Rosemary Hernandez
@rosemaryhernandez
Dedicated healthcare administration professional specializing in patient access, insurance verification, and revenue integrity.
What I'm looking for
I am a compassionate healthcare administration professional with over 11 years of experience in patient access, insurance verification, and administrative support. I prioritize accuracy, clear communication, and patient-centered service in every interaction.
In my recent roles I managed high-volume, complex member and patient communications, serving as a liaison between patients, providers, and payers to ensure timely access to care. I have a track record of reducing denials, securing prior authorizations for complex procedures, and improving operational efficiency using Epic and payer portals.
I am bilingual in English and Spanish and comfortable working remotely or on-site, collaborating cross-functionally with care coordination teams, case managers, clinical staff, and scheduling departments. I consistently maintain meticulous records and compliance with HIPAA and institutional protocols.
I seek to bring my attention to detail, financial counseling experience, and patient-first approach to a team focused on improving patient experience and revenue cycle performance.
Experience
Work history, roles, and key accomplishments
Census Member Outreach Specialist
ilumed
Aug 2023 - Present (2 years 2 months)
Managed high-volume member communications to resolve disputes, escalate issues, and improve satisfaction while maintaining accurate CRM and healthcare database records to support compliance and follow-up.
Denial Prevention Analyst II
Steward Health
Oct 2022 - Aug 2023 (10 months)
Coordinated with commercial and government payers to obtain prior authorizations and prevent denials for high-cost surgical procedures, improving authorization turnaround and reducing risk of non-payment.
Patient Access Specialist
Steward Health
Jun 2021 - Oct 2022 (1 year 4 months)
Performed patient registration and insurance verification for inpatient and outpatient surgeries, managed ER triage registration, and provided financial counseling to ensure accurate billing and timely care.
Front Desk Associate / Check-Out Coordinator
Doral Beach OBGYN
Feb 2019 - Mar 2020 (1 year 1 month)
Managed front desk and check-out operations, collected payments, scheduled follow-ups, verified insurance, and maintained HIPAA-compliant patient records to support clinic workflow and billing accuracy.
Office Associate – Neurology
Mercy Hospital
May 2014 - Feb 2019 (4 years 9 months)
Handled high-volume inbound calls, scheduled neurology appointments and diagnostic tests, assisted with pre-authorizations, and maintained accurate EHR records to ensure smooth patient flow.
Education
Degrees, certifications, and relevant coursework
Florida National University
Healthcare Administration
Completed a Healthcare Administration program at Florida National University, focusing on healthcare operations, patient access, and administrative processes.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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