GAIL CABANES

adtxba@r.postjobfree.com Port St Lucie, FL 34953

Summary

Education:

Seeking a full-time remote position in Medical Billing and Coding or HIM where I may use my customer service, communication, dedication to excellence in data entry and problem resolution skills. Graduate of Medical Billing and Coding program, with 9 years of customer service, 7 years’ experience processing expenses payable and receivables transactions and fluent in English, French and Russian. Seeking a virtual position within a healthcare system.

Would like to use my knowledge in medical coding and claims to verify, submit and research claims.

Cambridge College of Healthcare & Technology - Atlanta, GA

ABHES accredited

Medical Billing and Coding Diploma - Graduated August 2022

CPC Certified Professional Coder - Accredited on November 12th, 2022

Skills

ICD-10-CM Official Coding Guidelines

CPT 2022 Professional with coding guidelines

HIPPA

CPT and HCPCS Coding

Medical Terminology

Integration of medical coding

Electronic Health Records

Active listening skills

Organized

Good Average Handel times

7 years expense payable and receivable

9 years of customer service

Friendly, Positive Attitude

Excellent communication skills

Flexible and adaptable

Conflict resolution

Data Entry

Building Customer Trust and Loyalty

Fluent in English, French and Russian

Critical Thinking

De-escalation skills

Experience

Benefits Verification Specialist 11/2022 - Present

AmerisourceBergen (Remote position)

PRIMARY DUTIES AND RESPONSIBILITIES:

Reviews all patient insurance information needed to complete the benefit verification process.

Triages cases with missing information to appropriate program associate.

Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options.

Identifies any restrictions and details on how to expedite patient access.

Could include documenting and initiating prior authorization process, claims appeals, etc.

Completes quality review of work as part of finalizing product.

Reports any reimbursement trends/delays to management.

Performs related duties and special projects as assigned.

Bilingual Consumer Relations Specialist 08/2013 -Present

08/2013 - Present

Alta Resources Neenah, WI (Remote position)

Accepted approximately 25 inbound calls and 75 emails daily to resolve P&G client concerns regarding purchases.

Troubleshoots and resolve concerns by providing solutions, recommendations, replacements or refunds.

Complete, maintain, and process all records with a high attention to detail to ensure accurate data in client systems, and other technology as needed.

Meet all identified team and client performance metrics, goals and deadlines in a high performing team-based environment.

Navigate multiple software applications such as Salesforce, Windows, Desktop Interaction, while assisting customer.

Create weekly productivity reports for the bilingual team.

Client Support 01/2015-06/2016

Concur Technologies Eden Prairie, MN (Remote position)

Provided quality first tier support for employee receipt, payment and reconciliation of travel expenses to French Canadian and American clients.

Accepted employee calls to review discrepancies of expense reports or repayment concerns.

Document appropriate details of inquiry, notifies customers according to notification schedules and took timely action including follow-up calls on cases as necessary, and escalating appropriately as determined by call flow processes

Utilizes tools and systems proficiently to document activity and effectively troubleshoot and resolve issues

Provided full guidance of the Concur software; created cases in both French and English after each call, escalating, and following up with existing clients on regular basis.

Technical Skills Microsoft Word, Excel, Outlook, Lex Console, Concur, Sales Force, Citrix VPN, i3 Desktop Interaction, Microsoft Teams

Contact this candidate