Kate Rodriguez
Pharr,Texas
Summary
Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
8
8
years of professional experience
Work History
Healthcare Billing Specialist
DHR Health Revenue Cycle
05.2023 - Current
- Implemented electronic billing systems to improve efficiency, reduce errors, and expedite payment processing
- Managed appeals process for denied claims, proficiently providing supporting documentation to successfully overturn denial decisions in many cases
- Trained new team members on company-specific policies and procedures, contributing to a more cohesive and efficient billing department
- Collaborated with healthcare providers to reconcile discrepancies, facilitating accurate and timely claim submission
- Audited accounts receivable balances regularly to identify outstanding claims requiring follow-up or further investigation
- Conducted monthly reviews of aging report data, prioritizing high-dollar accounts for prompt resolution efforts
- Reduced claim denials by thoroughly reviewing medical documentation and ensuring accurate coding practices
- Communicated with insurance providers to resolve denied claims and resubmitted
- Verified insurance of patients to determine eligibility
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records
- Filed and updated patient information and medical records
- Delivered timely and accurate charge submissions
- Facilitated communication between different departments to ensure seamless patient care
- Managed daily operations in a healthcare facility, ensuring efficient patient care and compliance with regulations
- Liaised with insurance companies for claims processing and resolved disputes related to billing issues.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Clinic Manager
DHR Health Advanced Care Center
08.2022 - 04.2023
- Resolved patient complaints in a timely manner, ensuring a positive experience for all parties involved
- Hired, trained and supervised employees to maintain team of high performers
- Conducted regular staff evaluations, providing constructive feedback and setting clear expectations for future performance goals
- Created and implemented policies to improve operational efficiency and patient care quality
- Developed strong relationships with patients, fostering trust and loyalty to the clinic
- Conducted frequent clinic walk-throughs to maintain safe work environment
- Created opportunities for cross-training employees so they could better understand different roles within the organization leading towards improved teamwork
- Monitored duties assigned to personnel to promote high levels of patient care and job efficiency
- Reduced wait times for appointments by streamlining front office processes, enhancing overall patient satisfaction levels
- Enforced maintenance of clean and organized work environment in compliance with safety and sanitation regulations
- Attended regular meetings with hospital administrators to discuss clinic operations and policies
- Monitored number of patients and wait times to create efficient flow of patients from check-in to check-out
- Prioritized patient confidentiality, adhering to HIPAA guidelines and safeguarding sensitive information at all times
- Maintained a clean, safe environment for both patients and staff by enforcing strict adherence to infection control protocols
- Ordered all pharmacy supplies and kept check on inventory levels
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Medical Office Specialist
DHR Health ER/Care Link Clinic
10.2016 - 08.2022
- Facilitated effective communication between patients, healthcare providers, and insurance companies for optimal care coordination
- Established strong rapport with patients through thoughtful listening skills, empathetic communication, and professional demeanor
- Processed payments from patients promptly and accurately while answering any questions regarding their account balances or insurance coverage
- Answered telephone calls to offer office information, answer questions, and direct calls to staff
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing
- Trained newly hired administrative staff members on office policies, procedures, and best practices, fostering a supportive team environment
- Enhanced office organization by maintaining up-to-date medical records, both physical and electronic
- Strengthened patient relationships with consistent follow-up on test results, appointments, and referrals
- Received, recorded and filed medical payments by check, cash, and credit card
- Improved patient satisfaction by streamlining appointment scheduling and implementing efficient check-in procedures
- Managed inventory of medical supplies to provide necessary resources for daily clinic operations without interruption
- Updated patient information and insurance details for accurate electronic medical records
- Provided prompt, polite and professional in-person and telephone customer service
- Registered patients and completed associated paperwork for accurate records.
Education
Associate of Arts - Business Administration
South Texas College
Mcallen, TexasBBA - Organizational Leadership
South Texas College
McAllen, TX05-2026
Skills
- ICD-10 Proficiency
- Medical Billing Software Proficiency
- Medicare and Medicaid knowledge
- Leadership Qualities
- Professionalism and Integrity
- Teamwork orientation
- Goal Setting and Achievement
- Networking and relationship building
- Ethical Conduct Awareness
- Healthcare Billing Knowledge
- Training and Development Abilities
- Insurance Verification Abilities
- Effective Communication
- Teamwork and Collaboration
Accomplishments
Nominated to the National Society of Leadership and Success.
Awards
EnAct Leadership Development Program, 2022
Timeline
Healthcare Billing Specialist
DHR Health Revenue Cycle
05.2023 - Current
Clinic Manager
DHR Health Advanced Care Center
08.2022 - 04.2023
Medical Office Specialist
DHR Health ER/Care Link Clinic
10.2016 - 08.2022
Associate of Arts - Business Administration
South Texas College
BBA - Organizational Leadership
South Texas College
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