Billing Specialist Services Representative
Resume:
Gabrielle Perez
Highly organized and effective patient services representative with a strong history of medical office operations and fulfilling role responsibilities Elizabeth, NJ 07202
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Willing to relocate: Anywhere
Authorized to work in the US for any employer
Work Experience
Biller/ Medical Records
Medical center Morris Avenue - Union City, NJ
Present
January 01, 2022 – February, 2023
• Processing data from medical coders,
• Making sure claims get processed and paid,
• Verifying insurance coverage,
• Posting and reviewing denied claims
• Assisting patients with billing questions.
• Sending invoices to clients and monitoring outstanding balances
• Performed clerical tasks such as photocopying, faxing, mailing, sorting/distributing documents and scheduling patients.
• Revised, edited and proofread numerous documents.
• Restock and reorganized medical records.
• Provided a strong proactive customer service approach
• Performs patient check-in and check-out
(REMOTE) Third Party Billing Specialist
Pharmscript
2019 to December 2021
• Prior Authorization, interchanges
• Responsible for entering and tracking all daily census and face sheets from Beneficiary Facilities for correct Billing to Medicare, Medicaid, and Private Insurances
• Responsible end of the month for billing to generate correct facility patient invoices
• Contacting the facility on the status of Medicaid pending residents
• Responsible for workflow- submitting claims to Medicare, Medicaid, and Private Insurances for reimbursement both via electronic and hard copy methods.
• Responsible to communicate with facilities regarding all items that are non-covered by an insurance that have covered alternatives and where allowed file prior authorizations.
• Responsible to provide price quotes for medications that fall under the Facility financial responsibility.
• Responsible to assist patient beneficiary and patient power of attorney with concerns and questions regarding billing for example copay and coverage gap clarifications.
• Knowledge of Medicare Part D, Medicaid, Medicaid HMO plans, & commercial insurances.
• Familiarity with resolving Insurance rejections for prescriptions such as refill too soon, Prior Authorization and Non Covered items.
Teller
Santander Bank
2017 to 2018
• Processed all customer transactions with efficiency and a positive attitude
• Engaged customers in bank related conversations
• Trained in various areas of Head Teller duties
• Processed and balanced ATM, deposits, withdrawals, and loan payments
• Identified transaction errors when debits and credits did not balance
• Explained, promoted, and sold bank products and services such as travelers' checks, savings bonds, money orders, and cashier's checks
Education
Associate in Science (AS) in Sonography in process Union County College - Cranford, NJ
Skills
• MICROSOFT OFFICE (5 years)
• Microsoft Excel (5 years)
Languages
• Spanish - Expert
Additional Information
Skills:
Microsoft Office Supplies
Fully bilingual in Spanish and English
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