Monique Rodriguez
Carriere,Mississippi
Summary
Energetic, accomplished professional with more than 28 years of administrative and accounting experience in the Utility Industry, Medical and Workers Compensation field. Excellent customer service skills, office administration and strong organizational techniques. Detail-oriented with outstanding written and oral communication skills to establish strong relationships and succeed within fast-paced environments. Solid multi-tasking and time management skills, adaptable to change while working seamlessly and cohesively with others within the company and with clients. Proficient in Microsoft Office applications, Teams, Salesforce & CIS/CRM systems, Cerner & eClinicalWorks/EHR systems, Oracle E Business, Markview and IExpense.
Overview
29
29
years of professional experience
Work History
Patient Engagement Care Coordinator
Schumacher Clinical Partners
08.2015 - Current
- Assist and track referrals/appointment scheduling, prior authorizations, insurance billing verification, when applicable for test/procedures, including surgical, diagnostic, provider appointments and outpatient rehab for busy call center
- Per client referral guidelines, provide information to appropriate parties/providers to assist with referral navigations/care coordination within clients health system/hospital
- Reviewed medical records of referred patient and identify all aspects related to precertification financial coverage and authorization criteria
- Serves as navigator to admissions office for insurance companies or insurance utilization review department by providing clinical information to obtain pre-certification from payers, adjusters and nurse case managers
- Established and maintained relationships with providers, clinical staff
- Assisted patients through health systems for all of their health care needs
- Intake accurate collection of data to complete coordination of care/referral for occupational health services, workers compensation and or general health services for wellness visits
- Communicate and remind patients, employers, adjusters and nurse case managers of scheduled appointments, also assist in any rescheduling of appointments or procedures
- Responsible for staying abreast of state specific worker’s compensation and occupations health laws and regulations.
- Offered friendly and efficient service to customers, handled challenging situations with ease
- Used critical thinking to break down problems, evaluate solutions and make decisions
Insurance Representative
Ted Musgrove State Farm
09.2014 - 08.2015
- Sold auto, home, life and other various insurance products to individuals and affinity groups within assigned territory using consultative selling techniques
- Offer health insurance policies that cover the costs of medical care and loss of income due to illness or injury
- Kept detailed records on individual insurance claims and incorporated into detailed client files
- Contacted underwriter and submitted appropriate forms to obtain binder coverage
- Responded to customer calls swiftly to resolve issues and answer questions
Financial Analyst II
Atmos Energy
03.2013 - 06.2014
- Maintain databases and reporting systems comprised of financial and business related information
- Responsible for data integrity, prepares standard and routing analysis for internal management purposes
- Review daily revenue management reports for accuracy and completeness, correct order and customer data errors
- Provide support as needed to higher level staff in development and completion of financial analysis studies related to acquisitions of cities, communities, large volume customers and other systems in business units region or area of operation
- Assist in budget data entry, process all billing for large industrial customers and report gas volumes to gas suppliers for billing
- Setup account coding for all capital projects for Engineering Department and process all credit memos.
- Performed complex financial and budget analyses to determine requirements and justify requested funding
3rd Party Billing Assistant
Atmos Energy
03.2011 - 03.2013
- Calculate costs of 3rd party damages to Atmos Energy facilities and create billing invoices in Oracle A/R systems; scan and maintain files for all invoices
- Maintain spreadsheet to track damages, costs, reason for damages and payments made, communicate with local operation assistants and supervisors to discuss any billing questions or concerns
- Settle disputes from customers regarding billing issues and reported all delinquent accounts to collections
- Verify that all damage forms were received from local offices by using State Hazmat reporting system, calculated gas loss and communicate with Louisiana State Police regarding all Hazmat incidents.
Operations Assistant
Atmos Energy
06.2006 - 03.2011
- Monitor, control, and reschedule service technician’s workload as appropriate
- Generate, complete, and close service orders, setup new customer accounts in CIS system, enter monetary and consumption adjustments to customer accounts and handle any customer concerns regarding their billing
- Codes, validates and processes vendor and contractor invoices
- Assist in researching and administration of past due notices, maintains and monitors special accounts prior to delinquent disconnection
- Enters processes and validates employee time records in payroll system
- Provide administrative and clerical support to field operations, generates and maintains various daily, weekly and monthly reports
- Process A/P invoices through Oracle and Markview, update all company credit card account coding in P-Card systems and expense reports.
Sr. Administrative Assistant
Atmos Energy
10.1993 - 06.2006
- Coordinated office activities, public events and other similar activities for Customer Service Department
- Maintained personal schedule, professional calendar and individual appointments for senior staff members
- Maintain record of expenditures for budget purposes, assist in proper processing, maintenance and retention of employee related files and records in the HRIS, process employee payroll and time records
- Provide administrative support and coordinate the timely completion of human resource related paperwork, serve as central entry and processing point for compensation, FMLA, Workers Compensation, benefits and employment related status changes
- Conducted onboarding to help new hires adjust to administrative and performance aspects of jobs
- Work closely with Human Resource Manager to maintain employee disciplinary reports and logs
- Assist with team building initiatives and overall support of organizational culture and employee morale for busy call center.
Education
Human Resource Management & Accounting -
Tulane University
2004
Skills
- Patient Care Coordination
- Administrative and Office Support
- Evaluating Quality of Care
- Patient Appointment Management
- Patient Confidentiality and Data Security
- Building Customer Trust and Loyalty
- Registration and Scheduling
- Obtaining Authorizations
- Database Search and Data Entry Skills
- Workers Compensation
- Courteous with Strong Service Mindset
- Upbeat and Positive Personality
Social Media
www.linkedin.com/in/moniquerodriguez
Timeline
Patient Engagement Care Coordinator
Schumacher Clinical Partners
08.2015 - Current
Insurance Representative
Ted Musgrove State Farm
09.2014 - 08.2015
Financial Analyst II
Atmos Energy
03.2013 - 06.2014
3rd Party Billing Assistant
Atmos Energy
03.2011 - 03.2013
Operations Assistant
Atmos Energy
06.2006 - 03.2011
Sr. Administrative Assistant
Atmos Energy
10.1993 - 06.2006
Human Resource Management & Accounting -
Tulane University
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