Data Management Customer Service

ELIACIM RODRIGUEZ

Medical Supervisor/Health Data Management

215-***-**** ******.*********@*****.*** www.linkedin.com/in/eliacim-rodriguez-aa62336/ Maple Shade, NJ

Experience

Grungo Law Cherry Hill, NJ

Intake Supervisor 03/2024 – 05/2024

As the intake Supervisor I provided the support to call center staff to effectively complete profiles for potential personal injury claims

Oversaw the afterhours on call staff and coverage for the evenings and weekends

Worked closely with management in the Marketing department as I compiled quarterly, weekly and daily data reports that encompassed the incoming call activity

Report topics included type of cases, referral sources, status of leads, call duration, and follow-up activity, sign-ups

Consensus Health Marlton, NJ

Implementations/Health Data Management 03/2016 – 12/2023

In data management I worked with transferring various excel data sets from EMRs such as demographics, appointments, documents and clinical data into the new health system Athena. I made sure the quality assurance standards were met, that documents/images opened and were readable and performed data entry tasks

With our new clients I trained/coached all staff in operating and navigating the new medical system. Additionally, I was called upon to provide front desk coverage which included scheduling, addressing patient call inquiries, made follow-up calls and worked with Providers and other staff to resolve problems. I was actively involved in supporting referral and authorization and medical records requests

I have also supported the Population Health Department by helping practices meet their quality metrics and visiting them on site, obtained medical records and placed them into patient accounts and corrected document labeling. Supported billing by adding/grouping appropriate diagnosis codes for claim submissions

Southern Jersey Family Medical Centers Burlington, NJ

Front Office Supervisor 1/2013 – 2/2016

Responsible for the overall operation of the front desk for various departments such as Primary Care, Pediatrics, OB-GYN and Dental

Supervised, trained, coached and evaluated front desk staff in scheduling, registration, insurance verification, medical records requests, patient phone inquiries, made follow-up calls

Worked with Providers to resolve problems and had direct involvement in front-end revenue cycle management

Reviewed billing batches, corrected several coding issues, completed end of day co-pay batch closing and prepared bank deposits

Maintaining office equipment, troubleshooted issues and ordering supplies. Presented analysis and trend setting reports

Southern Jersey Family Medical Centers Hammonton, NJ

Outreach/Mobile Supervisor 6/2008 – 12/2012

As Outreach/Mobile Medic Manager I coordinated activities in the community for two medical vans, 3 counties and supervised a staff of 3-10 staff

For the medical vans, all licensures, maintenance, regulations and supplies were kept up to date by me in order to provide clinical services at sites

Another area I was responsible for was to schedule transportation vans for maintenance and I transported patients as needed. I had direct involvement with registration, scheduling, insurance verification, medical records requests, patient phone inquiries, made follow-up calls and provided insurance application assistance

Additionally, I performed duties as Acting Director for the Outreach Department and supported all operations for the Salem’s health center due to management absence and renovations. Presented analysis and trend setting reports

Xerox/Affiliated Computer Services Hamilton, NJ

Outreach Manager 5/2005 – 11/2007

During my time at Xerox, I was responsible for all Outreach project management implementation tasks and field enrollments for New Jersey’s 21 counties and 4 regional offices under the NJ FamilyCare Program.

I recruited 46 staff and provided direct input for the training modules, materials and procedures. During this process I worked with budgeting, balancing the workload and coverage time frames.

Throughout my State travels, I developed working relations with Government and Community Agencies in order to provide enrollment opportunities for the program. I met regularly with the Division of Medical Assistance Health Services in order to develop outbound strategies to reach the uninsured children in New Jersey. I discussed trends and improvement plans with management.

I assured goals were reached and reports submitted on a timely basis.

Education

G.P.A. 3.70. Rowan University Glassboro, NJ

Bachelor of Arts Degree in Education 12/1981 – 12/1985

Villanova University Villanova, PA

Basic Counseling, Non degree 03/1989 - 04/1989

Penn State Philadelphia, PA

Serving Our Stakeholders, Maximizing Our Skills, Non degree 01/1996 – 02/1996

Summary

Objective: To secure a position in a professional team environment that will allow me to utilize my skills. My desire is to be part of an organization that offers career opportunities where growth and development are possible. During my work experiences I have accumulated 34 years of customer service, with 14 years in the medical field. I have worked with community organizations, Governmental Organizations, medical facilities and the public. As a leader and team player I have data management, managerial, supervisory, and effective communication skills.

Certification

Certified Application Counselor for Marketplace/Affordable Care Act

Presumptive Eligibility Assistor NJ FamilyCare/Medicaid, Mercer County College

CPR and AED trained, American Heart Association, Hammonton, NJ

Languages

Spanish Advanced Fluent

Skills

Epic, Athena, IDX, Aprima, Navinet, NJMMIS…, Data Management, Data Entry, MS Office, Quality Assurance, Auditing, Analytical, Trainor

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