Diane Rodriguez Email & Phone Number

New York, Ny, Us

New York, Ny, Us

Austin, Texas, Us

Paramus, New Jersey, Us

• Demonstrates knowledge of the different insurance plans as well as coverage details to facilitate effective communication on services as well as reimbursements • Reviews patient’s insurance benefits to determine coverage for infertility services • Effectively counsel patients on all financial aspects, which includes services that are covered, self-pay and any other cost associated to treatment • Answers any questions and concerns that patients may have as well as document it in E-IVF in accordance with the center’s guidelines• Review, counsel, and collect payments on all outstanding bills in Athena and Meditech• Work with the physicians, nurses, and embryologist to ensure the patients are cleared to move forward with treatment• Contacts insurance companies to obtain prior authorization for surgeries, Artificial Insemination cycles, IVF cycles, MRIs, and other diagnostic services• Entered daily charges which includes physician, outpatient hospital, and embryology charges• Review daily and monthly reports to ensure accuracy of all charges submitted• Discharge all recurring accounts after researching the flowsheets in E-IVF to confirm all the visits/charges match • Work with Patient Financial Services and insurances to ensure all claims are being paid correctly and assist with any issues such as ICD 10 coding issues, and missing records• Participate in annual training for performance improvement to enhance patient care• Ensured compliance of patient HIPAA and privacy protocols

• Answered a high volume of calls averaging between 50 and 100 calls per day• Reviewed the billing process with patients in detail and ensured the patient understood • Effectively listened and addressed any concerns the patients had pertaining to their bills and services performed• Analyzed multiple invoices, and identified issues such as improper ICD coding issues, missing ICD codes, and missing medical records• Reviewed the billing system to advise patients on outstanding balances as well as processes payments and discusses payment options.• Participated in the system conversion training to provide a better billing experience • Mentored/trained fellow colleagues for the system conversion integration • Reviewed correspondence from insurances and assisted in correcting medical claims • Participated in training for the ICD 9 to ICD 10 conversion to assist/educate providers as well as insurances • Ensured compliance of patient HIPAA and privacy protocols

• Contacted clients to set up appointments for insurance and financial reviews • Assisted colleagues and clients with reviewing their financial accounts and effectively answering any questions or concerns the client had, which lead to customer retention• Printed and reviewed the monthly report that showed any outstanding balances and contacted the clients to obtain payments as well as set up monthly payment plans• Reconciled the office premium fund account on a month-to-month basis and reviewed the history of altered money reports• Submitted and closed vehicle loans, deposit products, as well as credit cards which led to an increase in the banking productivity• Participated in weekly meetings to review the office goals

• Organized the front desk to effectively welcome/greet all customers• Answered all phone calls and transferred the calls to the appropriate team members • Contacted the clients to set up appointments for insurance reviews• Familiarized myself with the billing system to provide guidance to clients and team members• Organized all correspondence in the appropriate filing cabinet and scanned customer documents • Obtained preliminary information for auto quotes to jump-start the quoting process

Bachelor Of Arts (B.A.), Business/Commerce, General

Education record