Lezley Rocha
Hot Springs,USA
Summary
Currently completed a course in introduction to cybersecurity
Overview
30
30
years of professional experience
1
1
Certification
Work History
Patient Care Coordinator
Lana Sumerall
09.2018 - Current
- Coordinated patient appointments and managed scheduling efficiently.
- Facilitated communication between patients and healthcare providers to ensure clear understanding of treatment plans.
- Updated and maintained accurate patient records in electronic health systems for compliance and accessibility.
- Assisted in triaging patient inquiries to appropriate departments, improving response times and satisfaction levels.
- Trained new staff on best practices for patient coordination, ensuring adherence to organizational standards and policies.
- Collaborated with interdisciplinary teams to optimize patient care delivery and operational workflows.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Monitored inventory levels of medical supplies and equipment, placing orders when necessary to prevent shortages or delays in patient care provision.
- Negotiated with insurance companies to secure coverage for necessary treatments, alleviating financial burdens for patients.
- Advocated for patients' rights and needs, ensuring their voices were heard in care decisions.
- Streamlined patient admission processes, reducing wait times and improving overall efficiency.
- Monitored patient progress and adjusted care plans as necessary, contributing to improved health outcomes.
- Resolved patient concerns and complaints with empathy and professionalism, restoring trust in healthcare services.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Greeted and assisted patients with check-in procedures.
- Followed document protocols to safeguard confidentiality of patient records.
- Organized patient records and database to facilitate information storage and retrieval.
- Helped address client complaints through timely corrective actions and appropriate referrals.
- Recommended service improvements to minimize recurring patient issues and complaints.
Portfolio Analyst, Contract Worker
Mercedes Benz Credit Corporation
03.1997 - 09.1997
- Assessed C paper portfolio in relation to customer requirements and histories to ensure effective resolution of financial issues for Mercedes Finance and key clients
Office Manager
Walter F. Evans, M.D.
07.2004 - 11.2006
- Performed human resources, OSHA, HIPAA credentialing, A/R, payroll, surgical coding, and insurance follow-up functions oversight. Managed rejection of electronic claims, periodic checking of injection and lab logs, preparation of office for inspections regarding credentialing and compliance. Point of contact resolution for patient issues.
Practice Manager
Sagebrush Women’s Healthcare
05.2001 - 02.2004
- Multi location practice covering two hospitals. Setup practice and credentialing initially with physicians upon separation from Medsurg Irving. Managed human resource issues, managed staff of A/R, reception, nursing, inventory, HIPPA and OSHA compliance, maintained MSDS book, spot checked shot records and injection logs, scheduled physician meetings and employee meetings and inservice. Attended continuing education CPT and ICD9 coding classes and personally handled surgical billing and Medicaid crosswalk coding modifications in the computer system, adherent to Texas Department of Health.
Insurance Claims, A/R
Medsurg Irving
07.1999 - 05.2001
- Followed up on electronic and paper claims with insurance companies, posted insurance payments. Researched claims and payment for higher reimbursement regarding coding issues and use of modifiers.
Customer Service/ Practice Analyst
Healthtexas Provider Network
03.1997 - 07.1999
- Resolved patient issues regarding payment, insurance payment issues on large accounts and major payment accounts. Analyzed practices that applied to Baylor hospital for buyout. Starting with staff job performance, duties, lunchtimes, scheduling, efficiency, insurance filing, payments, A/R, follow-up, payroll, copays not being collected at time of service. Made staffing changes accordingly to streamline the practice and cut costs. Educated staff on legal, confidentiality, logging and record keeping, and claims issues. Worked at the assigned clinic and made an assessment to Baylor regarding viability of the assigned clinic maintaining a positive financial stability.
Collections/ Customer Service/ACD
Nissan Motor Acceptance Corp
01.1996 - 01.1997
- Point of contact resolution with customers in resolving 30 day delinquency issues. Handled a minimum of 200 calls/day. Also was in charge of all extensions/deferments that went through our department, either by natural disaster or requested.
Education
Introduction to Cybersecurity
Coursera
09.2024
Anthropology
University of Kansas
Lawrence, Kansas05.1991
Broadcast Journalism
University of Southern Mississippi
Hattiesburg, MS05.1989
Skills
- Word, Excel, Powerpoint
- ICD9, CPT
- Medical Billing
- Physiology knowledge
- HIPAA knowledge
- OSHA knowledge (MSDS)
- Baylor Medical Latin class
- US DOT Stock Control Clerk
Certification
US DOT Stock Control Clerk
Timeline
Patient Care Coordinator
Lana Sumerall
09.2018 - Current
Office Manager
Walter F. Evans, M.D.
07.2004 - 11.2006
Practice Manager
Sagebrush Women’s Healthcare
05.2001 - 02.2004
Insurance Claims, A/R
Medsurg Irving
07.1999 - 05.2001
Portfolio Analyst, Contract Worker
Mercedes Benz Credit Corporation
03.1997 - 09.1997
Customer Service/ Practice Analyst
Healthtexas Provider Network
03.1997 - 07.1999
Collections/ Customer Service/ACD
Nissan Motor Acceptance Corp
01.1996 - 01.1997
Introduction to Cybersecurity
Coursera
Anthropology
University of Kansas
Broadcast Journalism
University of Southern Mississippi
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