Rosa Regalado
Chandler,USA
Summary
20+ years of success in logistics, financial management, & patient healthcare relations A versatile, mission-focused management professional experienced financial and insurance coordinator with 3+ years' experience in healthcare claims processing, insurance verification, and patient care coordination. With 20 years of military service and skilled in Dentrix, EPIC, and Inside Desk, with strong understanding of HIPAA compliance and revenue cycle operations. Bilingual (Spanish) and currently advancing education in healthcare administration.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Financial/Insurance Coordinator
Valley Dental Care
05.2023 - 02.2026
- Process over 300 claims electronically, manually and insurance portals such as Delta Dental, United Healthcare, United Concordia and Cigna.
- Verified dental/medical claims were submitted and completed denials using helpdesk program.
- Verified patient eligibility and benefits through insurer portals, reducing claim rejections by timely follow-up.
- Confirm eligibility, effective dates and plan limitations using insurance breakdown.
- Uploaded Explanation of Benefits to patients accounts and deposit patient checks on lockbox.
- Process payments (insurance, and patient payments)
- Printed all daily reports to accurately verify all claims were submitted with no errors.
- Provided accurate and detailed information for patients regarding treatment plans, out/In network cost and time of dental procedures.
- Verified deductibles, co-pays, co-insurance, out-of-pocket maximums, and benefit accumulations.
- Ensure patient have proper clearance from health care provider and pre-surgical testing needed for all oral surgeries.
- Identified exclusions and missing tooth clauses.
- Scheduled patients for next day treatment and routine appointments using Dentrix program.
Procedure Scheduler
Peak Gastroenterology Associates
01.2021 - 01.2023
- Follow-up incoming phone messages, emails, enter notes/special instructions for scheduling and maintain records of patients with upcoming procedure date.
- Send orders for medications using for preparations for colonoscopy such as Sutab, Suprep, and Golytely and Clenpiq.
- Cover healthcare questions using Pro Scheduler prior to scheduling procedures for patients to verify eligibility for proper location to be scheduled.
- Organize all logistical planning and home care for prior/after patient care.
- Schedule/Reschedule/Cancel office and hospital medical procedure appointments using EPIC and Pro Scheduler Program.
- Answered phone calls and messages for 12-physician 3 medical facility, scheduling appointments, and handling patient inquiries.
- Assisted in reducing patient anxiety by providing clear communication about upcoming procedures, including necessary preparations and post-procedure care instructions.
Automated Logistics Specialist (92A)/Medical Operations Specialist HM
United States Army/United States Navy
01.1998 - 01.2018
- Established and maintained patient records like past medical history, material control, and accounting.
- Practiced universal precaution by following OSHA and HIPPA guidelines and guidelines of administrators to ensure Soldiers and Seamen receive best possible care through training.
- Participated in the development, testing, maintenance and delivery of training programs and related materials in support of training objectives in accordance with established TRADOC procedures.
- Provided basic medical care under supervision of physicians, and PA's.
- Provided first aid and emergency care for over 300 successful rescues with the Medical Emergency crew in Iraq/Afghanistan during foot patrols.
- Provided training to over 500 soldiers introducing the process and procedures for receiving, issuing, storing, and managing material at the Medical Supply Support Activity using Global Command Control System-Maritime Database During Iraqi and Afghanistan freedom.
- Assisted The American Red Cross Association through distribution of over 27000.00 in relief funds to more than 100 families impacted by Hurricane Katrina.
- Stored medical equipment and ammunition in controlled and sterile environment and counted supplies efficiently.
Education
M.D. - Healthcare Administration
University of Phoenix
Phoenix, AZ03.2027
Bachelor of Science - Correctional Program Support Services
University of Phoenix
Phoenix, AZ03.2021
Skills
- OSHA & HIPPA Regulations
- Team Leadership
- Budgeting & Cost Mitigation
- Scheduling
- Inside Desk & Lockbox
- Project Planning
- Appeals
- Customer Service
- Financial Coordinating
- Dentrix/Eagle Software/Open Dental/E-Clinical Works
- Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- EPIC/Updox Software
- Perfect Serve Practitioner
Certification
DANB X-Ray, CPR & Infection Control (ICE), 2015
Languages
Spanish
Native or Bilingual
Timeline
Financial/Insurance Coordinator
Valley Dental Care
05.2023 - 02.2026
Procedure Scheduler
Peak Gastroenterology Associates
01.2021 - 01.2023
Automated Logistics Specialist (92A)/Medical Operations Specialist HM
United States Army/United States Navy
01.1998 - 01.2018
M.D. - Healthcare Administration
University of Phoenix
Bachelor of Science - Correctional Program Support Services
University of Phoenix