Sabrina R. Gomez

EDUCATION

University of Phoenix – Master of Health Administration 2009 – 2011

California State University – Bachelor of Arts in Liberal Arts 1988 – 1989; 1992 - 1994

Valley College, North Hollywood, CA – Associate Degree 1990 – 1992

VETERANS PREFERENCE

10 Points

WORK EXPERIENCE

Social Security Administration Dec. 2022-present

BA Authorizer

Benefit Authorizer (Training)

Determine current benefits

Verify total earnings and make financial corrections

Aurora Women’s Health May 2022-Nov.2022

OB Financial Coordinator

Counseled and verified OB patients insurance

Set up payment plans

Heavy collections

Updated demographic information

Healing Partners, Sparks, MD May 2020-Jan. 2021

Medical Billing Specialist

assist with all revenue and billing operations within their scope, Data entry and review physicians claims in Medisoft Billing and apply coding rules with the use of CPT, ICD codes and modifiers

Identify and report to management payer issues with regards to billing and collections. Communicate with insurance companies and other parties to clarify billing issues and resolve payment issues.

Assisted in identifying areas for improvement, recommending solutions to management, and developing policies and procedures.

Ava Mina Pain Treatment, Lutherville, MD Sep. 2019 – Nov. 2020

Office Manager

Open the office, greet patients, verify insurance and coordinate all financial matters. Review aging, collect and organize accounts and manage patient list. Disseminate authorization documents and dispense advice.

Key Contributions:

oAfter analysis Collection of $60k was obtained reducing the percentage of outstanding balances.

John Hopkins Hospital, Baltimore, MD May 2015 – May 2019

Transplant Financial Coordinator

Coordinate all financial matters pertaining to liver transplant. Collect and organize accounts and manage patient list. Conduct analysis of potential transplant patients and provide guidance regarding their financial responsibilities. Disseminate authorization documents and dispense advice on waiting list periods.

Key Contributions: Negotiate coverage and obtain approval with third party payers of claims. Diminished take back by 40% by ensuring accuracy of pivotal information.

John Hopkins Hospital, Baltimore, MD February 2015 – May 2016

Revenue Cycle Coordinator

Evaluated rejection of inpatient claims and processed third party denials. Petitioned and appealed for clinical and administrative refusals by focusing on EOBs and URs (Explanation of Benefits and Utilization Review).

Key Contributions:

oReduced outstanding revenue by $500K

Robert Half-Erickson Living, Catonsville, MD September 2014 – February 2015

Accounts Receivables Specialist

Examined and scrutinized patient demographics and accounts to reduce cost of claims processing and delay in payments. Made adjustments on SNFs (Skilled Nursing Facility) and outpatient clients to reflect accurate financial accounting. Heavy outstanding collections.

Key Contribution:

oDeveloped successful collection strategies focusing on the easier payments which did not require review allowing more time to collect on the challenging claims.

University Physicians Inc., Baltimore, MD June 2008 – June 2013

Patient Account Representative III

Balanced credits and debits and recovered outstanding A/R by detailed analysis of Age Trial Balance (ATB). Rectified past errors and made adjustments to balance ledger. Secured reimbursements from outstanding claims.

Key Contribution:

oReduced outstanding Blue Cross/Blue Shield of MD aging by 20%.

oCreated a better workflow that reduced outstanding claims by 30%.

CareMax Medical Resources, Columbia, MD October 2006 – March 2008

Team Lead – Collections

Reviewed balance sheets, reconciled accounts and administered payroll. Produced reports on a daily and monthly basis for analysis.

Key Contribution:

oProvided leadership for seven Medicare/Medicaid and private insurance collections employees.

oDecreased A/R to more than 90-day revenues. Met and exceeded company goals.

Symphony Respiratory Services, Hunt Valley, MD March 2004 – November 2005

DME Lead Billing Representative

Ensured timely payments on Medicare and private insurance claims. Prevented overdue payment or non-payment and reconciled monthly billing by issuing claims and handling collections promptly. Monitored payments transmissions and prepared reports for weekly and monthly reviews.

Key Contributions:

oManaged six major accounts for SNFs.

oImproved processing time by lowering processing of claims time down by 1 day.

MILITARY EXPERIENCE

United States Army Reserve August 1988 – June 2002

Managed 40 Soldiers in their role as a medical laboratory technician. Created the schedules, counseled soldiers, and provided support. Managed and worked in the phlebotomy and microbiology departments.

Assignments:

349th General Hospital, Los Angeles, CA, 1988 - 1990

oSpecialist Laboratory Technician

129th Combat Support Hospital, San Diego, CA, 1991 - 1992

oSergeant Laboratory Technician

oDeployed to Kuwait for Operation Desert Storm

349th General Hospital, Los Angeles, CA, 1993 - 1995

oSpecialist Laboratory Technician

63rd Infantry, Wuerzburg, Germany, 1996 - 1997

oStaff Sergeant Laboratory Technician

344th General Hospital, Queens, CA, 1998 - 2000

oStaff Sergeant Laboratory Technician

349th General Hospital, Los Angeles, CA, 2000 – 2002

oStaff Sergeant Laboratory Technician

SKILLS

Microsoft Office

oExcel

oWord

oPowerPoint

oOutlook

Accounts Receivable/Payable

Collections, Medical billing

Scheduling, Receptionist

Payroll, Account reconciliation

Debits & Credits

REFERENCES

Juanita Clay, Transplant Financial Coordinator

John Hopkins University

Phone: 410-***-****

Email: adv3j4@r.postjobfree.com

Jeanelle Clark, Admisions Coordinator

Select Specialty Hospital

Emory Health

Phone: 202-***-****

Mitzi McCain, Senior Director of Accounts Receivable

Kur Smart Pain Management

Phone: 443-***-****

Email:

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