Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

ROXANNA ROJAS

TUCSON,AZ

Summary

Experienced with team leadership and operational management. Utilizes strong organizational skills to optimize workflow and improve team efficiency. Track record of fostering collaborative work environment to achieve collective goals.

Bilingual Benefits Specialist dedicated to assisting employees with open enrollment for smooth and simple process. Offering more than 24 years of documenting and reporting changes in relation to benefits. Composed, talented and considered effective team player.

Overview

25
25
years of professional experience

Work History

Patient Benefit Representative

Arizona Oncology
08.2023 - Current
  • Obtaining authorization through insurance prior to patient office visits, treatments, injections and procedures. Ability to review all insurance benefits with patients in regards to coverage, benefits, co-pays, deductibles, and out of pocket expenses.
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Assess patient ability to meet expenses and discuss alternative payment arrangements to benefit the patient but most importantly meets companies regulations. Assist in education patients on financial assistance programs as well as identify sources and provide assistance with completing forms.
  • Perform meetings with patients based upon diagnosis and estimated insurance coverage, financial assistance, to complete Cost Estimate Form.
  • Complete appropriate reimbursement and liability forms for patient review and signature; forwarded appropriate information documents to billing office; responsible for obtaining, from clinical reviewer,, insurance pre-authorization or referral approval codes prior to each treatment.
  • At each patient visit, verify and update demographics and insurance coverage; review patient account balance and communicate with the front desk of patients to meet with.
  • Stay current on available financial aid; develop professional relationships with financial aid providers; network with financial aid providers to obtain leads to other programs
  • Managed diverse team, promoting inclusive work environment that leveraged individual strengths.

Surgery Scheduler

Arizona Oncology
03.2020 - 08.2023
  • Ability to translate for patients who speak spanish at any office visits needing assistance with efficiency and clarity at any and all capacity.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Organized all necessary documentation for successful completion of medical audits related to surgery scheduling practices.
  • Acted as a liaison between patients, insurance carriers, and the surgical team to secure necessary authorizations for timely procedures.
  • Demonstrated adaptability in managing last-minute schedule changes while minimizing disruption to overall workflow.
  • Resolved scheduling conflicts to maintain high-quality patient services.
  • Educated patients about surgeries and provided treatment plan documentation.
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
  • Assisted with medical coding and billing tasks.
  • Arranged pre-operative and post-operative appointments for surgical patients.
  • Maintained strict confidentiality in handling sensitive patient information, adhering to HIPAA guidelines and clinic policies.
  • Took pre-operative orders from surgeons and anesthesiologists for smooth operation planning.
  • Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.

Medical Assistant

Tucson Heart Group
07.2016 - 03.2020
  • Assist physicians with exams and procedures as requested; obtain laboratory samples as delegated by Physicians.
  • Escort patients to and from exam rooms, physician offices, and treatment room as appropriate
  • Perform administrative duties, i.e data entry, filing, faxing, chart preparation, reception etc., as requested by supervisors or physicians.
  • Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
  • Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
  • Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
  • Assisted with billing and coding processes, ensuring accurate insurance claims and patient invoicing.
  • Conducted routine laboratory tests to assist in diagnosis and treatment of conditions.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Obtained client medical history, medication information, symptoms, and allergies.

Medical Assistant

Renal Care Associates
10.2000 - 05.2016
  • Handled sensitive patient information with discretion, adhering to strict HIPAA guidelines and safeguarding privacy at all times.
  • Supported healthcare providers with the timely completion of necessary documentation, allowing them to focus on quality patient care.
  • Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
  • Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Provided exceptional customer service to patients, addressing concerns promptly and professionally to ensure satisfaction.
  • Answered incoming calls, routed messages and resolved patient inquiries within target timeframes.

Education

High School Diploma -

NOGALES HIGH SCHOOL
Nogales, AZ
05-2000

MEDICAL ASSISTANT - Medical Physics

APOLLO COLLAGE
Tucson, AZ
11-2002

Skills

  • PROFICIENT IN EXCEL, MICROSOFT, POWER POINT, CPT/ICD CODING, OUTLOOK, TEAMS, ZOOM, NEXT-GEN, INTERGY,CERNER,ATHENA, CENTRICITY, KNOWMED, EPIC, ATHENA, EMR SYSTEMS, HIPAA
  • Decision-making
  • Schedule development
  • Multitasking
  • Time management
  • Multitasking Abilities
  • Problem-solving
  • Teamwork and collaboration
  • Excellent communication
  • Professionalism
  • Reliability
  • Self motivation
  • Interpersonal skills
  • Team leadership
  • Teamwork
  • Customer relationship management

Languages

Spanish
Full Professional

Timeline

Patient Benefit Representative

Arizona Oncology
08.2023 - Current

Surgery Scheduler

Arizona Oncology
03.2020 - 08.2023

Medical Assistant

Tucson Heart Group
07.2016 - 03.2020

Medical Assistant

Renal Care Associates
10.2000 - 05.2016

High School Diploma -

NOGALES HIGH SCHOOL

MEDICAL ASSISTANT - Medical Physics

APOLLO COLLAGE

Similar Profiles

CREATE PROFILE