Roderica Bahe
Albuquerque
Summary
Highly-motivated individual with a desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
1
1
Certification
15
15
years of professional experience
Work History
Medical Billing Specialist
Allstar Billing Service LLC.
10.2022 - 03.2026
- Reviewed and verified benefits and eligibility with speed and precision.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
- Precisely completed appropriate paperwork and system entry regarding claims.
- Performed quality control of data entry system to verify proper posting of claims and payments.
- Submitted refund requests for claims paid in error.
- Posted charges, payments and adjustments.
- Accurately and meticulously posted charges into Kareo for services rendered by provider within a timely manner.
- Posted overpayments from insurance companies to proper accounts.
Manager
Wendys Restaurant
07.2024 - 12.2025
- Led daily operations, ensuring high standards of food quality and customer service.
- Trained and mentored staff to enhance team performance and efficiency.
- Streamlined inventory management processes, reducing waste and costs.
- Implemented new training programs that improved employee retention rates.
- Developed strategies to boost sales through targeted promotions and menu enhancements.
- Evaluated operational workflows, identifying opportunities for process improvements.
Medical Billing Specialist
Sage Neuroscience Center
04.2022 - 09.2022
- Great customer service skills, both in person and on the phone.
- Worked with multiple insurance companies
- Posted charges, payments and adjustments.
- Worked denials and A/R
- Great at multi-tasking and excellent time management skills.
- Entered procedure codes, diagnosis codes and patient information into Kareo system.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
- Evaluated accuracy of provider charges, including dates of service, procedures, level of care and diagnoses.
- Submitted refund requests for claims paid in error.
- Reviewed and verified benefits and eligibility with speed and precision.
Sales Associate
Walgreens
07.2021 - 07.2022
- Sales associate with experience in customer service
- Worked together with other employees and an excellent team player
- Great problem solving skills, time management and works well in a fast paced environment
- Duties included back stocking, re-stocking, answering calls for products, and working first hand with customers to ensure needs are being met.
Sales Associate
Victoria's Secret & PINK
12.2020 - 07.2021
- Working closely with customers, stocking merchandise, working in a fast paced environment
- Helped customers find specific products, answered questions and offered product advice.
- Multi-tasking proficient and detail oriented.
- Rearranging sales floor to maximize sales and customer experience.
- Knowledge in product to improve sales and ensure quotas are being met.
- Developed trusting relationships with customers by making personal connections.
- Collected payments and provided accurate change.
Sales Associate
Footlocker Inc
05.2016 - 04.2017
- Developed trusting relationships with customers by making personal connections.
- Worked with fellow sales team members to achieve group targets.
- Engaged customers in friendly, professional dialogue to determine needs.
- Answered product questions with up-to-date knowledge of sales and promotions.
- Collected payments and provided accurate change.
- Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
- Answered incoming telephone calls to provide store, products and services information.
- Stocking merchandise, some heavy lifting and rearranging store appearance to maximize sales.
Specialist, 91 D
United States Army Reserve, US Army Reserve
11.2010 - 01.2016
- MOS qualified as a generator mechanic and honorably discharged from service
- Team building skills, team player, worked in fast paced environment
- Some heavy lifting, experience with big wheeled mechanics
- Operated, trouble shooter and repaired generators for field exercises
- Took inventory and maintained equipment worth more that $50,000.
Education
Medical Billing And Coding
Carrington College
Albuquerque, NM05.2014
High School Diploma - some AP and
Rio Grande High School
Albuquerque, NM05.2010
Skills
- Calm and Professional Under Pressure
- Efficient and Detail-Oriented
- Inbound and Outbound Calling
- Data Entry and Maintenance
- Multitasking and Prioritization
- Creative Problem Solving
- Time Management
- Excellent Attention to Detail
- Teamwork and Collaboration
- Sales and Upselling
- Customer service
- Cash handling
Certification
- NM Alcoholic Beverage Control Server Certificate, - Expires 05/07/2029
Timeline
Manager
Wendys Restaurant
07.2024 - 12.2025
Medical Billing Specialist
Allstar Billing Service LLC.
10.2022 - 03.2026
Medical Billing Specialist
Sage Neuroscience Center
04.2022 - 09.2022
Sales Associate
Walgreens
07.2021 - 07.2022
Sales Associate
Victoria's Secret & PINK
12.2020 - 07.2021
Sales Associate
Footlocker Inc
05.2016 - 04.2017
Specialist, 91 D
United States Army Reserve, US Army Reserve
11.2010 - 01.2016
High School Diploma - some AP and
Rio Grande High School
Medical Billing And Coding
Carrington College