Michelle Rojas

**** ***** ***, *** **

Bronx, NY 10469

718-***-****

ad0w2x@r.postjobfree.com

EDUCATION

Monroe College, Bronx, NY

Bachelor of Business Administration, December 2012

Major: Health Services Administration

Associate Degree in Business Technology, August 2006

EXPERIENCE

MVP Healthcare Tarrytown, New York

NYS Encounters-Operations Associate 11/2017-07/2023

Extracted and submitted data plan membership and encounters

Validated data integrity and tracks submissions and receipts from vendor files

Processed retroactive data reviews and reconciliation

Validated data to ensure records and databases to fulfill regulatory requirement

Stayed abreast of all NYS updates and communications and implements changes to process relating to job responsibilities as necessary

Provided support for Revenue Data Management Analyst and Leader

Reviewed claims for verification in Facets

Managed eligibility reports and varies reports that pertain to failed claims that need to be resubmitted for reimbursement

Ran alternate CIN Report in SQL and change the alternate CIN in Notepad++

Patient Engagement Specialist 02/2016 – 11/2017

Coordinated care for members

Outreached members identified in the Case Management and Little Footprints program

Helped with translation of calls with case managers and Spanish speakers

Westchester Medical Center, Valhalla, New York 10/2014 - 03/2015

Patient Access Administrator

Interviewed patients

Ran daily consent reports for patient treatment

Collected and recorded patients’ personal data, registration and verified insurance information

Riverdale Gastroenterology Consultants, Bronx, New York 12/2006 – 10/2014

Medical Administrative Assistant

Supported and assisted five physicians and one physician assistant

Managed front desk

Responsible for computerized scheduling, referrals and medical insurance records management

Acted as liaison between patients, physicians, other administrative, and laboratory personnel

COMPUTER SKILLS:

Microsoft Office Suite, Internet savvy, Prime Suite EMR, ePACES, Care Radius, Macess, Facets, SQL Server, Notepad++, Encounter Plus, Adminitrack, Spyder

LANGUAGES:

English and Spanish

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