Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Rosa Mojica-Arrieta

Newcastle,OK

Summary

With a strong foundation in insurance processes and guidelines, I bring a comprehensive understanding of the industry, paired with fast, accurate typing and excellent computer proficiency. I thrive in high-pressure environments, maintaining composure and professionalism, especially during emergency situations. My knowledge of medical terminology adds an extra layer of expertise to my work.

I’m proficient in Microsoft Office tools such as Excel, Teams, Word, and Outlook, and I pride myself on being a customer-focused supervisor. I have hands-on experience overseeing team performance, providing knowledgeable guidance, and supporting employees to achieve their best. My leadership style is rooted in industry best practices and employee management principles, helping to build and sustain high-performing teams.

By blending strong time management and organizational skills, I ensure that team objectives are met efficiently and effectively. I’m a resourceful leader, skilled at resolving critical issues in time-sensitive situations, and have a proven track record of motivating staff to collaborate and reach goals. Continuously striving for improvement, I’m dedicated to fostering an energetic, versatile, and productive work environment where success is achieved together.

Overview

14
14
years of professional experience

Work History

Supervisor, IMG Central Referrals

Integris IMG Central Referrals
Oklahoma City
12.2024 - Current
  • Oversee daily referral reports, escalating issues from clinics and caregivers
  • Create and implement KPSW (Key Performance Success Worksheets) and new work processes
  • Develop and maintain “how-to” sheets for new processes
  • Work with aging referrals through Power-BI and help caregivers update processes
  • Ensure all caregivers are signed up for the self-payer website
  • Create and manage checklists for new caregivers and assist with their onboarding
  • Update Kronos for caregivers and ensure accurate timekeeping
  • Conduct referral and telephone audits to ensure quality and accuracy
  • Meet with clinics outside of the department to understand workflows within the Epic system
  • Assist with creating processes for workers' comp/IME patient referrals
  • Collaborate with Excel, Microsoft, OneNote, and the Trace Faxing system to improve workflow and efficiency
  • Add new IT tickets for incoming caregivers' technical needs
  • Run daily huddles when requested

Lead IMG Central Referrals

Integris IMG Central Referrals
Oklahoma City
06.2022 - 12.2024
  • Set departmental expectations for transcribing referrals
  • Train employees on incoming referrals and insurance prior authorization
  • Educate internal staff and facilities on proper referral transcription
  • Lead training for new employees in various specialties
  • Run daily reports and audits
  • Utilize Kronos for timekeeping
  • Maintain spreadsheets and department records

Referral Coordinator

Integris IMG Central Referrals
Oklahoma City
09.2021 - 06.2022
  • Transcribe incoming referrals from outside facilities
  • Obtain prior authorization prior to appointments
  • Ensure all test results (EMG, MRI, CT, X-rays) are on file before scheduling patient appointments

Patient Access Specialist Relief Lead

Integris Baptist Medical Center
Oklahoma City
10.2018 - 09.2021
  • Created shift assignments and ensured efficient completion of duties
  • Provided support to staff after hours
  • Trained, coached, and interviewed new employees

Patient Access Specialist

Integris Baptist Medical Center
Oklahoma City
08.2015 - 09.2021
  • Verify eligibility and process insurance claims
  • Determine insurance coverage and payable claim amounts
  • Educate patients about insurance benefits and alternative options
  • Prepare physical and electronic patient charts, ensuring confidentiality
  • Maintain co-payments according to necessary guidelines

Technician for Ophthalmologist

Children’s Eye Care
Oklahoma City
06.2011 - 07.2015
  • Answered post-op questions and provided patient support
  • Managed front desk operations
  • Verified patient eligibility with insurance companies

Education

High School Diploma -

U.S. Grant High School
Oklahoma City, Oklahoma

Skills

  • Insurance regulations
  • Typing skills
  • Computer proficiency
  • Multi-tasking
  • Working under pressure
  • Calm under pressure
  • Medical terminology
  • Microsoft Office (Excel, Teams, Word, Outlook)
  • Training new employees
  • Assisting with onboarding
  • Pre-authorizations
  • Appointment scheduling
  • Insurance verification
  • Outbound calls
  • Patient scheduling

Accomplishments

  • Gained 13+ years of experience in the medical field.
  • ALTA Certified Translator in Spanish Services
  • Proven ability to multitask in a fast-paced environment.

Timeline

Supervisor, IMG Central Referrals

Integris IMG Central Referrals
12.2024 - Current

Lead IMG Central Referrals

Integris IMG Central Referrals
06.2022 - 12.2024

Referral Coordinator

Integris IMG Central Referrals
09.2021 - 06.2022

Patient Access Specialist Relief Lead

Integris Baptist Medical Center
10.2018 - 09.2021

Patient Access Specialist

Integris Baptist Medical Center
08.2015 - 09.2021

Technician for Ophthalmologist

Children’s Eye Care
06.2011 - 07.2015

High School Diploma -

U.S. Grant High School
Rosa Mojica-Arrieta