Lissa Rodriguez
San Diego,CA
Summary
Experienced healthcare professional with a strong background working within a large healthcare environment.
Proficient in navigating third party payor systems including federal, state, and private health plans & understanding of managed care plans.
Experience with EPIC and All scripts referral system.
Ability to process & secure appropriate referral & authorization for services needed.
Well versed in medical terminology & industry best practices.
Demonstrated ability to prioritize tasks,monitor timelines while upholding strict confidentially.
Knowledgeable with registration, admitting, &TAR process.
Excellent customer service abilities. Maintaining effective interactions with care teams, patients & families.
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Overview
13
13
years of professional experience
Work History
Case Managment Associate
UC San Diego Health
11.2022 - Current
- Efficiently manage case load consistently meeting deadlines while demonstrating strong multi tasking skills.
- Coordinating comprehensive care plans for patients with complex medical needs.
- Assisting health care team & payors, through insurance verification and obtaining authorizations.
- Experience in HMO,IPA,PPO plans.
- Proficient in MS Office.
- Sending necessary referrals, making follow up medical appointments, and appropriate documentation of activities in all required computer systems.
- Served as case coordinator, assuming responsibility for complex, high-volume assignments and guiding endeavors to successful completion.
- Contributed to organizational growth by actively participating in team meetings and offering input on process improvements.
Admissions Representative
UC San Diego Health
11.2013 - 11.2022
- Financially cleared patients,verified insurance eligibility & benefits before procedures and surgeries to ensure accurate coverage and minimize billing issues.
- Demonstrated expertise in managing referrals & authorizations.
- Handling scheduling, self pay patients and coordination of care.
- Averaged handling of 50 + patients per day,
- Proven ability to handle multi line incoming patient/customer calls.
Hospital Assistant Radiology
UC San Diego Health
03.2012 - 11.2013
- Provided technical and clerical support.
- Proficient with EPIC & PACS.
- Scheduled Inpatient & Outpatient Services as Needed.
- Welcomed patients and ensured a comfortable experience by addressing their questions and concerns with discretion and professionalism.
- Collaborated with care teams to develop individualized care plans that addressed each patient''s unique needs.
- Proactively identified potential safety hazards within the unit and reported them to the appropriate staff, contributing to a safer environment for both patients and colleagues.
Education
Associate of Applied Science - Medical- Terminolgy,Insurance, & Billing
Southwestern College
Chula Vista, CASkills
- Problem-solving abilities
- Multitasking Abilities
- Excellent Communication
- Professionalism
Timeline
Case Managment Associate
UC San Diego Health
11.2022 - Current
Admissions Representative
UC San Diego Health
11.2013 - 11.2022
Hospital Assistant Radiology
UC San Diego Health
03.2012 - 11.2013
Associate of Applied Science - Medical- Terminolgy,Insurance, & Billing
Southwestern College
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