Querzi Rosales
Katy,TX
Summary
Healthcare Operations professional with 9+ years of healthcare industry experience, including in-clinic optometry private practice and operational leadership at Houston Methodist Hospital, a nationwide #1 top-ranked hospital in Texas with Honor Roll Status and Global recognition. I served as a System Access leader in the Primary Care Group Department, supporting 200+ primary care physicians and managing regional clinic relationships, including metrics, scheduling, provider preferences, onboarding provider targets, and professional access coordination by a coordination specialist, with a commitment to delivering seamless operational support.
Currently a System Access Coordinator in the Specialty Physician Group, supporting 900+ providers across regional clinic locations and overseeing 17 distinct medical and surgical specialties. Expertise in managing access requests, ensuring regulatory compliance, meeting KPI Metrics, and building clinic relationships. Known for fostering collaboration and adapting effectively to changing needs while prioritizing team goals and results.
Overview
2
2
Languages
11
11
years of professional experience
Work History
Specialty Group System Access Coordinator
Houston Methodist
Katy, TX
03.2023 - Current
- Facilitated interdepartmental coordination by promptly addressing inquiries from various hospital units related to bed availability, transfers, or discharge planning.
- Acted as a liaison between patients and healthcare providers to communicate expectations and needs throughout the treatment process.
- Contributed to maintaining facility accreditation by promoting adherence to established guidelines, standards, and protocols in the patient access process.
- Monitored performance trends, identifying process gaps and recommending workflow improvements.
- Implemented workforce management strategies to optimize staffing levels, ensuring timely response to customer inquiries.
- Executed Monthly Performance Plans with representatives to pinpoint production gaps and drive targeted improvements.
- Monitored employee metrics to identify trends, implemented process improvements, and drove continuous improvement initiatives.
- Facilitated regular team meetings to discuss challenges, successes and strategies.
Specialty Group Senior Access Representative
Houston Methodist
Katy, TX
04.2021 - 02.2023
- Expedited emergency department admissions through swift assessment of priority cases and rapid response time in critical situations.
- Resolved complex insurance and authorization issues, escalating exceptions when needed to maintain patient flow.
- Collaborated with clinical and billing teams to streamline admissions, transfers, and discharge-related access tasks.
- Improved front-end patient access operations by identifying workflow gaps and recommending process refinements.
- Trained new Patient Access Representatives, contributing to a more skilled and efficient team.
- Conducted regular audits of patient accounts to maintain accuracy, minimize errors, and prevent revenue loss due to incorrect billing practices.
PCG System Access Representative
Houston Methodist
Houston, TX
08.2020 - 03.2021
- Managed high-volume patient calls, scheduling appointments and directing inquiries to appropriate Houston Methodist departments.
- Verified patient demographics, insurance details, and visit information for accurate intake and registration.
- Strived to meet or exceed call center metrics while delivering consistent, excellent customer service.
- Provided exceptional support to high volumes of customers, enhancing their overall satisfaction.
- Understanding and striving to meet or exceed call center metrics while providing excellent consistent customer service.
Optician Technician
Vision Source
Cypress, TX
03.2017 - 04.2020
- Interpreted optical prescriptions accurately, ensuring precise lens recommendations and dispensing.
- Educated patients on vision care options, clarifying insurance benefits and coverage for informed decision-making.
- Filed claims with vision and medical insurance companies, ensuring timely reimbursement for optical services.
- Pursued continuous professional development to stay abreast of industry advancements, improving service quality for clients.
Sales Associate
Academy Sports and Outdoors
08.2015 - 03.2017
- Processed transactions accurately using POS systems and handled returns, exchanges, and gift cards.
- Supported team members by training on product knowledge, register procedures, and recovery tasks.
- Reinforced loss-prevention practices through careful cash handling and awareness of store operations.
Education
ASSOCIATES OF ARTS - BUSINESS ADMINISTRATION
LONE STAR COLLEGE
01-2019
Skills
- Quality assurance
- Data Analysis
- Workflow optimization
- Healthcare access management
- Technical proficiency
- Time management proficiency
- Interpersonal relations
Accomplishments
2024 - Employee Exceptional Recognition
2025 - Employee Exceptional Recognition
Languages
English
Spanish
Timeline
Specialty Group System Access Coordinator
Houston Methodist
03.2023 - Current
Specialty Group Senior Access Representative
Houston Methodist
04.2021 - 02.2023
PCG System Access Representative
Houston Methodist
08.2020 - 03.2021
Optician Technician
Vision Source
03.2017 - 04.2020
Sales Associate
Academy Sports and Outdoors
08.2015 - 03.2017
ASSOCIATES OF ARTS - BUSINESS ADMINISTRATION
LONE STAR COLLEGE