Veronica Gonzalez Rodriguez
Thornton,CO
Summary
To obtain a position that will enable my leadership and organizational skills, to grow professionally in the success of the organization. Supportive Eligibility Specialist with extensive application engagement and dedicated service skills. Bilingual professional with skill to maintain accurate records, and handle various administrative responsibilities.
Overview
17
17
years of professional experience
Work History
Enrollment Manager
Clinica Family Health Services
01.2021 - Current
- Effective Leadership to the Enrollment Department, Review and maximize patient enrollment to Sliding fee program, State programs and health Insurance in accordance with federal and state laws and regulation
- Oversees the duties and functions of the Enrollment team to ensures that all departmental activities are carried out with accuracy, timeliness, and confidentiality to ensure Clinica's full compliance with federal and state regulations
- Implement workflows- review programs to ensure the Enrollment Department maximizes patient enrollment
- Enhance the effectiveness, efficiency, and productivity of the Enrollment Department by leading and contributing to departmental performance improvement projects
- Develops clear goals and objectives for performance management and effectively communicates accountability
- Knowledge of applicable state programs, sliding fee discount - train and develop training materials for employees as necessary regarding program rules
- Support patient enrollment and other troubleshooting
- Follow up on patient experience Survey
- Create Monthly outreach reports, submit external reports and support Enrollment Director on any reports required for HCPF, and other external partners
- Support and mediate interpersonal, team and interdepartmental conflicts
- Use effective strategies to find solutions while maintaining respect for diverse opinions
- Builds Teams and Success: work to create goals within in team members and encourage to follow Clinica's Values
- Support Team members with career development provide challenging tasks and assignments to complete with attention and details, provide constructive feedback
- Train, support, and oriented team members, create effective workflows, agendas, and materials for staff, to create accountability
- Monthly Application Audits- accountability for Enrollment staff to review and make corrections at a timely manner
Billing Manager
Clinica Family Health Services
02.2018 - 01.2021
- Provide effective leadership and oversee the duties and functions of the billing staff and ensures that they are carried out with accuracy, timeliness, and confidentiality to ensure Clinica's full compliance with federal and state requirements
- Manage revenue cycle, billing functions and staff
- Contribute to effective teamwork within the billing department, as well as other departments within the organization
- Develop and implement effective billing procedures, in accordance with applicable rules, regulations, etc., that maximize patient service revenue
- Ensure staff are trained and adherence with effective billing procedures
- Assist and make recommendations to the Revenue Cycle Director in managing third-party insurance participation, to include private-commercial insurance plans
- Coordinate NextGen EPM upgrades and billing training with Clinica IT
- Serve as resource to other clinic staff for primary billing issues/questions
- Ensure fee schedules are accurately entered into the NextGen system and are administered in accordance with Clinica's financial policies
- Build a strong partnership with the Coding Manager
- Maintain a safe work environment
- Performs other duties and responsibilities as requested
- Manage and coach staff
- Setting performance goals and benchmarks for billing staff
- Initial and annual Performance Evaluations
- Disciplinary action as needed
- Leadership and modeling of Clinica values
Billing Specialist Lead
Clinica Family Health Services
11.2016 - 02.2018
- Provided timely and accurate entry, processing, billing, correct and submit billing according to Clinica's program and procedures
- Contribute as a lead, serve as support to Manager
- Perform Billing specialist role
- Support and train staff
- Serve as a leader, couch and support staff
- Create monthly Accounts Receivable reports
- Create reports and other duties as manager requests
- Assist Manager with patient complains and issues
- Respond to emails from other departments
- Be a role model
- Provide good customer support/phone calls to patients and other staff
- Serve as a Manager when Manager is absent
- Solving problems and conflicts
- Creating a good environment/ no gossip or negativity
Billing Specialist
Clinica Family Health Services
10.2015 - 11.2016
- Provided timely and accurate entry, processing, billing, correct and submit billing according to Clinica's program and procedures
- Follow up on billings including rebilling and pay source determination
- Respond to patient's inquiries responsibly and in a timely manner
- Run and process statements and third-party claims on a timely basis as require
- Work on a work log on a daily basis to keep timely filing
- Provide good customer service
- Identified potential problems and resolve for timely filing
Financial Screener
Clinica Family Health Services
11.2011 - 10.2015
- Responsible for assisting Patients in enrollment to qualifying plans, assist other departments to create great customer service
- Gather all required documents to determine patient's eligibility to payment programs
- Knowledge of programs Medicaid, Medicare, CICP, CHP+ and Third party insurance
- Verify insurance
- Enter payer and demographic information to patient's Health record
- Scan all supporting documents
- Follow up on applications
- Assist with application on PEAK and Connect for Health Colorado
- Work different reports with excel and word
- Provide great customer service
- Completed hours to become a Certified Application Counselor
- Use of programs and have knowledge in NextGen, FileBound, SAVE, CBMS, Colorado Access, Navicure
- Provide support to the billing department, by sending them updated information on patient's payer
Office Technician
Clinica Family Health Services
02.2011 - 11.2011
- This job consisted in being trained in administrative work and to support the medical team to create a welcoming environment for the patients
- Collecting payments
- Scheduling patient's appointments
- Maintain confidentiality
- Support the medical team
- Send task to medical staff to renew medications
- Greet the customer and provide a welcoming environment
- Make calls when needed to the patient
- Work different registries
- Work with NextGen
- Create and encounter to prepare patient's charts
Medical Records
Clinica Family Health Services
05.2010 - 02.2011
- Support Medical Staff
- Provide Patients with Medical Records
- Data Entry
- Scan all necessary documents to patient's chart
- Maintain confidentiality
- Providing excellent patient care
Cashier
Champion Cleaners
02.2009 - 05.2010
- Great customers
- Place orders
- Receive payments
- Customer Service
Hostess, Busser
Casa Álvarez Restaurant
05.2008 - 11.2008
- Great Customers
- Clean tables
- Support other staff members
Cashier
Countryside Cleaners
09.2007 - 02.2008
- Receive payments and assist clients with their orders
- Cleaned washing machines and floor
- Support the main building in receiving the clothes and all other orders
Education
Massage Therapist Certificate -
Denver School of Massage Therapy
Westminster, CO01.2011
High School Diploma -
Fairview High School
Boulder, CO01.2009
CNA program -
Boulder Technical Education Center
Boulder, CO01.2008
Skills
- Bilingual
- Enrollment Forecasting
- Admissions Expertise
- Financial Aid Knowledge
- Creative Thinking
- Multitasking
- Self starter
- Great Customer Service
- Compassionate
- Teamwork
- Efficient
- Motivated
- Energetic
- Productive
- Optimistic
- Hardworking
- Independent
- Team player
- Organization skills
- NextGen
- Excel
- Word
- Outlook
- Poincare
- File Bound
- Waystar
Accomplishments
- Collaborated with a team of 9 in the development of working remote. creating workflows for the Billing team to be successful in the new work environment.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Awards
- Most Outstanding Teen Parent 2008
- Placed in top three in CNA competitions in skills 2007
Volunteer Experience
Safe house, Boulder, CO, Collected Donations
References
- Anne Killcoyne, Coding Manager, 720-470-4533
- Chandana Gaddipati, Enrollment Director, 615-945-4085
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Enrollment Manager
Clinica Family Health Services
01.2021 - Current
Billing Manager
Clinica Family Health Services
02.2018 - 01.2021
Billing Specialist Lead
Clinica Family Health Services
11.2016 - 02.2018
Billing Specialist
Clinica Family Health Services
10.2015 - 11.2016
Financial Screener
Clinica Family Health Services
11.2011 - 10.2015
Office Technician
Clinica Family Health Services
02.2011 - 11.2011
Medical Records
Clinica Family Health Services
05.2010 - 02.2011
Cashier
Champion Cleaners
02.2009 - 05.2010
Hostess, Busser
Casa Álvarez Restaurant
05.2008 - 11.2008
Cashier
Countryside Cleaners
09.2007 - 02.2008
High School Diploma -
Fairview High School
CNA program -
Boulder Technical Education Center
Massage Therapist Certificate -
Denver School of Massage Therapy
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