TACNA RODRIGUEZ MOLL
SAN JUAN
Summary
20 years of experience in the healthcare industry and related field with independent initiative with the ability to use good judgment and strong decision-making skills in a fast-paced environment. More than six years of experience in customer service with a proven track record of achievements. Experience includes supervising, customer service, pharmacy environment, project management, Application of customer service, administration and coordination of quality control. Recognized for its excellent interpersonal communication and negotiation skills.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Specialist, Patient Service Center
American Cancer Society of Puerto Rico
08.2016 - Current
- Assists patients in achieving the best possible health outcome by facilitating access to ACS PR patient services as well as community resources to assist with cancer-related needs such as lodging,
- Support programs and financial assistance.
- Serve as primary point of contact for patient related incoming calls and services requests.
- Develops and maintains strong working relationships with field staff, volunteers, vendors and health care systems.
Health Guide
Walgreens
02.2012 - 08.2016
- Support and promote in-store healthcare community events. In charge on the registering and scheduling events in the Health Corner.
- Developed and presented health-related educational materials that were distributed to over community members, resulting in increased awareness of health-related acknowledgment in OTC products and maintain knowledge as products change.
- Collaborated with local health organizations to create a referral network for health services.
- Provide guidance to customers on OTC products within defined guidelines. Perform follow-up calls Pharmacy and Take Care Clinic patients.
Medical Record Coordinator
Advantmed/ Recordflow
01.2011 - 02.2012
- Responsible to organize records, verifying that all necessary paperwork is included in the chart, organized and complies with all Joint Commission, CMMS and HIPAA regulations.
- Following up with physicians that have incomplete medical records and/or dictation.
- Work with hard-copy filing system as well as the computerized databases where information is stored. Monitors the EHR software to safeguard its security and to find improvements in processing medical information.
- Analyzes the data to determine patterns in illnesses and treatment outcomes.
- Works closely with providers and medical personnel to confirm and clarify information
Hospital and Ancillary Representative
MMM/ PMC- MSO of Puerto Rico
12.2009 - 01.2011
- Acts as a primary fusion to the ancillary health care providers to irritate negotiation and responsible for the contracting process and maintain excellent relation with the provider network.
- Collect the credentialing documents and contract to initiate contracting process. Re-contracting of providers if necessary based on company needs.
- Provider initial and ongoing education to Hospital an Ancillary providers regarding MMM Healthcare & PMC policies and procedures.
- Develops implements and maintains provider communications (manuals, reference materials, newsletter, bulletins, etc) Coordinates / advocates resolution of provider issues and concerns regarding contracts (claims, pre-certifications, checks, etc) Inter-departmental resource for all provider/ contract network issues, problems or concerns.
Supervisor Members and Providers Call Centers
TRIPLE-C/SSS, INC
08.2001 - 11.2009
- Surpassed Customer Service Call Center goal of 2% of abandon calls, being under 2% consistently for more than 1 year.
- Developed company policies presentations and trained customer and provider services representative for Medicaid /Medicare Platino
- Recommend and implemented process improvements for Customer Services Call Center.
- Supervised, coached, counseled and provided feedback up to 21 employees.
- Promoted employees involvement, company integration, motivation and teamwork with the implementation of employee activities programs.
Education
Bachelor Degree in Psychology -
Ana G. Mendez University
San Juan05-2020
Skills
Ability to work effectively in a team environment
Leadership Skills
Demonstrated effectiveness in problem solving and crisis resolution skills
Team Management
Excellent verbal, written and interpersonal communication skills and the demonstrated ability to work with diverse individuals and groups
Skills and proficiency with Microsoft Office and Salesforce
Case Management
Certification
Oncology Patient Navigator Training
Timeline
Specialist, Patient Service Center
American Cancer Society of Puerto Rico
08.2016 - Current
Health Guide
Walgreens
02.2012 - 08.2016
Medical Record Coordinator
Advantmed/ Recordflow
01.2011 - 02.2012
Hospital and Ancillary Representative
MMM/ PMC- MSO of Puerto Rico
12.2009 - 01.2011
Supervisor Members and Providers Call Centers
TRIPLE-C/SSS, INC
08.2001 - 11.2009
Bachelor Degree in Psychology -
Ana G. Mendez University
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