Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Kiara J. Cartagena-Rojas

Greer,SC

Summary

Dedicated administrative professional well-versed in communication and team building. Ready to bring 5 years of relevant work experience to your team. Friendly insurance professional experienced in investigating and processing insurance claims. Support and promote all integration initiatives including Family Medical Leave and Life Assistance Programs. Hardworking and communicative individual excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims. Clearly articulate claim decisions both verbally and in written communications.

Overview

10
10
years of professional experience

Work History

Patient Access Representative

Spartanburg Regional Hospital System
03.2021 - Current


  • Research and resolve all registration occurrences for demographic, clinical and insurance accuracy.
  • Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
  • Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.

Endoscopy Technician

Bon Secours Healthcare System
02.2020 - 11.2020


  • Responsible for labeling specimens, logging them into pathology notebook.
  • Set up endoscopy suites with equipment and supplies needed for procedures.
  • Supported physicians and nursing staff during procedures.

Lead Patient Service Representative

Prisma Health Pediatric Pulmonology
08.2019 - 02.2020
  • Responsible for posting all payments and balancing with the computer reports at day end.
  • Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs.
  • Provided exceptional customer service to patients, answering questions and addressing concerns.
  • Verified insurance eligibility and coverage for patients.

Medical Assistant Supervisor

Wellspan Health
03.2018 - 07.2019
  • Maintaining strict confidentiality of patient’s health information.
  • Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.

Assistant Store Manager

Goodwill Industries
11.2013 - 01.2017
  • Reports concerns and problems to RDD and Loss Prevention Department in the absence of the Store Manager.
  • Assists in ensuring that all paperwork is completed in an accurate and timely manner to include opening/closing procedures, balancing cash drawers, bank deposits, payroll and production records, and staff schedules.
  • Supports and promotes organizational programs and special events as required.
  • Completes hiring process and ensures successful orientation and onboarding on new hires in absence of the Store Manager.

Education

Associate of Arts - Specialized Business

Consolidated School of Business
York, PA
03.2018

Skills

  • Collection Management
  • Claims Handling and Coverage Verification
  • Bilingual in Spanish and English
  • Payment Processing
  • Insurance Form Processing
  • Medical Terminology
  • Team Leadership
  • Benefits Explanations
  • Medical Insurance
  • Scheduling
  • Coordinate Referrals
  • Billing Experience

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Patient Access Representative

Spartanburg Regional Hospital System
03.2021 - Current

Endoscopy Technician

Bon Secours Healthcare System
02.2020 - 11.2020

Lead Patient Service Representative

Prisma Health Pediatric Pulmonology
08.2019 - 02.2020

Medical Assistant Supervisor

Wellspan Health
03.2018 - 07.2019

Assistant Store Manager

Goodwill Industries
11.2013 - 01.2017

Associate of Arts - Specialized Business

Consolidated School of Business

Similar Profiles

CREATE PROFILE
Kiara J. Cartagena-Rojas