RONDA ROCKWELL
Cresson,TX
Summary
Dedicated and results-driven healthcare professional with over 15 years of experience in medical billing, patient account management, and case management. Skilled in analyzing accounts, resolving billing discrepancies, working with payers, and ensuring compliance with healthcare regulations. LEAN Six Sigma Yellow Belt certified and proficient in EPIC, payer portals, and ICD-9/10 coding. Passionate about improving processes and enhancing patient and provider satisfaction.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Account Specialist II
Cook Children's Health Care System
Fort Worth, USA
02.2018 - 07.2025
- Analyze and resolve account discrepancies through EPIC and payer portals.
- Identify issues related to authorizations, non-covered procedures, and TMHP compliance.
- Utilize Six Sigma tools to streamline account review and improve billing outcomes.
- Collaborate with internal departments to ensure accurate patient billing and payment posting.
Patient Account Representative
Conifer Health Solutions
01.2015 - 02.2018
- Manage full-cycle collections and follow-up, including contacting payers and patients.
- Conduct claim verifications and appeals, ensuring compliance with billing guidelines.
- Document all activity thoroughly in system applications and manage daily inventory.
- Participate in staff training, evaluations, and team meetings to improve departmental performance.
Benefits Billing Manager
A Trinity
01.2014 - 05.2014
- Supervised and coached billing specialists handling accounts receivable and collections.
- Reviewed posted charges, EOBs, and secondary insurance claims.
- Corrected denials, posted manual re-bills, and handled electronic submissions.
- Ensured timely processing of payroll, AP, and contract management activities.
Case Manager
Mental Health and Mental Retardation of Tarrant County
01.2003 - 01.2013
- Provided case management for clients in mental health crisis situations.
- Facilitated skills training groups and performed psychosocial assessments.
- Developed service plans addressing housing, substance abuse, employment, and healthcare.
- Trained in crisis de-escalation and community engagement strategies.
Education
Master of Science - Health Service Management
Argosy University
01.2013
Bachelor of Arts - Interdisciplinary Studies
University of Texas at Arlington
01.2008
Skills
- Medical Billing & Collections
- EPIC Systems & Payer Portals
- Medicare
- Medicaid
- HMO
- PPO
- Claims Resolution & Appeals
- ICD-9/10
- CPT Coding
- UB-04
- EOBs
- Crisis Intervention & Mental Health Services
- Microsoft Office Suite (Word, Excel, Outlook)
- LEAN Six Sigma Yellow Belt
- HIPAA Compliance
- SSI/SSDI Processing
Certification
LEAN Six Sigma - Yellow Belt, 05/01/19
Timeline
Account Specialist II
Cook Children's Health Care System
02.2018 - 07.2025
Patient Account Representative
Conifer Health Solutions
01.2015 - 02.2018
Benefits Billing Manager
A Trinity
01.2014 - 05.2014
Case Manager
Mental Health and Mental Retardation of Tarrant County
01.2003 - 01.2013
Master of Science - Health Service Management
Argosy University
Bachelor of Arts - Interdisciplinary Studies
University of Texas at Arlington
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