Maria Roman Rodriguez
Hialeah,FL
Summary
Compassionate in Health Care well-versed in performing diverse administrative functions for patient care with high degree of diplomacy and problem-solving acumen with over 5 years of experience in the field. Positive and upbeat team player with good communication and time management abilities.
Overview
16
16
years of professional experience
Work History
HH Manager Patient Access
Steward Hialeah Hospital
Hialeah, FL
01.2023 - Current
- Established solid relations with leadership and staff by attending board meetings and coordinating interdepartmental information exchanges.
- Responsible for supervising and leading staff in the patient access department to ensure excellent customer service and accurate registration.
- Prepared monthly summary reports highlighting key metrics within the department.
- Created reports for management regarding daily operations of the department.
- Payor notification and initial authorization request
- Authorization follow up and working with Case Management for inpatient status
- Responsible for ED and In-house collections and follow up to meet monthly target goals
- Cross trained in all areas of Patient Access: ED, Main Admitting, Scheduling, Outpatient, Surgery, Special Procedures
- Rounding the hospital patients for PSMS
- Working Director special projects for Department KPI analytical reports.
- Established processes to ensure efficient workflow throughout the organization.
- Resolved conflicts between employees by providing guidance on company policies and procedures.
- Initiated new projects that resulted in increased productivity across all departments.
- Monitored staff performance and addressed issues.
PA Rep II
Conifer Health Solutions-Hialeah Hospital
Hialeah, FL
12.2019 - 10.2022
- Greeted patients upon arrival at facility, collected required documents, and verified demographic information against existing records.
- Verified insurance coverage and completed pre-registration process for new patients prior to their arrival.
- Collected co-payments from patients at time of service or scheduled payment plans when necessary.
- Verified and entered necessary information into patient management system.
- Verified insurance and collected critical data elements to properly identify and bill patients.
- Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.
Healthcare Receptonist
Dolphin Rehad Center
Miami, FL
03.2009 - 12.2018
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Greeted visitors to provide information and direct to appropriate personnel.
- Explained policies and procedures to visitors.
- Maintained business office inventory and equipment by checking stock for needed supplies.
- Greeted customers warmly and made them feel welcome.
Education
GED -
World Hope Academy
Miami07-2009
Skills
- Customer Services
- Analytical thinking
- Adaptability
- Time management
- Good communication skills
- Regulatory compliance knowledge (AHCA, Joint Commission and CMS
- Team work
- Financial Clearance and authorization referral
- Knowledge of Workers Comp, Auto, Commercial, HMO, PPO, and Government Payors
- Medical terminology and ICD10 coding
- Microsoft office: Excel, Words, PowerPoint, Outlook
- Systems, Cener, Avability, Passport, Navinet, Pass
- Computer Skills
- Organizational Skills
Timeline
HH Manager Patient Access
Steward Hialeah Hospital
01.2023 - Current
PA Rep II
Conifer Health Solutions-Hialeah Hospital
12.2019 - 10.2022
Healthcare Receptonist
Dolphin Rehad Center
03.2009 - 12.2018
GED -
World Hope Academy
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