Healthcare Admin & Data Integrity Specialist

Jesus Ortiz Romero

San Diego, CA

Jesus Ortiz Romero is a highly technical and disciplined professional who brings a sophisticated understanding of healthcare administration and data integrity to the San Diego Commercial Service Center. With a B.S. in Biology from San Diego State University and a background as a Certified Ophthalmic Assistant and Account Administrative Representative, Jesus has extensive experience managing the exact types of complex information this role requires, including ICD-9/10 coding, Membership processing and maintenance, CPT modifiers, and insurance billing guidelines. His previous tenure with UC San Diego Health as a Laboratory Assistant highlights his ability to operate within high-compliance, audited environments where "quality over quantity" and strict record-keeping are the standard. Jesus exceeds the mandatory requirements for this position, offering over two years of experience in inbound/outbound patient coordination and clinical messaging. His technical proficiency is underscored by his work in research and chemistry, where alpha-numeric data entry and analytical accuracy were critical to maintaining NIH-funded project standards. Furthermore, as a former Emergency Medical Technician (EMT), Jesus has a proven history of extreme reliability, punctuality, and the ability to remain calm and methodical in fast-paced, high-visibility roles. A native bilingual speaker (English/Spanish) with additional foundational knowledge in multiple languages, Jesus is uniquely equipped to provide a customer-centric service model for your diverse clientele.

EDUCATON

AMERICAN ACADEMY OF OPHTHALMOLOGY United States of America

● Independent Study Course in Ophthalmology

SAN DIEGO STATE UNIVERSITY San Diego, CA

● Major in Biology with a B.S. degree in sciences. EXPERIENCE

Kaiser San Diego, CA May 2026 to Present

Account Administrative Representative

● Membership processing and maintenance

● Billing, delinquency and account reviews

● Reconciliations, including discrepancy reporting and resolution

● Membership and revenue reporting

● Remittance and allocation processing

● Managed high-volume customer interactions while resolving issues efficiently and maintaining satisfaction

● Resolve billing, eligibility, or benefits issues

● Provide clear explanations of plans and services HeyTutor San Diego, CA April 2025 to April 2026

Math Tutor

● Partner with the Sweetwater Union High School District in San Diego to assist high school math students.

● Actively supervise students to help them catch up from learning gaps developed over the past school year.

● Provide Assistance to students in my community and create an engaging environment that fosters a sense of belonging that students want to be in.

● Familiarity with emerging technologies and trends, such as augmented reality or machine learning, particularly in tech-focused roles

Castillejos Eye Institute Chula Vista, CA Dec 2023 to April 2025 Certified Ophthalmic Assistant

● Supporting inbound/outbound calls obtaining information from patients

● Communicating with physicians at the office

● Outbound calls, prescription orders

● Manage medical terminology, commercial and government health insurance, and billing guidelines, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.

● Maintain professional ethics, integrity and confidentiality of subjects that require restriction of communication beyond identified parties

● Work with senior-level leaders within and outside the company. City of Coronado Coronado, CA Sept 2023 to Dec 2023 Recreation Assistant

● Provide general assistance within assigned Operations Division tasks including special events, maintenance and cleaning of community center, and daily operations of community center.

● Provide onsite supervision to community center participants in specific areas.

● Prepare recreational facilities for use; ensure that appropriate equipment and supplies are available for classes and special events; set up and take down facilities equipment, repair equipment. Marine Corps Recruit Depot April 2023 to Dec 2023

Food Service Worker

● Support and enhance the quality of life for Marines, their families, and others in the Marine Corps Community.

● Keep the organization functioning smoothly and effectively. Never waver in commitment to our Core

● Provide World Class Customer Service with an emphasis on courtesy. Assist customers and communicate positively in a friendly manner.

● Strong interpersonal skills, including tact, diplomacy, and judgment. Worked short pt positions/Seeking FT Employment August 2021 to March 2023 Castillejos Eye Institute Chula Vista, CA March 2020 to July 2021 Ophthalmic Technician

● Played key role in patient care

● Updating patient profile/medical records

● Conduct brightness of acuity, visual acuity tests

● Provide assistance during surgery

● Sterilizing instruments

Biophase June 2019 to December 2019

Chemist I

● Assist with the activities required to manufacture ELISA calibrators, engineering controls, and conjugates.

● Follow and handle GMP, SOP and cGMP

● Collaborate effectively with diverse teams using strong interpersonal skills

● Follow safety protocols and regulations in a hazardous work environment. UC San Diego Health San Diego, CA June 2017 to March 2019 Laboratory Assistant March 2018 to March 2019

● Study cell signaling pathways of the circulatory system.

● Provide a variety of functions in support of the research lab, including but not limited to: Assist with PCR and DNA media preparation, keeping detailed records of experimental preparations, and maintaining strict laboratory cleanliness and adhering to EH&S guidelines for chemical storage.

● Published and Completed Research: "MARCH Proteins Mediate Responses to Antitumor Antibodies." Funded by the NIH.

Internship June 2017 to February 2018

● Study cell signaling pathways of the circulatory system.

● Provide a variety of functions in support of the research lab, including but not limited to: Assist with PCR and DNA media preparation, keeping detailed records of experimental preparations, and maintaining strict laboratory cleanliness and adhering to EH&S guidelines for chemical storage. Published and Completed Research: "MARCH Proteins Mediate Responses to Antitumor Antibodies." Funded by

● the NIH.

Care Ambulance Services, Inc.January 2017 to June 2017 Emergency Medical Technician

● Work in a multi-interdisciplinary/multi-faceted environment with a wide range of professional and patient’s Attend to patients needs

● Immediately respond to emergencies.

● Independently manage schedules, coordinate multiple projects, priorities, and resources in a fast-paced environment

San Diego State University May 2016 to January 2017 Position: Research Assistant

● Further the understanding of neuromuscular pathology and provide insight on defects in contractile proteins that cause human cardiac and skeletal muscle disease.

● Assist with the preparation of experimental materials, collection of specific mutant phenotypes

● Drosophila for performing physiological studies, and executing molecular experimental procedures

● Make gel-electrophoresis and polymerase chain reactions to amplify DNA. LANGUAGE PROFICIENCY

● Bilingual Native Fluency in English and Spanish: read, speak, and write.

● Beginner in Russian, German, French, Korean, Chinese, Hindi, Tagalo, Latin, Portuguese, Japanese SOFT SKILLS

● Extensive knowledge of health and wellness for underrepresented populations.

● Excellent communication and rapport building skills for developing strong relationships and collaborations.

● Strong conflict resolution through well-developed critical thinking competency

● Proficient in SPSS, Microsoft Word, PowerPoint, and Excel.

● Research management and organization.

RELEVANT CERTIFICATIONS AND TRAINING

● Real Estate Salesperson License, Identification number: 02229664

● JPA BLOODBORNE PATHOGENS AWARENESS

● California Commission on Teaching Credentialing, 30 Day Substitute Teaching Permit, Document Number: 250036107

● Heart Saver Institute First Aid Pediatrics &Adult

● IJCAHPO certified as a Certified Ophthalmic Technician.

● JPAMandated Reporter (AB 1432 and AB 1913)

● NCRC certified in Conflict and Awareness.

● MCCS certified in Payment-Card Industry Security Awareness.

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