Yajaira Rojas Monterroso

Company Overview: Emergency Department / Labor and Delivery

• Obtain financial clearance and accurately determine patient classification.
• Inform medical staff of the patient's financial status to support clinical decision-making.
• Verify insurance electronically and telephonically for various coverage types.
• Assign and verify medical record numbers per patient identification policy.
• Explain admission and consent forms and collect required signatures.
• Register patients in triage, ambulance bay, trauma cases, direct admits, and labor and delivery.
• Foster strong rapport with patients, families, and clinical teams.

Company Overview: OB-GYN Department

• Scheduled appointments and managed physician schedules.
• Registered patients and processed payments with a focus on service quality.
• Handled insurance referrals and authorizations.
• Managed patient care flow and monitored CS-Link message pools.
• Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.

Company Overview: OB-GYN Department/ Internal Medicine/ Pharmacy

• Scheduled appointments for various specialties and procedures.
• Updated patient demographics in Epic and verified insurance eligibility.
• Informed patients of prescription issues and scheduled follow-up appointments.
• Reviewed and filtered electronic prescription refill requests.
• Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.

Company Overview: Claims/ Referrals and Authorizations/ Internal Medicine

• Created and managed new patient accounts for clients enrolling in UnitedHealthcare, ensuring accurate setup and data entry across 14 medical offices.
• Oversaw all aspects of patient onboarding, including appointment scheduling, provider selection or changes, and grievance support.
• Acted as a liaison between departments and offices to coordinate care, resolve issues, and provide exceptional service.
• Supported front desk and administrative teams by handling incoming calls, scheduling procedures, and assisting with cross-office communications.