SOFIA GONZALES

Houston, TX ***** C: 832-***-**** adv4hp@r.postjobfree.com

Summary

Energetic Business Owner trained to handle issues and remain level-headed. Offering over twenty years of expertise in Medical Billing and Collections. Having been trained as a physician I speak the language and can offer many solutions without disrupting the physician's busy schedule. Bilingual, fluent in English and Spanish.

Skills

Billing and collections for several physicians

Credentialing

Letters of medical necessity

Pre-authorization letters

Management of front desk, preauthorization, and coordination of benefits departments.

Dictation templates

Auditing dictation and making sure the level of documentation matches the level of visit billed

Dispute letters if necessary

Compliance seminars for billing and medical documentation

Experience

Owner 01/2000 to Current

JCR Medical Management, LLC Houston, TX

Led startup and opening of Medical Billing, Collections and Consulting services and provided business development, creation of operational procedures and workflow planning.

Established, enforced, and updated policies keeping business agile and responsive to changing market conditions.

As part of my responsibilities, I managed and coordinated the front desk, preauthorization department and coordination of benefits department for several of the clients.

Trained teams on specific operations and requirements for each job site, including applicable procedures and techniques.

Established departmental performance goals, set timeline targets for sales team, and trained new employees.

Identified client business and operational needs and introduced services to provide solutions.

Oversaw daily operations of medical billing, collections and consulting services, including up to 15 employees across one location. I also supervised their performance with goals of improving productivity, efficiency and cost savings.

Recruited and trained several independent sales associates and agents during our twenty-year business history.

Clinical Assistant 01/1990 to 03/1999

The Pain Institute of Texas Houston, TX

Assisted the physician on patient care. Assisted into creating appropriate and customized treatment plans on a large Interventional Pain Management practice. Created forms and templates for insurance pre-authorization and review of services. Created rebuttal and appeal letters for denial of treatment as well as denial of payment for services rendered. Successfully Answered Peer reviews and Independent Review Organization reports. Assisted on adequate patient selection for implantable devices. Created, corrected, and managed dictation for each office visit on a timely manner.

Education and Training

M.D.: Medicine 12/1988

Autonomous University of Guadalajara Guadalajara, Mexico

Life, Accident, Health and HMO licensed in the state of Texas as of May 18, 2022.