Bianca Rodriguez
Bakersfield
Summary
Developed leadership skills in fast-paced, collaborative environment, focusing on team coordination and project management. Transitioning into new field with ability to plan strategically and manage resources efficiently, paired with strong workflow skills. Aiming to apply these transferable skills to drive success in new and challenging role.
Overview
7
7
years of professional experience
Work History
Administration Dept. Lead
Pain Clinics of Central California
06.2021 - Current
- Oversaw the eligibility, authorizations, and billing departments, managing a team of 16 to maintain efficient operations.
- Reviewed and evaluated daily reports for each department to ensure compliance with performance goals, addressing staff concerns and implementing corrective measures.
- Provided cross-departmental support by filling in for absent staff, ensuring seamless operations across eligibility, billing, authorizations, phone handling, and patient scheduling.
- Trained new employees and students to complete their extern hours effectively.
- Mastered all roles within the administration department, ensuring seamless operations.
Authorizations / Eligibility Clerk
LAGS Medical Center
07.2018 - 05.2021
- Verified patient insurance eligibility for all insurance providers and determined coverage status.
- Verified insurance acceptance and provider contracts to ensure compliance.
- Submitted prior authorization requests to insurance companies for patients' office visits.
- Maintained high levels of accuracy in data entry, ensuring all patient accounts were up-to-date.
- Communicated with patients over the phone to address and resolve insurance verification issues.
- Worked with the billing team to resolve eligibility-related claim denials.
- Verified patient eligibility for a high volume of scheduled appointments.
Medical Biller
Physicians Network Billing Service
10.2017 - 07.2018
- Generated and analyzed daily reports to identify patient open balances and processed insurance billing.
- Handled and processed various insurance claims, including HMO and PPO plans, to ensure timely and accurate billing.
- Communicated with patients to address remaining balances and established payment arrangements.
- Processed and submitted electronic and paper claims for 20 doctors to insurance providers bi-weekly.
- Scrubbed claims, sent appeals, and corrected denied claims or missing information to ensure accurate processing.
Education
Associate of Science - MEDICAL OFFICE ADMINISTRATION/ BILLING AND CODING
SAN JOAQUIN VALLEY COLLEGE
BAKERSFIELD10-2017
Skills
- Documentation
- Team development
- Verbal and written communication
- Task delegation
- Staff training
- Scheduling
- Strategies and goals
- Problem-solving
- Customer service
- BILINGUAL
- TYPE 50 WPM
- KNOWLEDGE OF HMO, PPO & EPO
- RESPONSIBLE
- RELIABE
Languages
Spanish
Full Professional
Timeline
Administration Dept. Lead
Pain Clinics of Central California
06.2021 - Current
Authorizations / Eligibility Clerk
LAGS Medical Center
07.2018 - 05.2021
Medical Biller
Physicians Network Billing Service
10.2017 - 07.2018
Associate of Science - MEDICAL OFFICE ADMINISTRATION/ BILLING AND CODING
SAN JOAQUIN VALLEY COLLEGE
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