coded narrative diagnoses, and verified accuracy of diagnoses.
- Collaborated with healthcare personnel to enhance coding accuracy and resolve discrepancies, ensuring compliance with regulations.
- Completed continuing education and certification renewal to uphold coding standards.
- Developed techniques to streamline medical records retrieval, facilitating quicker access to patient information.
- Transferred patient records and pertinent information to appropriate parties efficiently.
- Verified record copies to eliminate unnecessary details, ensuring accurate distribution.
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT01-2029
High School Diploma - General
Fredrick Douglas High School
Manhattan, NY01-2011
Skills
- Insurance Verification
- Medical coding
- ICD-10 coding Assistance
- HIPAA compliance & Regulatory standards
- Clinical documentation review
- Denial management and reimbursement
- Various EHR experiences : EPIc,CPR, NAVI, Allscripts
- Data entry accuracy
- Analytical and critical thinking
- Strong attention to detail
- Time management & multitasking in high volume environments
- Medical Terminology & Anatomy
Certification
- AAPC -CPC, 2021
- AAPC -Credentialing Specialist Course completion
Languages
Spanish
Professional
Timeline
Admissions Coordinator
Select Speciality Hospital
01.2023 - Current
Intake Specialist
Soleo Health
06.2018 - 12.2022
HIM/Medical records/coding assistant
CENTRAL FLORIDA BEHAVIORAL HOSPITAL
02.2016 - 05.2018
Bachelor of Science - Nursing
Western Governors University
High School Diploma - General
Fredrick Douglas High School