Veronica Rodriguez
Lakewood
Summary
Highly adaptable and experienced healthcare management professional with background in growth and retention marketing of a rapidly growing and changing healthcare environment. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Patient Relation Liason Supervisor
Optum
09.2021 - Current
- Responsible for membership growth and retention in North Orange County
- Responsible for community outreach coordination and event scheduling
- Collaborate and work closely with group growth team and IPA (Independent Physician Association)
- Develop broker partnership, execute strategic marketing plans for Optum group sites to increase patient growth and retention
- Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Established performance metrics for the team, consistently tracking progress towards goals and making adjustments as needed
Insurance Verificaton Supervisor
Optum
09.2014 - 09.2021
- Conducted detailed insurance eligibility verification
- Collaborated with physician offices to support patients and office staff members
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
- Monitored workflow to improve employee time management and increase productivity
- Maintained compliance with company policies, objectives, and communication goals.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
Front Office Lead
Optum
02.2011 - 09.2014
- Responsible for orientation and training of employees
- Work with front office staff and patients to ensure satisfaction in quality service and problem resolution
- Collaborated with management to identify areas for improvement, leading to increased overall productivity within the team.
- Provided exceptional customer service by greeting guests warmly, answering questions knowledgeably, and handling requests efficiently.
- Oversaw daily front office operations, delegating tasks as necessary to maintain an efficient workflow.
Insurance Verification Specialist
Optum
08.2003 - 02.2011
- Conduct detailed insurance eligibility verification
- Accurately documented in EMR system
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Reduced errors in billing by accurately maintaining patient records with updated insurance information.
- Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Assisted patients with understanding personalized insurance coverage and benefits.
Education
High School Diploma -
Lakewood High School
Lakewood, CAAssociate of Arts - Business Administration And Management
Long Beach City College
Long Beach, CASkills
- Medical Insurance knowledge; HMO, PPO, EPO, POS, Medicare, Medicare Advantage plans, Indemnity, CalOptima, Medi-Cal
- Word Perfect, PPT, Excel and Outlook proficient
- Bilingual fluent in English and Spanish
- Goal-Oriented
- Flexible and adaptable
- Problem-Solving
- Leadership skills
Certification
- Certificate of Completion High Performing Teams, Optum -09/28/2021
- Certificate of Accomplishment in Business Digital Literacy, Long Beach City College - 08/27/2019
- Certificate of Accomplishment Foundations of Management , Long Beach City College - Spring 2017
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Patient Relation Liason Supervisor
Optum
09.2021 - Current
Insurance Verificaton Supervisor
Optum
09.2014 - 09.2021
Front Office Lead
Optum
02.2011 - 09.2014
Insurance Verification Specialist
Optum
08.2003 - 02.2011
High School Diploma -
Lakewood High School
Associate of Arts - Business Administration And Management
Long Beach City College
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