Marianela Rodriguez
Chula Vista,CA
Summary
Dedicated to improving practices and updating policies for maximum program success and billing efficiency. Well-organized leader with strong critical thinking, planning and problem-solving abilities focused on boosting team productivity and elevating business profile. Familiar with coding, medical terminology, and account management.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Supervisor
Integrated Oncology Network
San Diego, CA
06.2018 - Current
- Monitored and evaluated existing processes to identify areas of improvement in the revenue cycle.
- Trained new staff members on billing systems and authorization process.
- Resolved customer complaints regarding billing issues in a timely manner.
- Interacted with insurance companies to obtain authorization for medical services rendered by providers.
- Conducted audits on a regular basis to ensure the team was working effectively.
- Assisted with developing new plans for the authorization team to divide workflow evenly.
- Helped physicians with peer-to-peer and appeal process.
- Provided guidance to staff on coding, billing procedures, policies, and other technical issues.
- Managed daily operations of the billing department, ensuring timely submission of claims and accurate data entry.
- Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
Authorization Coordinator
California Cancer Associates for Research & Exe
La Jolla, CA
02.2016 - 06.2018
- Reviewed and approved authorization requests according to established criteria.
- Processed incoming authorization requests and updated customer accounts accordingly.
- Identified discrepancies in authorization requests, reported them to management, and took corrective action as needed.
- Analyzed data from various sources to ensure accuracy of authorizations.
- Managed workflow processes for authorization requests, including routing documents and tracking progress.
- Researched information as necessary to resolve customer inquiries or issues with authorizations.
- Gathered data to formulate appropriate replies for information requests.
Education
Some College (No Degree) - Billing And Coding
Brightwood College - Sacramento
Sacramento, CASkills
- Coding proficiency
- Medical Billing
- HIPAA knowledge
- Billing management
- Analytical skills
- Collections Management
- Leadership
- Insurance Coordination
Languages
Spanish
Professional
English
Professional
Timeline
Revenue Cycle Supervisor
Integrated Oncology Network
06.2018 - Current
Authorization Coordinator
California Cancer Associates for Research & Exe
02.2016 - 06.2018
Some College (No Degree) - Billing And Coding
Brightwood College - Sacramento
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