Hi, I’m
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. Expertise includes analyzing accounts, resolving billing discrepancies, collaborating 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. Committed to improving processes and enhancing satisfaction for both patients and providers through innovative solutions and a focus on quality care.
Experienced with providing comprehensive care and support to diverse client populations. Utilizes effective communication and interpersonal skills to foster positive relationships. Track record of maintaining safe and supportive environment tailored to individual needs.
Organized and dependable candidate successful at managing multiple priorities with positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
22
years of professional experience
1
Certificate
Work History
Champion Services Southlake, TX
Direct Support Professional
02.2017 - Current
Job overview
- Assisted individuals with daily living activities to enhance independence and quality of life.
- Developed and implemented personalized care plans tailored to individual needs and preferences.
- Coordinated transportation for clients to medical appointments and community events, ensuring accessibility.
- Monitored client progress, documenting behavioral changes and reporting to healthcare professionals.
- Trained new staff on best practices in client care, fostering a collaborative team environment.
- Maintained clean, safe, and well-organized patient environment.
- Documented progress notes thoroughly to track client achievements, concerns, or changes in behavior patterns that may need attention from the interdisciplinary team.
- Assisted clients with daily living needs to maintain self-esteem and general wellness.
- Assisted with crisis intervention to de-escalate challenging behavior and maintain peaceful encounters.
- Enhanced quality of life for individuals with disabilities by providing compassionate and consistent direct support.
- Monitored medication administration, maintaining accurate records to ensure client safety and compliance with prescribed treatment plans.
- Provided ongoing communication between clients, families, and other service providers to enhance overall care coordination efforts.
Cook Children's Health Care SystemFort Worth, USA
Account Specialist II
02.2017 - 06.2025
Job overview
- 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.
- Managed client accounts to ensure compliance with health care regulations.
- Developed and implemented strategies for improving patient satisfaction and retention.
- Analyzed account data to identify trends and inform decision-making for service improvements.
- Facilitated communication between clients and internal departments to resolve issues efficiently.
- Oversaw the accuracy of billing processes, ensuring timely invoicing and payment collection.
- Completed routine and complex account updates to resolve problems.
- Managed multiple accounts simultaneously, demonstrating exceptional organizational skills and attention to detail.
- Resolved complex billing and payment issues for balanced, accurate accounts.
- Reviewed account activity to assess financial status and evaluate discrepancies.
- Analyzed financial data and generated accurate, insightful reports for management.
Conifer Health Solutions
Patient Account Representative
12.2014 - 01.2018
Job overview
- 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.
- Facilitated communication between patients, healthcare providers, and insurance companies to streamline processes.
- Managed patient account inquiries, ensuring accurate information and timely resolution of issues.
- Reviewed billing statements for accuracy, rectifying discrepancies to improve patient satisfaction.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Developed training materials focused on enhancing team knowledge of systems and compliance standards.
A Trinity
Benefits Billing Manager
12.2013 - 05.2014
Job overview
- 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.
- Implemented process improvements to enhance billing efficiency and reduce errors.
- Oversaw billing operations, ensuring accuracy and compliance with regulations.
Mental Health and Mental Retardation of Tarrant County
Case Manager
10.2003 - 12.2013
Job overview
- 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.
- Coordinated comprehensive case management services for individuals with mental health and developmental challenges.
- Facilitated access to community resources, including housing, healthcare, and vocational training.
- Provided crisis intervention and support to clients experiencing acute mental health issues.
- Trained new staff on case management protocols and best practices for client engagement.
- Advocated for client rights and ensured compliance with state regulations and agency policies.
- Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
- Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
- Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
- Developed and implemented comprehensive case management plans to address client needs and goals.
- Coordinated services with other agencies, community-based organizations, and healthcare professionals to provide useful benefits to clients.
- Assisted clients in navigating housing, legal services and public benefits to gain access to valuable resources.
- Collaborated with multidisciplinary teams to address client needs and formulate tailored support strategies.
- Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
Education
Argosy University
Master of Science from Health Service Management
01.2013
University of Texas at Arlington
Bachelor of Arts from Interdisciplinary Studies
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
- Time management
- First aid and safety
- Behavior redirection
- Client support
- Compassionate caregiving
- Medication administration
- Behavioral management
- Client documentation
- Housekeeping tasks
- Decision-making support
- Health and safety requirements
- Relationship building
- Direct patient care
- Transportation
- Patient care
- Disability awareness
- Client transportation
- ADL support
- Goal setting
- Team collaboration
- Social skills development
- Crisis management
- Patient management
- Progress documentation
- Individualized support planning
- Patient assessments
- Safety monitoring
- Community integration
- Medical records management
- Care delivery
- EMR / EHR
- Case management
- Self-advocacy training
- Problem-solving
- Medical office administration
- Multitasking and organization
- Daily living support
- HIPAA compliance
- Empathy and patience
- Adaptability and flexibility
- Active listening
- Verbal and written communication
- Case documentation
- Behavioral support
- Positive reinforcement
- Client advocacy
- Conflict resolution
- Life skills training
- Record keeping
- De-escalation techniques
- Hygiene assistance
- Client safety and first aid
- First aid and CPR
- Cultural awareness
- Therapeutic instruction
- Personal care assistance
- Healthcare
- State regulations
- Support plan management
- Quality program protocols
- Case management experience
- Community integration support
- Charting and documentation
Certification
LEAN Six Sigma - Yellow Belt, 05/01/19
Timeline
Direct Support Professional
Champion Services
02.2017 - Current
Account Specialist II
Cook Children's Health Care System
02.2017 - 06.2025
Patient Account Representative
Conifer Health Solutions
12.2014 - 01.2018
Benefits Billing Manager
A Trinity
12.2013 - 05.2014
Case Manager
Mental Health and Mental Retardation of Tarrant County
10.2003 - 12.2013
University of Texas at Arlington
Bachelor of Arts from Interdisciplinary Studies
Argosy University
Master of Science from Health Service Management