Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Xina Rodriguez

Herndon,VA

Summary

Multi-talented individual with five years of experience in data entry and three years in medical claims processing. Motivated to learn and take opportunities to build skills and contribute to a strong team.

Overview

8
8
years of professional experience

Work History

Medical Claims Analyst

NALC Health Benefit Plan
Ashburn, VA
03.2023 - Current

Confirmation of Benefits/Group IV Department

  • Analyzed medical claims for accuracy, ensuring compliance with regulatory standards.
  • Maintained current knowledge of ICD-10, CPT and HCPCS coding guidelines.
  • Reviewed and corrected rejected claims.
  • Generated form letters to providers and members.
  • Used telephone in performance of duties to convey accurate information regarding benefits, eligibility and Medicare primary coverage.
  • Maintained strict compliance with HIPAA regulations to ensure protection of PHI.

Keyer/Mailroom Department

  • Keyed and processed UB-04 and CMS-1500 claim forms with high accuracy for billing.
  • Routed incoming mail to appropriate departments to maintain efficient internal workflow.
  • Voided checks accurately in accordance to company polices.

Data Entry

Potomac ECycle
Manassas, VA
02.2021 - 09.2022
  • Created listings for products with detailed descriptions and accurate pricing for company's eBay page.
  • Photographed and professionally edited items for sale and distribution.
  • Entered data into spreadsheets, documents and databases.
  • Maintained high feedback ratings from customers by responding quickly to questions and problems.
  • Kept all products organized with accurate locations.

Data Entry

Simple Cell
Sykesville, MD
07.2020 - 01.2021
  • Completed accurate and efficient data entry and database updates to support online operations.
  • Identified and corrected data entry errors to prevent duplication across systems.
  • Reviewed and updated account information in company computer system.
  • Photographed products and edited them using photoshop to upload onto company's website.
  • Tracked inventory, conducted cycle counts and audits and resolved issues to maintain accurate records.
  • Processed merchandise returns and exchanges.

Marketing Intern

Gabriel Marketing Group
Tysons Corner, VA
06.2018 - 08.2018
  • Created unique and engaging content for range of social media platforms including Pinterest, FaceBook and Instagram.
  • Screened successful candidates or freelance hires.
  • Completed a Facebook Canvas Ad for marketing, including a promotional video for the ad.
  • Created future clients spreadsheet and competitors' spreadsheet for GMG.
  • Gathered examples of successful landing pages to help improve current GMG website and responsive page.
  • Finished SEO keyword spreadsheets for clients.

Education

High School Diploma -

Freedom High School
South Riding
2014

Some College (No Degree) -

Northern Virginia Community College
Manassas, VA

Skills

  • Claims processing proficiency
  • Medical terminology
  • Adobe for image editing and digital design
  • Strong attention to detail
  • HIPAA compliance
  • Bilingual

Languages

English
Spanish

Timeline

Medical Claims Analyst

NALC Health Benefit Plan
03.2023 - Current

Data Entry

Potomac ECycle
02.2021 - 09.2022

Data Entry

Simple Cell
07.2020 - 01.2021

Marketing Intern

Gabriel Marketing Group
06.2018 - 08.2018

Some College (No Degree) -

Northern Virginia Community College

High School Diploma -

Freedom High School