ROCHELL GETTRIDGE
Denham Spring
Summary
Experienced healthcare operations professional with over 10 years of experience in clinical support, patient services, and insurance billing. Proven track record of supporting front and back-office functions in hospital and pharmacy settings. Strong ability to streamline workflows, train staff, and ensure regulatory compliance. Demonstrated leadership in resolving complex billing issues, improving patient satisfaction, and supporting Medicaid-related processes. Seeking to leverage operational and administrative expertise in a Clinic Manager role.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Billing specialist
Tender Kare Transportation
03.2025 - 12.2025
- Billing claims
- Denials
- Reconciliation
- Remits
- Will Calls/ Mileage Adjustment
- Accounts
- Payment Processing: Receive, sort, record, and post payments (checks, credit cards, ACH) to client accounts.
- Generate monthly billing reports and ensure all transactions comply with company, regulatory, and, for medical roles, HIPAA policies.
Senior Customer Service Representative – Pharmacy Services
Optum / UnitedHealth Group
09.2022 - 02.2025
- Act as liaison between members, pharmacies, and providers to resolve service and medication issues
- Educate patients on pharmacy benefits, authorizations, and refills
- Process payments, manage billing inquiries, and ensure Medicaid compliance
- Support training and onboarding for new associates, assisting in workflow improvements
- Participate in audit readiness by ensuring accurate documentation standards
Patient Accounts Representative – Revenue Cycle Operations
Our Lady of the Lake Hospital
05.2017 - 09.2022
- Handled Medicaid and insurance claims processing, billing, and payment posting
- Conducted account audits and resolved claim denials to ensure revenue cycle efficiency
- Collaborated across departments to meet documentation, billing, and compliance standards
- Trained new team members and supported daily front-office operations
- Managed inbound calls and provided high-quality patient support
Customer Service Agent – Telecom & Billing Support
Convergys/Sprint
05.2010 - 03.2016
- Delivered customer support in a fast-paced call center environment
- Resolved billing issues, processed payments, and managed upgrades
- Supported retention by providing education and account services
Education
High School Diploma -
Pacific High School
San Bernardino, CAAssociate of Applied Science - Early Childhood Development
Kaplan University
Skills
- Clinic Operations Management
- Medicaid & Insurance Billing
- Patient-Centered Service
- Cross-Functional Team Collaboration
- EMR and Health Information Systems
- Regulatory Compliance (HIPAA, OSHA)
- Staff Onboarding & Support
- Process Improvement & Service Recovery
- Microsoft Office Suite
- EMR Systems
- Pharmacy Platforms
- Claims Portals
Certification
- CPR Certified (Current)
- TB Screening Eligible (Meets Patient-Facing Role Requirements)
References
Available upon request
Timeline
Billing specialist
Tender Kare Transportation
03.2025 - 12.2025
Senior Customer Service Representative – Pharmacy Services
Optum / UnitedHealth Group
09.2022 - 02.2025
Patient Accounts Representative – Revenue Cycle Operations
Our Lady of the Lake Hospital
05.2017 - 09.2022
Customer Service Agent – Telecom & Billing Support
Convergys/Sprint
05.2010 - 03.2016
High School Diploma -
Pacific High School
Associate of Applied Science - Early Childhood Development
Kaplan University