Luz Rodriguez

Chicago, Illinois - Email: ad5awa@r.postjobfree.com - Phone: 773-***-****

EXPERIENCE

Experian, Schaumburg, IL August 2019 – April 2020

Sr. Client Membership Administrator

Responsible for enrollment coordinator activities working together with the Director of Enrollment Department of the Experian Health division, such as payer portal enrollments, confirming successful claims transfers and payments received and posted at 100%.

Partnered with the clearinghouse analysts and programmers in managing provider accounts for a successful integration and Go Live of Claimsource into their EHR system, such as Epic or Cerner.

Our client was provider base but also included working in conjunction with the Epic or Cerner teams via Webex group meetings, status update emails and Salesfloor communication efforts.

Completed repeat client and payer enrollments into Claimsource for newly added provider sites.

Research to resolve and communicate any claims not posted to Claimsource and clearinghouse.

Participated in weekly or bi-weekly Scrum sprints with IT product developers, programmers, Experian Health executives and main associates using new product toward developing a Central Provider Enrollment tool for both Experian and clients; communicated, first hand, any system observations and making any recommendations needed to effectively link Claimsource and clearinghouse EHR data with utmost speed and accuracy.

Collaborated with other clearinghouse representatives in order to ensure first time enrollment success, such as, Emdeon (Change Healthcare, Palmetto GBA, US Department of Labor, and other private as well as government payer and provider portals for Medicare

Morton Salt, Chicago, IL June 2018 – October 2018

Talent Acquisition Sourcer/Coordinator

Sourcer, Recruitment, Coordinating from Resume selection up to New Employee Orientations, work as liaison with external/internal candidates and Hiring Management with Morton Salt / Windsor Salt / K + S Companies in US, Canada, Latin America and Bahamas.

Utilizes sourcing methods to include, but not limited to job boards and search engines, LinkedIn and/or other business/social media sites, referral generation, sourcing events and campaigns, job fairs, and various networking events.

Utilize iCIMS, Job Boom - Canada, Taleo, Indeed, Facebook and LinkedIn, as well as, liaised with authorized staffing vendors and company sources.

Supported the Sales function across the United States and Canada in the placement of Sales Leadership, Analyst, Category/Trade Management, Category Planning and eCommerce.

Sourced on variety of positions from sales, engineering, IT, warehouse Workers, executive office directors, managers and entry level requisitions in all corporate and manufacturing areas.

Sourced over 40 resumes daily to hit weekly metrics per requisition.

Built pipeline for Sales, Product, Analytics, and Marketing functions. Created pipelines sourcing candidates from revolving candidate pools, city colleges, IDES employment offices, university job fairs, sourcing resumes via referrals or mailed and talent pools from other nonprofit and government agencies.

Developed sourcing strategies for executive level and distressed requisitions.

Northwestern Medicine, Chicago, IL October 2017 – March 2018

Trainer Resolute- Hospital Billing

Workbench and Dashboard Reporting editing, design and requisition for individualized roles in Hospitals clinical areas

Captained Hospital Billing Revenue at Go Lives for Northwestern Medicine Hospitals in IL West Region: CDH,

Delnor, Valley West, Kishwaukee and Central Region: Chicagos Downtown Main Hospital Campus, corporate and Central Billing Office (CBO), Single Billing Office (SBO)

Made rounds to Hospital Revenue clinical areas for refreshers on available Training curriculum and reporting tools

Submitted incident recaps and numbers for issues obstructing efficiency of normal day to day Hospital operations with security, access, and Hospital Reconciliation

Experienced with creating and editing training curriculum for Resolute HB and Professional Billing (PB)Instructional Designer (ID) and administration and training and administrative support for classes

Worked in conjunction with IDs and Analysts in multiple Epic modules to resolve HB Revenue issues affecting baselines and Revenue variances for clinical departments

Partnered with Deloitte and Revenue Integrity (RI) teams from Command Centers, attend daily RI Huddles at Go Live, conduct Breakout sessions with assigned Hospital Departments

RevCycle, EMR, Epic working experience

Proficient in HB Epic Functionality, non-clinical processes. Healthcare familiarity of HB workflows and roles

Strobel Billing and Consulting, Inc., Mt. Prospect, IL October 2015 – April 2016

Medical Biller and Collections Agent

Medical Billing and Collections Accounts Management. Work under HIPAA Privacy Act rules and guidelines

Collect and Post medical payments in Office Ally, Kareo, and TheraOffice Accounting systems.

Create and generate Statements and update patient insurance information through Patient contact, Availity and NGS Connex clearinghouses.

Correct and reprocess insurance claims accordingly through participating liaisons.

Work A/R Collections Reports to identify non-payment claims and reprocess or bill patients as appropriate, make billing adjustments as needed.

Lowe’s Home Improvement, Lincolnwood, IL September 2003 – September 2014

Human Resources Generalist/Administrative Manager

Process payroll. Forecast and manage budgets for payroll and store supplies and equipment. Prepare and conduct new employee orientations. Process I-9 forms. Enter all W-4 information. Set up Benefits and compensation data in PeopleSoft. Prepare financial reporting.

Process employee and customer accident/injuries. Set up and process worker’s compensation claims, incident reporting and drug tests.

Replenish inventory for POS merchandise, impulse items, signage and racks.

Process statements, invoices and payments using Necho Expense management system. Handled A/P and A/R activities.

Manage day-to-day operations, administrative and employees and customer services to ensure administrative processes are compliant with policies and procedures, adhered to government safety and hazmat regulations.

Conduct operational audits, assist risk management in investigations. Oversee POS and Vault operations and their systems. Settle customer complaints, process compensations and liability waivers.

True Value Headquarters, Chicago, IL February 1995 – February 2002

Merchandise Coordinator

Assistant to team of buyers in Housewares: Household Cleaning Supplies, Cookware and Bakeware, As Seen On TV products, and Specialty Giftware creating ads and managing samples needed for planogram layouts.

Partnered with advertising and publishing departments obtaining fine line art, pricing and specs for vendor product lines for catalogs and sales ads.

Created product lines spreadsheets, generated EDI forecasted sales and inventory reports and audited merchandising vendor records and contracts.

Coordinated activities and materials, Booth space reservations, including travel and board arrangements, for National Sales Meetings, Housewares and Retail conventions and markets. Handled the processing of invoices and payment of expenses accrued.

Inventory Administrative Analyst

Collaborated with VP suite to prepare service level charts and graphs and other materials specifically for Board Members and corporate executive meetings. Reserving conference space and audio visual and sound systems, arranging food and drinks accommodations, expenses and setup.

Generated Access queries for weekly, month-end and fiscal year inventory reporting to create and maintain Excel pivoting tables and charting. Published and routed Service Level packets for corporate employees and stockholders.

Worked with Logistics, Member Relations and executive managers to resolve customer complaints via EDI systems and shared customer resolution software similar to salesforce.

Assisted inventory analysts with members (or store owners) concerns with inventory demands and replenishment time frames, planogram and product issues.

Delivered high quality customer service via phones for Inventory team to cover unavailable associates during vacations, conventions and sales meetings, with speed and accuracy of information making immediate connections to appropriate managing directives when necessary nationwide.

EDUCATION

Northwestern University -

Human Resources Management/Personnel Administration, General

Montay College - Associate in Arts Degree, Business Management

WORK REFERENCES

1.Cynthia Schirmer (Experian)

Ph.312-***-****

E: ad5awa@r.postjobfree.com

2.Jack Harrington (Northwestern Medicine/Epic)

Ph.404-***-****

E: ad5awa@r.postjobfree.com

3.Brad Omachel (Lowe’s Companies)

Ph.847-***-****

E: ad5awa@r.postjobfree.com

Contact this candidate