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Customer Service Medical Billing

Cleveland, Ohio, United States
August 20, 2018

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Johnny A. Rodriguez

**** **** **** *********, ** 44109 216-***-****


Sanford-Brown College Middleburg Heights

Medical Billing and Coding Diploma Graduated: May 2011


● Microsoft Office (Excel, Word, PowerPoint)

● Strong documentation and verbal skills

● Insurance Claim Follow-up

● Bookkeeping/Excel spreadsheets

Employment & Experience

Cleveland Clinic Foundation Independence, Ohio.

Account Rep III Sep 2016- Current

Responsible for responding, distributing and reviewing supporting documentation request from payors. Training associates. Creating standard operating procedures for team to follow, in order to maintain compliance. Creating job aids for team to maximize efficiency and productivity.

MedData Brecksville, Ohio.

AR Operations Auditor Jun 2015 – Sep 2016

Responsible for auditing all aspects of Offshore and Onshore AR Policies and Procedures; including assisting in their development, implementation, training, monitoring compliance and giving corrective action. Manage offshore resources workflow to reach maximum efficiency and productivity levels. Identify, resolve and communicate AR trends and issues proactively to the Director of Operations. Work with other Departments (i.e. Coding, Refunds, IT, etc.) to minimize and/or resolve ongoing procedural problems affecting Client satisfaction/quality standards. Monitor the overall performance of all Offshore Vendors.

Workers Compensation Analyst Apr 2014 – Jun 2015

Process and analyze workers compensation claims for emergency room physician groups in over fourteen States in accordance to each state's laws and rules.

Support Services Specialist Oct 2012 – Apr 2014

Includes scanning correspondence, deposits and medical records. As well as collating documentation so that it can be represented in one cohesive view.

Wal-Mart Supercenter Cleveland, Ohio

Dry Grocery Department Manager Mar 2007 – Oct 2012

In-stock Merchandise Supervisor

Supervised 5-13 associates; unloaded trucks and redistributed merchandise to store depts.; inventory control and utilizing hand held devices and computer software; processed damaged merchandise claims; very high customer service standards; operated cash register; issued hunting licenses; filled customer on-line orders and contacted customers for pick-up; active volunteer for various Wal-Mart community projects.

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