Medical Denial Specialist Odalys B Rodriguez

Medical Denial Specialist Odalys B Rodriguez Email and Phone Number

Medical Denial Specialist #hospitals #clinics
Medical Denial Specialist Odalys B Rodriguez's Location
Puerto Rico, Puerto Rico
Medical Denial Specialist Odalys B Rodriguez's Contact Details

Medical Denial Specialist Odalys B Rodriguez personal email

About Medical Denial Specialist Odalys B Rodriguez

*Review and resolve denied patient insurance claims. *Researches and analyzes denial data and coordinate denial recovery responsibilities. *Identifies, analyzes, and researches frequent root causes of denials and develops corrective action plans for resolution of denials. *Review all paperwork the insurance company sends about a claim denial. *Research rejections included in EOBs for resolution and files appropriately. *Identifies and pursues opportunities for improvements in denial performance. *Form an appeal that includes documentation and an argument.*Researches, responds, and documents insurer and patient correspondence/inquiry notes regarding coding coverage, benefits, and reimbursement on patient accounts.*Follow up with the insurance company about possible reimbursement.

Medical Denial Specialist Odalys B Rodriguez's Current Company Details

Medical Denial Specialist #hospitals #clinics
Medical Denial Specialist Odalys B Rodriguez Work Experience Details
  • Caguas Ambulatory Surgical Center
    Internal Auditor
    Caguas Ambulatory Surgical Center Oct 2022 - Jun 2023
    Puerto Rico
  • #Optimizationpr
    Medical Denial Specialist/ Medical Billing
    #Optimizationpr Apr 2021 - Jun 2023
    United States
    Professional services to achieve the maximum optimization of your organization.*Denial Management Specialist*Medical Billing and Coding*eForm Solutions*Data Entry*Performance Audits*A lot of solutions for you
  • Hospital Oncologico
    Auditor
    Hospital Oncologico May 2021 - May 2023
    Puerto Rico
    *Examining and solving payments denials*Analyzing and solving insurance overpayments *Making adjustments in claims *Following resubmitted claims*Digitization of documents
  • Delta Dental Ins.
    Hybrid Data Processor
    Delta Dental Ins. Nov 2018 - May 2020
    Guaynabo
    *Entry data to the system from digitized Dental Claims.*OCR system.*Correcting Dental Claims.*File Digital Documents.*Coordination of Benefits.
  • Professional Services
    Telehealth Assistant Coordinator
    Professional Services Oct 2018 - May 2020
    United States
    *Coordinating aspects of the virtual visit.*Experienced with Spanish speakers patients.*Answering questions regarding the virtual visit experience.*Anticipate and attend to the needs of the patients.*Ability to work independently with minimal supervision.*Proficient in Microsoft Word and Excel, and type quickly; basic computer knowledge.*Provide patient education, patient support, empathy and patient care via a telehealth platform as an extension of the physician practice.*Serve as a liaison and coordinate information between providers, other clinical staff and patients.*Coordinate the ongoing delivery and management of patient centered comprehensive care plans.*Complete and initiate appropriate clinical reminders, consults, and alerts.*Utilize EHR to document all clinical observations, information, updates, and patient education.*Schedule, confirm, and coordinate virtual patient encounters.
  • Primero Business Solutions
    Remote Data Processor |
    Primero Business Solutions Sep 2017 - Oct 2018
    United States
    *Medical Claims.*Operate data entry devices, such as a keyboard or computer, to verify and input data.*Responsible for accurate information documentation and personal project management.*Read source documents such as canceled checks, sales reports, or bills, and enter data in specific data fields or onto tapes or disks forsubsequent entry, using keyboards or scanners.*Compile, sort and verify the accuracy of data before it is entered.*Locate and correct data entry errors, or report them to supervisors.*Compare data with source documents, or re-enter data in verification format to detect errors.*Maintain logs of activities and completed work.
  • G. Calderon Furniture, Inc. (Furniture Store)
    General Office Clerk
    G. Calderon Furniture, Inc. (Furniture Store) Jan 2013 - Mar 2017
    San Juan Antiguo, San Juan, Puerto Rico
    ▪ Customer Service.▪ Calls and customers reception.▪ Customer service and orientation services.▪ Telemarketing and cyber marketing.▪ Filing and record keeping▪ Manage, update and organize different directories.
  • Properties, Llc
    Front Office Receptionist
    Properties, Llc May 2007 - Jul 2012
    San Juan, Puerto Rico
    ▪ Manage of Electronic Agenda▪ Calls and customers reception.▪ Payments receiver by telephone, online or personal▪ Customer service and orientation services.▪ Telemarketing and cyber marketing.▪ Filing and record keeping▪ Receive and Digitize Mails▪ Manage, update and organize different directories.
  • Lcdo. Felix Colón Morera'S Office
    Front Office Receptionist
    Lcdo. Felix Colón Morera'S Office Jan 2002 - Jun 2005
    San Juan, Puerto Rico
    ▪ Customer and calls reception.▪ Customer Service and Orientation Services.▪ Filling and Record Keeping.▪ Sending and receiving mails.▪ Spanish Dictation, Taking and Transcription

Medical Denial Specialist Odalys B Rodriguez Education Details

Frequently Asked Questions about Medical Denial Specialist Odalys B Rodriguez

What is Medical Denial Specialist Odalys B Rodriguez's role at the current company?

Medical Denial Specialist Odalys B Rodriguez's current role is Medical Denial Specialist #hospitals #clinics.

What is Medical Denial Specialist Odalys B Rodriguez's email address?

Medical Denial Specialist Odalys B Rodriguez's email address is al****@****ail.com

What schools did Medical Denial Specialist Odalys B Rodriguez attend?

Medical Denial Specialist Odalys B Rodriguez attended National University, Escuela Juan Ponce De León.

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