Violet Rodriquez
Tempe,AZ
Summary
Experienced Contact Representative (Benefits Coordinator) advocate for American Indian/Alaska native on various of available health benefits/alternate resources. Experienced and skills Medical Assistance technical support and clerical duties, excellent customer services. Knowledge in ICD-10 diagnosis and CPT coding. Current BLS/CPR certified.
Overview
31
31
years of professional experience
Work History
Contact Representative (Benefits Coordinator)
U.S. Department of Human Health Services
04.2023 - Current
- Liaison as benefits coordinator for our American Indian/Alaska Native providing available alternate resources that available through Medicaid/AHCCCS, Medicare, Private Insurance and VA
- Verifies various of health coverage, works closely with staffs and patients on status of pending applications
- Attend all mandatory meetings and trainings as request by supervisor.
Health Technician (OA)
U.S. Department of Human Health Services
06.2009 - 04.2023
- Centralized OR surgery scheduler, scheduling surgery cases for OR department, utilizing the ICD10 & CPT 9 codes at time of scheduling surgery cases
- Interact with Patients, facility Providers, OR and PACU staffs relating surgery schedule and changes
- Multitask between scheduling, interacting with facility/department staffs via phone or e-mails and closing out all surgery cases.
Lead Contact Representative
U.S. Department of Human Health Services
04.2005 - 06.2009
- Lead contact for the front clinical area, monitoring staffs (Medical Assistant & 2 Contact Representative), assist and coverage when need, training four new staffs
- Registration and updating demographics information on all schedule patients collected all health insurance from private insurance, medical, Medicare and workers compensation if related surgery injury and verifying coverage and completing precertification.
Medical Technician/Coder
U.S. Department of Human Health Services
02.2004 - 04.2005
- Outpatient coding for all podiatry outpatient visits, utilizing the ICD-9 diagnosis codes, CPT codes for all procedures performed, HCPCS codes and EM coding.
Contact Representative
U.S. Department of Human Health Services
01.2004 - 02.2004
- Collecting all current demographics information on all Patients, verifying all Alternate Resources (Medicaid, Medicare, Private Insurances and other health benefits)
- Completing Pre-authorization with health insurances for surgery schedule cases, utilizing ICD-9 and CPT codes.
Benefits Coordinator
Tuba City Regional Health Care Center
11.2000 - 12.2003
- Liaison as a health benefits for the facility, for all qualified Patients and or staffs for Arizona Medicaid, Utah Medicaid, New Mexico Medicaid, and other Federal/Tribal programs
- Assist Patients with collecting all required documents to complete process, interacting all several Agencies for Medicaid programs and Medicare eligibilities
- Attend trainings, keeping updates with changes with Medicaid and or Medicare and attending outreach programs with other tribal agencies within Arizona, Utah and New Mexico.
Lead Contact Representative
U.S. Department of Human Health Services
05.1993 - 05.2000
- Responsible for more than 8 contact representative, monitoring daily productivities, assigning workloads, assist with coverage during short staffs and training new staffs on registration duties
- Collecting update data’s on all Patients checking for appointments within Women Clinic and within the Emergency department, collecting all alternate resources and verifying coverage, precertification if needed
- Resolve any problems that arise within clinic area with staffs, patients or other departments
- Attend all training that assigned by Supervisor and within billing departments on any changes within Health coverages from Medicaid, Medicare and Private Insurances, attend workshop with other Indian Health Services on registrations, team leaders and all alternate resources for Native American.
Education
General Requirements -
Tucson High School, Tucson, Arizona
CNA Training, Highland Manor Nursing Home, Phoenix, Arizona
02.1991
Medical Assistant, True -
BRYMAN School, Phoenix, Arizona
09.1990
Accounting -
Phoenix Job Corp Center, Phoenix, Arizona
07.1985
Retail Sales -
Tucson Job Corp Center, Tucson, Arizona
08.1983
Skills
- Clerical support skill – customer service, carry out instructions verbally and or written
- Basic Computer skill – Microsoft Outlook, MS Excel, MS Word
- Basic medical terminology, CPT Procedures and ICD-10 diagnosis Codes
- Medical Records knowledge, maintaining HIPAA and Privacy Act regulations and training
- Nursing assistant skills for approximately 2 years – Patient care, vital records, and basic personal care
- Time management, follow protocols, attention to detail and compassionate
- Dependable, work under pressure and multitask
- Time Management
- Analytical Thinking
References
- Sharon Morgan, 500 W 1st Street, Apt 3015, Tempe, Arizona, 85281, 480-703-5692, Benefits Coordinator
- Janice Sekayumptewa, 5202 N. 40th Dr., Phoenix, Arizona, 85019, 602-783-3956, Medical Assistant Support
- Deon Yazzie, 4212 North 16th Street, Phoenix, Arizona, 85016, 602-263-1200 x6077, Coder Technician
- Valencia Harold, P.O. Box 624, Tonalea, Arizona, 86044, 928-326-0322, Medical Coder
Timeline
Contact Representative (Benefits Coordinator)
U.S. Department of Human Health Services
04.2023 - Current
Health Technician (OA)
U.S. Department of Human Health Services
06.2009 - 04.2023
Lead Contact Representative
U.S. Department of Human Health Services
04.2005 - 06.2009
Medical Technician/Coder
U.S. Department of Human Health Services
02.2004 - 04.2005
Contact Representative
U.S. Department of Human Health Services
01.2004 - 02.2004
Benefits Coordinator
Tuba City Regional Health Care Center
11.2000 - 12.2003
Lead Contact Representative
U.S. Department of Human Health Services
05.1993 - 05.2000
General Requirements -
Tucson High School, Tucson, Arizona
CNA Training, Highland Manor Nursing Home, Phoenix, Arizona
Medical Assistant, True -
BRYMAN School, Phoenix, Arizona
Accounting -
Phoenix Job Corp Center, Phoenix, Arizona
Retail Sales -
Tucson Job Corp Center, Tucson, Arizona
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