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Medical Biller Speech Language

Location:
Chino Hills, CA
Posted:
July 10, 2024

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Resume:

Gabrielle Uy Alaeddin

Chino, CA m: 909-***-**** **************@*****.*** LinkedIn

Career Profile

A dynamic, multilingual, adaptive Medical Biller and Coder seeking to employ extensive background as Speech Language Therapist to revitalize medical coding operations for leading organization. Motivated professional with the proven work ethic and talent for aligning operational strategies with customer needs and concerns to continuously optimize business development. A top performer known for delivering excellent service in fast-paced environments, with the skillset to analyze complex information, facilitate cross-functional collaboration with diverse healthcare professionals, enforce regulatory requirements, and manage high-performing teams. Exceptionally dedicated leader with keen interpersonal, communication, and organizational skills, as well as budget management, policy development, and resource allocation expertise.

Core Competencies

Cross-Functional Team Collaboration

Financial Management & Analysis

Lasting Professional Relations

Evaluation and Management Codes

CMS Guidelines Adherence

Medical Billing

Contract Management & Negotiation

Efficient Program Management

Site Services Improvement

HIPPA Compliance

Anatomy and Physiology

Medical Terminologies

Staff Management & Development

Interpersonal Communication

Process Optimization

ICD-10 Proficiency

Medical Coding

Professional Experience

Cagayan Valley Medical Center, Tuguegarao, Philippines, February 2020 to Present

Government Hospital

MEDICAL BILLER and CODER

Facilitate the revenue cycle process, including patient registration, insurance verification, charge capture, coding, billing, payment posting, and accounts receivable management.

Utilize understanding of physiology, anatomy, and medical terminology to assign correct medical codes for diagnoses, procedures, and services rendered during visits in patients’ medical records.

Enforce strict compliance with healthcare regulations and insurance guidelines when assigning codes to maximize reimbursements and minimize denials.

Ensure timely claims processing by effectively resolving billing discrepancies and correct coding issues with healthcare providers and/or insurance companies.

Provide informative responses to patients’ inquiries regarding billing concerns, payment plans, and financial assistance programs.

Maintain close communication and collaboration with healthcare providers, administrators, and other staff members to optimize revenue cycle management processes and improve overall efficiency.

Promptly resolve any billing issues or discrepancies by closely monitoring all unpaid claims and following-up with insurance companies and patients.

Ensure services administered to patients are eligible for coverage by patients’ insurance.

Adhere to ICD (International Classification of Diseases and CPT (Current Procedural Terminology) codes to accurately assign appropriate medical codes to diagnoses, procedures, and services.

The Nurtury, National Highway, Roxas, Isabela, Philippines, May 2016 to January 2020

Early intervention therapy clinic for children with special needs.

SPEECH LANGUAGE PATHOLOGIST

Assessed and diagnosed speech and language problems for children with autism to develop and conduct individualized speech therapy plans.

Administered treatment for at least 30 patients each week, allotting an hour for each patient, some of whom had two sessions each week.

Successfully managed speech and language disorders for children to properly prepare and discharge them for attendance in regular schools.

Provided comprehensive therapy services to children with a variety of special needs, including autism, Down syndrome, cerebral palsy, intellectual disabilities, and different types of developmental delays.

Improved children’s communication skills, including articulation, language comprehension and expression, pragmatic language, fluency, and social communication, by implementing proven, evidence-based therapeutic interventions.

Performed regular assessments of child’s progress to adapt therapeutic plan and incorporate increasingly more advanced strategies to enhance communication abilities.

Facilitated close collaboration with relevant stakeholders, including educators, therapists, and physicians, to discuss child’s progress, exchange necessary information, and align collective treatment plans to enhance overall treatment.

Maximized therapeutic outcomes and fostered lasting functional communication abilities by regularly adjusting treatment plans according to child’s progress.

Regularly communicated with families and caregivers to provide counseling and effective guidance on how to support their child’s communication development at home and in other environments.

Adhered to industry standards and regulatory requirements to maintain accurate and compliant documentation of assessment results, treatment plans, progress notes, discharge summaries, and other relevant information.

Remained aware and updated of advancements in field and evolving best practices to foster continuous professional development and implement most effective therapeutic treatment plans.

Maintained confidentiality and respected the rights of patients and their families to ensure therapeutic treatments comply with ethical and legal standards of practice.

Binaco, Brea, CA, January 2015 to April 2016

Distributor of marketing, promotional, and specialty products/supplies.

ACCOUNTS PAYABLE and RECEIVABLES MANAGER/CUSTOMER SERVICE REPRESENTATIVE

Enhanced customer service, resolved customer concerns, and mitigated future confusion by providing informative and elaborative responses to customer inquiries regarding company products and services.

Acquired new business by communicating with potential customers to share comprehensive information about company products and services and answering any questions.

Accurately recorded account information to seamlessly update and maintain customer accounts, as well as efficiently processed customer adjustments to maintain financial accounts.

Deftly resolved customer complaints by analyzing cause of problem to determine most effective solution, and later explained process to prevent later confusion and enhance customer understanding of company products and services.

Liaised directly with senior management to share findings from analyses of customer information and needs, and to recommend potential products or services to further enhance customer experience.

Accomplished sales goals and high rates of client satisfaction to effectively contribute to team effort and support overall business objectives.

Verified and coded invoices, obtained senior approvals, entered data into accounting system, and performed other tasks necessary to process accounts payable transactions.

Assisted customers with inquiries, billing issues, payment arrangements, and account reconciliations via phone calls, email exchanges, and/or in-person interactions.

Facilitated effective collaboration with sales, operations, and finance teams to effectively address customer concerns and resolve billing disputes or discrepancies.

Ensured strict compliance with company policies and procedures when processing adjustments, refunds, and credits as necessary.

Key Achievements

Acquired at least five new client accounts and business deals with other companies or individuals each week.

Zakaryah, Inc., Commerce, CA, April 2012 to December 2014

Retail distributor of men’s and boys’ suits.

IMPORT/EXPORT MANAGER

Spearheaded daily administrative functions, managed accounts receivable/payable, and analyzed and reconciled all journal entries and year-end audits.

Supervised and facilitated inventory control, order management, and delivery to major department stores across the U.S.

Oversaw the operations of one secretary and numerous warehouse employees.

Revitalized business operations by monitoring and analyzing operational data to optimize business performance model, including material procurement, inventory control, employee/process productivity, and labor efficiencies.

Assisted with processing procedures, such as filing documents and verifying all containers were released by customs, by ensuring compliance with U.S. and foreign government laws and regulations.

Ensured timely deliveries and operations by overseeing the completion of paperwork and monetary transactions associated with international distribution.

Facilitated mutually favorable negotiations with clients to enhance client satisfaction and maintain high rates of client retention.

Addressed and resolved any arising issues with custom officials, including delayed release of shipping containers or outstanding storage fees resulting from predecessor’s improper documentation and late storage retrieval.

Key Achievements

Monitored and successfully processed the release of at least 15 shipping containers each month.

SKILLS, San Juan, Metro Manila, Philippines, May 2010 to August 2011

Early intervention therapy clinic for children with special needs.

SPEECH LANGUAGE PATHOLOGIST

Assessed and diagnosed speech and language problems for children with autism to develop and conduct individualized speech therapy plans.

Performed regular assessments of child’s progress to adapt therapeutic plan and incorporate increasingly more advanced strategies to enhance communication abilities.

Facilitated close collaboration with industry professionals, including educators, therapists, and physicians, to discuss child’s progress, exchange necessary information, and align collective treatment plans to enhance treatment plan.

Regularly communicated with families and caregivers to provide counseling and effective guidance on how to support their child’s communication development at home and in other environments.

Adhered to industry standards and regulatory requirements to maintain accurate and compliant documentation of assessment results, treatment plans, progress notes, discharge summaries, and other relevant information.

Remained aware and updated of advancements in field and evolving best practices to foster continuous professional development and implement most effective therapeutic treatment plans.

Managed up to 40 patients per week and successfully discharged patients for attendance in regular schooling.

Education and Credentials

Master of Business Administration (MBA), 2013; DeVry University, Pomona, CA

Graduated with Honors Distinction

Member of Sigma Beta Delta, International Honor Society for Business, 2013

Bachelor of Science (B.Sc.) in Speech Pathology, 2010; University of the Philippines, Manila, Philippines

Dean’s List 2010

Certifications and Training

International Trade and Commerce, Import/Export Concentration, University of California Los Angeles, Los Angeles, CA, 2015

Project Management Certificate, University of California Los Angeles, Los Angeles, CA, 2014

Certified Professional Coder, HIM Training Institute, Metro Manila, Philippines, 2022

Certified Professional Coder (CPC), AAPC, 2024

Professional Affiliations

Member, American Association of Professional Coders (AAPC), March 2024 to Present

Member, Philippine Association of Speech Pathologists (PASP), June 2010 to Present

Volunteerism

Volunteer, Operation Smile (OpSmile) Philippines, 2009 to 2011

Additional Information

Languages: English, Filipino

Technical Proficiencies: Microsoft Office Suite (Word, Excel, PowerPoint), Microsoft Project, Microsoft Outlook, QuickBooks, WinFashion, SAGE 50 Accounting, Adobe Photoshop, Windows, Linux (Red Hat, Ubuntu), Mac OS, Microsoft Exchange, HTML, CSS, Codelink, CodoniX E&M Coder, Optum360 Encoder Pro

Interests: Playing recreational badminton and tennis, collecting antiquities, doing photography, and reading literature



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