Theresa Rodriguez Resume1
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Theresa Rodriguez has over 15 years of experience in healthcare billing and revenue management. She has worked in various roles such as medical billing manager, auditor, coordinator, and patient accounts specialist. Her experience includes developing policies and procedures, implementing EMR systems, analyzing reports, training staff, negotiating contracts, and ensuring compliance. She holds a Bachelor's degree in Psychology and is a certified professional coder.
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Deborah Caddy has over 23 years of experience in medical billing, collections, and management. She has held various roles such as team leader, client liaison, billing specialist, trainer, and manager. Currently, she is pursuing a Master's degree in Organizational Development. Her experience includes working with Medicare, Medicaid, workers compensation, and various commercial insurances in hospital, ASC, private practice, and management company settings. She is skilled in Medicaid management systems, analytical thinking, quality improvement, recruiting, training, and decision making.
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Nicole Polselli is seeking a position that allows her to utilize her administrative and clinical skills. She has over 15 years of experience in fields including medical assisting, demolition project management, fitness instruction, and child development. Her resume lists employment history dating back to 1996 in various roles such as medical assistant, gymnastics coach, personal trainer, and office administrator. She provides details on her responsibilities in billing, collections, marketing, supervising work crews, and teaching children life skills.
4604 BS
Helen Medlin is seeking a responsible position where she can utilize her abilities and experience. She has over 20 years of experience in office administration, customer service, billing, and medical support roles. Her background includes positions in real estate, military support, retail, government tax services, healthcare facilities, and eye care distribution. She has a Bachelor's degree in Business Administration and certificates in communication, leadership, conflict management, and medical terminology.
Tiffany Moore Resume 1 (1)
Tiffany Moore seeks a customer service role with a focus on client relations and operational improvements. She has over 10 years of experience in customer service, medical assisting, and office management. Moore's accomplishments include reducing staff turnover by 10% and being promoted to Account Manager after 6 months. She holds a GED, Associate's degree in Medical Assisting, and a Customer Service Manager Certificate.
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Theresa Rodriguez Resume1
- 1. THERESA RODRIGUEZ Melbourne, FL 32901 TCR1971@yahoo.com/Cell 321-474-3398 Medical Billing/Revenue Manager HighlyMotivatedself- directed/self- starterwithareputationforbeingcreative, resourceful, organized, and efficient. With more than 15 years of experience in the healthcare field I have worked my way up fromthe bottomandalong the wayhave gained intimate knowledge of all that it entails to successfully manage a billing/revenue department Operations and Management Strengths: Developed and Implemented Policies and Procedures Implemented EMR System Advanced understanding of Insurance procedures-third party payers, Medicare and Medicaid requirements and regulations Proved track record when meeting deadlinesanddrive collectioninitiatives aimed at reducing loss Coach and develop staff to increase efficiency Analyze and problem solving Effective verbal/writtencommunication Sept 2010 to March 2015 The BACK Center Melbourne, FL Medical BillingManager Prepared and analyzed reports; Ensured proper payment and contractual adjustments were made; Reviewed appeals and ensured Medical Necessity was met; Trained and counseled employees as needed; Reviewed insurance contracts and prepared for negotiations ;Worked with front end staff to minimize errors; Responsible for claims processing, refund approvals, & end of month processes Selected Contributions: Over a million plus a month in revenue, in which over 120+ days AR went from 43.5% to now 9.57% Managed 15.5 FTE including payment entry, coding, auditing, AR insurance, and medical records representatives Successfully implemented PQRS which resulted in bonus payments Developed and implemented collections policies and procedures Prepared practice for Meaningful Use March 2007 to Sept 2010 The BACK Center Melbourne, FL Auditor for Legal Suit Reviewed EOB to ensure all payments, contractual, and denials were worked properly; Prepared documents for legal action; Prepared spreadsheet for lawyers Selected Contributions: Converted unpaid/denied claims and collected monies that were originally considered lost. Efforts resulted in over $40,000.00 collected revenue Dec 2009 to Sept 2010 University Of Central FL, College of Medicine Orlando, FL Coordinator, Special Projects and Clinical Operations Assisted in developing policies and procedures for clinic and laboratory; Responsible for set up and implementationof operational infrastructure;Taskedwithinsurance contractingnegations;Coordinated deadlines for projects and assisted with special projects as needed.
- 2. Selected Contributions: Prepared and obtained CAP laboratory accreditation Credentialed Faculty with privileges at local hospitals Prepared research grant and handled the invoices and petty cash June 2005 to Dec 2009 D.Badolato, PA/Premier Urgent Care Melbourne, FL Patient FinancialsManager Responsible for day to day production of billing department; Accountable for claims submissions, medical coding, payment posting, A/R follow up, and reimbursement follow up; Ensured department followed the guidelines of HIPPA and in compliance with all federal, state, and payer regulations; Trained and counseled employees as needed; Assisted with insurance contracts; Maintain working knowledge of CPT and ICD-9 coding principles and changes; Assisted Director with planning, implantation, and evaluation of modifications to existing operations, systems, and procedures Selected Contributions: Major Player in implementing and programming new EMR from top to bottom Managed 9 FTE Implemented Policies and Procedures Assisted in building infrastructure for Urgent Care Facility Sept 1999 to May 2005 Osler Medical Melbourne, FL Patient Accounts Specialist Responsible forpaymententryand ensured proper adjustments per contracts; Back up to charge entry for hospital andmulti-specialtyofficecharges;Backup to patientaccount reps who dealt with patients, processingclaims,knowledge of insurance contracts and collections; knowledge of medical terms,CPT codes, and ICD9 coding. Selective Contributions: Main player in developing and implementing new medical practice management software, ELLEN (in house software program) Analyzedtrendthat lost the company $100,000.00 in revenue but was able to correct all claims and retrieve the monies lost. Trained all new employees Education and Credentials Bachelor’s Degree in Psychology 2006,University of Central Florida CPC Certified 2014 Active member of AAPC (American Academy of Professional Coders) Computer/Software Proficiencies Proficient in Microsoft (MS) Office (Microsoft Word, Excel, and Power Point)*NextGen*ADS (Advance Data Systems)*Navicure*First Data Systems*ELLEN Webinars/Training History ICD 10 Implementation*Negotiating Insurance Contracts*Meaningful Use 101/PQRS 101 HIPPA/OSHA Training