Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Languages
Timeline
Generic

Nathaly Rodrigues

San Gabriel,USA

Summary

Bilingual Medical Assistant, Financial clearance specialist & UM Coordinator with over twelve years of experience seeking a position where I can apply my clinical skills to the overall success of a thriving healthcare organization. Authorized to work in the US for any employer

Overview

15
15
years of professional experience
1
1
Certification

Work History

Referral Coordinator

BeverlyCare
Montebello, CA
09.2024 - Current
  • Authorization coordinator
  • Submit daily referral to hmo portals
  • Call pts to advise on approval
  • Submit for diagnostic referrals
  • Help schedule pt for urgent referrals

UM Coordinator

The Oncology Institute of Hope and Innovation
Cerritos, CA
12.2019 - 09.2024
  • Submit authorization for CA, NV & AZ states clinics. Schedule procedures with hospitals
  • Follow up with requests, call pts and advise to schedule procedures. Keep close communication with all medical physicians.
  • I use experience with NIA, AIM, EVICORE.

Financial Clearance Specialist

City of Hope
Irwindale, CA
08.2018 - 11.2019
  • Submitting authorization, Aim, Nia, Evicore. Verifying new patient insurance
  • Calling patient going over benefits deductibles and co pays
  • PPO's, HMO, MEDI-CAL, MEDICARE, LOA

Authorization Coordinator

Steven Steinschriber M.D
11.2017 - 09.2018
  • Request all IPA insurer
  • Answer calls
  • Check in and out patients
  • Deposit end of the week
  • CPT codes
  • ICD-10 codes

Assistant Physician

California Diabetes Hormone Specialist
Arcadia, CA
02.2014 - 10.2017
  • Assistant Physician with patients
  • Educating insulin & injections
  • Assist front office with calls
  • Check on returned claims
  • Billing / CPT codes
  • ICD-10 codes

Medical Records Clerk

Congress Medical Associates
Pasadena
10.2012 - 03.2013
  • Pulled charts and updated them with dictations
  • Medical records
  • Assisted three doctors with patients dictations

Medical Assistant

Arthritis & Rheumatology Consultants
Arcadia, CA
04.2011 - 12.2011
  • Assisted multiple physicians.
  • Took vitals and updated charts.
  • Gave injections and administered treatments.

Education

Medical (Diploma) -

Everest College
Alhambra, CA
01-2010

High School Diploma - undefined

San Gabriel High School
San Gabriel, CA
01-2008

Skills

  • Microsoft Outlook
  • Medical terminology
  • Care coordination
  • Mental health facility experience
  • Spanish
  • Patient interaction
  • Experience Administering Injections
  • Time management
  • Procurement
  • Vital signs
  • Employee Orientation
  • EMR Systems
  • Microsoft Office
  • Productivity software
  • Front Desk
  • Microsoft Access
  • CPT Coding
  • Utilization Review
  • Front desk
  • HMO insurance plan management
  • Computer skills
  • Utilization Management
  • ICD-10
  • ICD-9
  • Medical Terminology
  • Front Office
  • HMO health insurance
  • EMR/EHR
  • Medical records
  • Medical office experience
  • Medical coding
  • Electronic health records (EHR) management
  • Vital Signs
  • Microsoft Excel
  • Insurance prior authorization
  • HIPAA
  • Managing allied health teams - Largest allied health team managed (More than 20 team members)
  • Health information management
  • Data summarization
  • Medicare
  • EMR systems
  • Experience administering injections
  • Customer service
  • Prior Authorization
  • English
  • Data entry
  • Organizational skills
  • Patient Care
  • Insurance Verification
  • Healthcare provider information
  • Medical Billing
  • Data reporting
  • Financial record maintenance
  • ICD coding
  • Record keeping
  • Microsoft Powerpoint
  • Medical Scheduling
  • Microsoft Word
  • Documentation review
  • Mental health (public health)
  • Communication skills
  • Attention to detail
  • Records management
  • Quality audits
  • Employee relationship building
  • Customer support
  • Triage
  • Medical Coding
  • Bilingual
  • Epic
  • Typing
  • Office experience

Certification

  • Certified Medical Assistant (CMA)
  • Confidential Clearance
  • CPR Certification
  • Driver's License
  • CCMA Certification

Additional Information

  • Clinical Skills
  • Vital Signs Exam Assistance Injections Hemoglobin Test collecting co-pays
  • Answering Phones Scheduling Medical records

Languages

Spanish
Native or Bilingual

Timeline

Referral Coordinator

BeverlyCare
09.2024 - Current

UM Coordinator

The Oncology Institute of Hope and Innovation
12.2019 - 09.2024

Financial Clearance Specialist

City of Hope
08.2018 - 11.2019

Authorization Coordinator

Steven Steinschriber M.D
11.2017 - 09.2018

Assistant Physician

California Diabetes Hormone Specialist
02.2014 - 10.2017

Medical Records Clerk

Congress Medical Associates
10.2012 - 03.2013

Medical Assistant

Arthritis & Rheumatology Consultants
04.2011 - 12.2011

High School Diploma - undefined

San Gabriel High School

Medical (Diploma) -

Everest College
Nathaly Rodrigues