Kate Rodriguez
Pharr,Texas
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
3
3
years of professional experience
Work History
Patient Experience Coordinator
DHR Health
03.2025 - Current
- Coordinated special events or activities for patients aimed at enhancing their overall hospital stay experience.
- Championed initiatives that recognized exceptional staff performance in providing outstanding patient experiences.
- Played an active role in creating an environment where open dialogue between healthcare professionals and patients was encouraged.
- Collaborated with interdisciplinary teams to identify areas for improvement in the patient experience process.
- Improved patient satisfaction by addressing concerns promptly and efficiently.
- Maintained confidentiality while managing sensitive information about patients'' medical history, treatment plans, and personal circumstances.
- Provided excellent customer service to patients and medical staff.
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.
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.
Education
Associate of Arts - Business Administration
South Texas College
Mcallen, TX05.2024
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
Languages
Spanish
Native or Bilingual
Timeline
Patient Experience Coordinator
DHR Health
03.2025 - Current
Healthcare Billing Specialist
DHR Health Revenue Cycle
05.2023 - Current
Clinic Manager
DHR Health Advanced Care Center
08.2022 - 04.2023
Associate of Arts - Business Administration
South Texas College
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