Nivia Rodriguez
Valrico,FL
Summary
Reliable Manager demonstrating high level of ownership and initiative. Possessing exceptional work ethic and desire to go above and beyond to exceed company expectations. Offering knack for building productive working relationships. Successful in fast-paced, deadline-driven environments to manage goals and team development. History of thriving in team-oriented environments.
Overview
38
38
years of professional experience
1
1
Certification
Work History
Manager, Coverage Discovery
Conifer Health Solutions
Valrico , FL
2012.07 - 2024.03
- Under Revenue Cycle Services, responsible for the operations of the advanced post-service coverage detection system, under a vendor contract, used to find insurance coverage not captured on the front-end to maximize reimbursements from uncompensated care and underpaid accounts that include multiple commercial and government payers
- Established the processes and created the job aids for our area to include handling the training for our on-shore and off-shore new hires and the refreshers for our team members
- Conducted audits on our team’s worked inventory to ensure adherence to our protocols when verifying insurance eligibility, benefits, adding the coverage to the accounts and to make sure we hit or exceeded our productivity goals for the fifty-six hospitals nationwide under my area of responsibility
- Communicated with department heads and upper management to report any issues that may arise as well as to provide input when change is necessary to streamline our processes or for corrective action
- Reported accounts that are not in good order to the corresponding departments for follow up and or correction prior to coverage update for a smooth billing process
- Collaborated with other departments when process changes were necessary
- Compiled and kept productivity information and checked the positive and negative activity to implement our goals, for team training and to motivate our teams
- Produced month end reports for upper management and met with the vendor company weekly to provide input about the information returned and any obstacles that may delay or hinder our projected goals
- Was the point of reference in the company for Coverage Detection.
Patient Advocate/ Financial Assistance Coordinator
Conifer Health Solutions
Butte , MT
2010.03 - 2012.07
- Administered the Financial Assistance program eligibility process for our client hospital
- Conducted interviews with patients and or family members, issued financial aid applications for patients who met the criteria for the program and approved up to $50,000 in financial aid for qualifying patients
- Aided in-patients with SSDI and Medicaid applications and sent them to agencies on their behalf
- Managed all the documents and data processing for the financial aid program at my assigned facility
- Communicated ideas and information to the hospital’s advisory and upper management team
- Created and kept a data source to manage and record the activity associated with charity and reported the information to CFO monthly.
Treatment Technician
Montana Chemical Dependency Center
Butte , MT
2008.10 - 2012.04
- Obtained patient signatures on releases of information, consent to treat and other relevant admission forms
- Conducted a thorough and respectful search of patient's personal belongings
- Escorted the patient and their belongings to the in-patient floor to begin basic physical condition procedures, including Breathalyzer test, vital signs, and weight
- Entered the information into the patient’s electronic record
- Assisted nursing and medical staff in processing the patient into the treatment unit or detoxification unit
- Established and organized the patient chart according to procedure
- Prepared the patient orientation packets given to patients during admission
- Conducted general patient orientation, reviewing the patient handbook, patient expectations, program rules, confidentiality, and a tour of the unit.
Office Manager/Executive Assistant
Markovich Construction, Inc
Butte , MT
2007.03 - 2010.03
- Maintained the schedule for the CEO, Vice President’s and CFO and arranged all meetings and conferences in the company
- Typed correspondence and performed any clerical and administrative duties as requested by CEO
- Arranged for the company to bid on upcoming construction projects and obtained all necessary instructions for the process
- Generated subcontracts and obtained necessary project documentation from contracted subcontractors following the project directives and any required certificates and insurances for the bonding agency
- Compiled new hire documentation and processed data into payroll system
- Created policies and job descriptions for staff per company directives
- Maintained Real Estate agents’ credentials were up to date with State licensing requirements, setting up training courses and ensuring our records were up to date
- Kept the books for the trust money and reimbursed clients when necessary
- Completed progress reports and form AIA G702 for payment to contractor.
Senior Correspondent
Delaware Investments
Philadelphia , PA
2004.03 - 2006.10
- Analyzed and conducted research to bring a satisfactory resolution to complex inquiries from account holders, brokers, and other financial institutions
- Functioned as a pivotal point of contact for research analysis, coordination and expedient resolution of customer account issues
- Participated in projects as assigned by the Executive Officer
- Conducted background search for the identification and verification of new clients for Risk Management Dept.
Yeoman
US Navy
2000.10 - 2004.03
Warehouse Manager
Atlantic Packaging, Inc.
Philadelphia , PA
2002.08 - 2003.09
Site Manager
Interstate Telecommunications, Inc.
1996.10 - 1999.12
Administrative Assistant
US Navy Comptroller
1990.01 - 1993.02
Administrative Assistant
Richard Fried & Associates
1986.01 - 1988.05
Education
Legal Assistant -
NRI Schools
01.1996
Secretarial Science -
Bradford Business School
01.1986
Skills
- Management
- Strong Work Ethic
- Internal and External Customer Service
- Excellent Written and Verbal Communication
- Proficient in Data Management
- Multi-Task
- Initiative-taker and Goal Oriented
- Work Independently
- Project Management
- Staff Training and Development
Certification
HFMA-Certified Revenue Cycle Representative
Systems/Applications
- Windows 11
- MS Office 365
- Centricity
- Computer Ease
- ACE
- EPIC
- Rumba
- STAR
- Meditech 5.6 and 6.0
- Insurance Eligibility: Passport and Availity
- Waystar
- Finthrive
Accomplishments
- Conifer Star
- Certificate of Appreciation, US Marine Corp
- Awarded Employee of the month on several occasions
Languages
Spanish
Limited
Timeline
Manager, Coverage Discovery
Conifer Health Solutions
2012.07 - 2024.03
Patient Advocate/ Financial Assistance Coordinator
Conifer Health Solutions
2010.03 - 2012.07
Treatment Technician
Montana Chemical Dependency Center
2008.10 - 2012.04
Office Manager/Executive Assistant
Markovich Construction, Inc
2007.03 - 2010.03
Senior Correspondent
Delaware Investments
2004.03 - 2006.10
Warehouse Manager
Atlantic Packaging, Inc.
2002.08 - 2003.09
Yeoman
US Navy
2000.10 - 2004.03
Site Manager
Interstate Telecommunications, Inc.
1996.10 - 1999.12
Administrative Assistant
US Navy Comptroller
1990.01 - 1993.02
Administrative Assistant
Richard Fried & Associates
1986.01 - 1988.05
Legal Assistant -
NRI Schools
Secretarial Science -
Bradford Business School
HFMA-Certified Revenue Cycle Representative
Similar Profiles
Lacey FoyLacey Foy
Research and Denials Prevention Analyst at Conifer Health SolutionsResearch and Denials Prevention Analyst at Conifer Health Solutions
LESLIE TAYLORLESLIE TAYLOR
Patient Service Center Supervisor at Conifer Health SolutionsPatient Service Center Supervisor at Conifer Health Solutions
Desirae RangelDesirae Rangel
Patient Access Representative at Conifer Health SolutionsPatient Access Representative at Conifer Health Solutions