Summary
Overview
Work History
Skills
Education
Timeline
Generic

KATHIA JUSINO RODRIGUEZ

Lakeland,Fl

Summary

Bilingual healthcare professional with experience in outreach, quality assurance, and productivity-driven workflow optimization. Skilled in cross-functional collaboration, documentation analysis, and process improvement to support clinical teams and enhance member care. Eager to leverage a proactive mindset to streamline operations and drive results in a fast-paced, dynamic environment.

Overview

8
8
years of professional experience

Work History

Member Outreach Specialist

Devoted Health - Devoted Medical Group
09.2022 - Current
  • Support Devoted to Me (D2Me), Palliative, and Diabetes Specialty Care Programs by coordinating member outreach and clinical documentation.
  • Consistently exceeds conversion and QA performance metrics, while adapting quickly to program changes.
  • Provide valuable clinical insights via comprehensive documentation to equip providers for upcoming visits.
  • Conducts self-directed metrics reviews to monitor performance, identify trends, and drive improvements.

Project Interstellar Intern

Devoted Health - Devoted Medical Group
04.2025 - 07.2025
  • Contributed to a cross-functional initiative to strengthen collaboration between outreach teams and clinical operations.
  • Conducted workflow shadowing and referral reviews, identifying inefficiencies in documentation, scheduling, and tool usage.
  • Developed operational tools (Referral Tracker, Flag Sheet, Time Study) to streamline workflows and support productivity audits.
  • Created a playbook handoff with key insights, deliverables, and recommendations for Clinical Directors and Managers.

Quality Specialist

Advanced Internal Medicine Care
Lakeland, USA
10.2017 - 09.2022
  • Collaborated with Medicare Advantage insurers (Careplus, Freedom, Optimum, WellCare, WellMed, AARP, UHC, Simply Healthcare, Devoted Health) to ensure compliance with CMS and NCQA standards.
  • Submitted documentation for Stars and HEDIS quality programs, supporting accurate coding and compliance.
  • Coordinated training and shadowing sessions with providers to improve quality metrics and enhance patient outcomes.

Referral and Scheduling Coordinator

Advanced Internal Medicine Care
Lakeland, Florida
10.2017 - 09.2022
  • Processed referrals and authorizations for office visits, radiology studies, and procedures (inpatient and outpatient).
  • Ensured timely communication between providers, specialists, and patients to support continuity of care.
  • Responded to patient calls, scheduled appointments, verified insurance coverage, and processed payments.
  • Managed clinician schedules, processed medical record requests, and office purchases.
  • Utilized eClinicalWorks to ensure accurate scheduling, billing, and documentation.

Skills

  • Bilingual Communication: Fluent in Spanish & English
  • Workflow optimization and productivity auditing
  • Documentation Quality Improvement
  • Data Collection & Analysis
  • HIPAA Compliance
  • Microsoft Office Tools
  • Reporting
  • Performance Metrics Evaluation
  • Strong communication and member engagement
  • Empathy & Member-Centered Care
  • Team Collaboration & Relationship-Building
  • Problem-Solving & Critical Thinking
  • Adaptability & Flexibility in Fast-Paced Settings
  • Attention to Detail & Accuracy
  • Leadership Potential & Initiative
  • Continuous Learning & Professional Growth
  • Productivity Mindset (focused on efficiency impact)

Education

Bachelors in Business Administration - Marketing 

Interamerican University of Puerto Rico 

Timeline

Project Interstellar Intern

Devoted Health - Devoted Medical Group
04.2025 - 07.2025

Member Outreach Specialist

Devoted Health - Devoted Medical Group
09.2022 - Current

Referral and Scheduling Coordinator

Advanced Internal Medicine Care
10.2017 - 09.2022

Quality Specialist

Advanced Internal Medicine Care
10.2017 - 09.2022

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KATHIA JUSINO RODRIGUEZ