Sofia Rodezno Email & Phone Number

Tampa, Fl, Us

Tampa, Florida, United States

• Completing initial and ongoing contact with insureds, medical providers and attorneys• Obtaining recorded statements as warranted• Reviewing and analyzing policy language, case law and statutes and apply to claims handling• Completing accurate coverage investigations to proper resolution• Coordinating Independent Medical Examinations as warranted• Establishing proper reserves in accordance with company reserving guidelines• Identifying potential fraud indicators and working closely with Special Investigations Unit when appropriate

Tampa, Florida, United States

• Handled regular mail, certified mail, UPS, and checks for the Claims Department• Assisted PIP and Litigation department in preparing reproductions of disclosures, subpoenas, and documents• Notarized documents for PIP and Litigation team• Emailed and faxed PIP logs based on requests from medical providers and attorneys• Sent of PIP packets• Ability to work in a high volume, fast paced environment while being detailed and accurate

Tampa, Florida, United States

• Assisted the team with inbound/outbound calls to and from patients• Educated patients on treatment plans, products, and services• Invoiced products, submit prescriptions to pharmacies and maintain patient records in EMR and CRMsystem• Maintained professionalism with all patients and vendors as well as comply with all HIPAA regulations• Completed administrative duties as assigned with a focus on patient care

Dover, Florida, United States

· Collected Protected Health Information (PHI) into e-clinical work system (ECW)· Tracked and received insurance co-pay and cash payments· Processed special visits such as Medicaid pending, Title X and Optometry · Educated patients about Medicaid insurance, medical visits, and follow-up appointments· Created patient’s appointments and assist them with referrals· Trained new hires in the pediatric department to help them understand clinic’s protocols and processes· Maintained strong understanding of HIPAA regulations as well as clinic’s processes in place

Bachelor Of Science In Health Sciences, Biological Health Sciences And Health Management

Associate Of Arts - Aa