1. BELEN RODRIGUEZ Cell (702) 888 - 5244 belenh8@yahoo.com
Absolute Dental August 2016 – Current
Eligibility Clerk – 526 S Tonopah Dr. Ste. 200 Las Vegas, NV. 89106 (702) 472-7310
* Dentrix (software)
* Contact insurance companies for benefits investigation and coverage eligibility.
* Work efficiently both individually and within a team to accomplish required tasks.
* Securely and accurately, document all patient information.
* Average of 45 verifications per day.
United Health Care (Family Health Care) (Now Southwest Medical) January 2014 – May 2016
Accts Receivable Clerk/Authorizations Department
8655 S Eastern Ave Las Vegas, NV. 89123 (702)383-0887
* Prior Authorizations, for Home Health Care (RN/LPN/PT/OT etc.)
* Manage administrative intake/data entry of members or the admission/discharge information.
* Work with hospitals, clinics, and clinical team to manage request for services.
* Manage the referrals process, incoming/outgoing referrals, using RightFax/ACM/Curaspan/Allscripts.
* Strong analytic and problem solving skill.
* Experience with medical insurance verification: Benefit and Eligibility (EOB): using IDX/Facets
* Supervise/Train new staff.
United Health Care (OptumRx) December 2012 – January 2014
Claims Processing – 2300 Main St. Irvine, CA. 92614 (800) 788-4863
* Pharmaceutical Billing, processing all claims (HCFA/1500, including ICD, CPT, EOB), using AS400.
Children’s Therapeutic Communities March 2005 – December 2012
Administrative Assistant / Medical Billing Department (Out of business as of 04/29/2016)
17675 Van Buren Blvd. Ste. A Riverside, CA. 92504 (951) 588-3104
* Prior Authorizations, for family session with Psychologist and Case Managers.
* Supervise/Train all front office staff and making sure it runs in a professional manner.
* Process all paperwork for new employees with knowledge of recruitment process.
* Responsible for processing/coding claims (HCFA/1500, including ICD, CPT, EOB using EMEDWARE),
creating monthly invoices, collecting releases, accounts receivable/payable.
* Renew provider contracts/credentialing.
* Administrative duties: ordering office material, answering phones, typing reports, filling etc.
* Running errands including bank runs and handling the monthly budgets.
* Translate family session for the Psychologist and Case Managers.
Education
Riverside Community College 2000 - 2002
Cosmetologist California State License, 2002
Rancho Verde High School 1998
Skills
Experience in using MS Windows based PC skills (Word, Excel, and Outlook)
* Fluent in Spanish
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