Front Desk Medical Billing
Resume:
RICABUENA GAGNE
**************@*****.***
PROFESSIONAL SUMMARY
Organized and dependable candidate with over 25 years of experience in administrative roles; treasury, payroll and TAX, medical billing, managing budget/grants and accounting – TRAVEL, AP/AR.
A detail-oriented team player with strong organizational skills and a passion for delivering high- quality work. Possesses expertise in Microsoft Excel, Word, and PowerPoint, as well as proficiency in PeopleSoft, UFIRST, Enterprise Reporting, OnCore, HRP, SAP, ECHO - CHC Payment/Settlement Interface SSO as well as WorkDay and Active Network. SKILLS & ABILITIES
Excellent interpersonal skills for effective communication with internal and external customers. Strong planning and organizational skills with the ability to meet deadlines.
Ability to work both independently and collaboratively in a team environment. Familiarity with accepted insurance verification, billing, and collection practices in a healthcare reimbursement setting.
Proficient in PC skills, including Excel, PowerPoint, Access, and Outlook. Quick learner of industry-specific software applications.
Customer service-oriented with the ability to handle challenging situations professionally. WORKING EXPERIENCE
City of Gainesville, Parks, Recreation & Cultural Affairs Account Clerk 1
06/2024 - PRESENT
Performs essential accounting and financial support functions within the department. Responsibilities include processing departmental deposits and routine accounting transactions, handling billing tasks, as well as assisting with front desk duties when the front desk clerk is unavailable, providing customer service and administrative support. The role also involves managing monthly services billings and accounts payable, including processing approximately 140 GRU Utilities invoices monthly. Reports to Accounting Clerk 2 and Lead Analyst. REMOTE PARTIME JOBS
03/2024 – 06/2024
Invoice Processing GRU – Gainesville Regional Utilities - Senior Accounting Clerk A/P Invoice Processing and Payment / Travel Specialist /Vendor Management
Receive, review, and process invoices accurately and efficiently. Verify that invoices have proper authorization and coding before entry into the system. Resolve discrepancies with vendors and internal stakeholders as needed. Prepare and process payments to vendors in accordance with payment terms and company policies. Reconcile payments with invoices and ensure accurate posting to the general ledger. Monitor payment schedules and ensure timely disbursement of funds 06/2023 – 03/2024 Remote/Hybrid Treasury Specialist (Contract) AVMED Healthcare Medical Insurance Company
• Conducted due diligence efforts on expiring
payments in Settlement Advocate.
• Processed Void to Re-issue requests in both Settlement Advocate and HRP.
• Processed all scheduled AP Payments through pay cycles from PeopleSoft.
• Assisted with check distribution from AP cycles.
• Covered Senior Treasury Specialist duties in their absence.
• Generated copies of archived EOPs as necessary.
• Assisted in record clean-up in the Treasury area. 12/2022 – 05/2023 Remote/Hybrid Medical Billing Specialist Abbott Labs
• Facilitated timely and accurate electronic transmission of claims to third-party payers.
• Ensured compliance with HIPAA and PHI regulatory policies.
• Communicated professionally with clients and referral sources.
• Managed insurance verification and communicated co- payments to clients.
• Oversaw entry of client information into the ERP system.
• Corrected and resubmitted rejected claims.
• Conducted monthly reporting on client co-payment analytics.
• Updated procedures for billing and collection processes.
• Collaborated with auditors to ensure financial compliance. 02/2006 to -07/2022 University of Florida
(in different job position see below)
(HISTORY in order)
Clinical Research Accountant UF CTSI / 01/2022 – 07/2022
• Performed budget entry QAs to ensure OnCore invoicing matches the contract.
• Ensured compliance in Post Award activities for 214 research studies. Optimized organizational systems for payment collections, AP/AR, deposits, and
recordkeeping.
• Managed and assisted multiple study teams in study invoicing in OnCore.
• Assisted with developing policies for the Financials Team.
• Processed closure requests for non-federal clinical trials. Performed accounting duties and journal
entries.
Accountant 1 CTSI-CRC 08/2017 - 01/2022
• Processed billing transactions for all CRC Nursing Services & IDS
• Pharmacy.
• Issued billing invoices and adjustments using
WebCamp and Vestigo software.
• Performed month-end AR report and revenue
closing activities. Worked closely with customers to ensure timely recognition and collection of
revenue.
• Participated in balance sheet and income
statement analytics. Assisted in reviewing
contracts and related documents.
• Reconciled discrepancies between accounts receivable general ledger account and trial balance account.
Financial Analyst 2/ UF - General Accounting 06/2013 - 07/2017
• Daily review and posting of cash transfers, internal sales transactions, and other general ledger
journals.
• Administered university auxiliary
operations. Processed Monthly Auxiliary
Notable Cash Balances.
• Processed Monthly Negative Cash Balance report on Auxiliary funds. Provided PeopleSoft assistance to auxiliary personnel.
• Performed Monthly GL review on Auxiliary fund to identify errors. Assisted in other duties assigned by AUX Account Coordinator 3.
Senior Administrative Assistant
University of Florida - Finance & Accounting / Payroll
&Tax Services 06/2011 - 06/2013
• Responsible for the accuracy and timely deposit of UF Tax employment liabilities.
• Reconciled the general ledger tax liability account.
• Created desk procedures for Payroll distribution and departmental deposit.
• Processed FICA and withholding tax refunds and
collections. Assisted in creating/updating US Tax
Treaty Analysis and Substantial Presence Test
reports.
• Managed and supervised an Administrative Assistant position. Administrative Assistant
University of Florida - Finance & Accounting / Payroll
&Tax Services 06/2007 - 06/2011
• Responsible for Banking - Conducted daily reviews of ACH returns, EFT cancellations, and affidavits for Duplicate Check requests. Managed the deposit process for checks and EFTs. Worked with stale-dated checks for the escheatment process.
• Prepared monthly bank reconciliation reports used by the supervisor in Bank Reconciliation.
• Managed Payroll Distribution and Retro Additional Pay: Reviewed and entered cross-college and other requests received from UF departments. Handled related
correspondence with departments, updated department budget tables, and supported Accounting Coordinator 3 as needed in other distribution tasks.
• Executed extensive budget checking and coordination with Contracts and Grants. Initiated purchase
requisitions, arranged travel, and reconciled purchasing card expenditures.
• Served as a point of contact in the Core Department for Payroll distribution, Duplicate Check Requests for Return ACH payroll deposit, and W-2 duplicate requests.
• Assisted in creating or updating US Tax Treaty Analysis and Substantial Presence Test reports files within the PeopleSoft environment and Windstar software, essential for hiring foreign nationals.
• Responsible for the maintenance and compliance
associated with W-5's. Assisted in the creation and generation of tax reporting documents such as W-2.
• Processed collection and refund of federal withholding taxes for employees, international individuals,
researchers, scholars, and visitors.
• Handled all tax documents pertinent for 941 Tax Liability preparations and remittance. Conducted tax analysis and manual balance adjustments as needed.
Senior Fiscal Assistant University of Florida - Finance & Accounting
Treasury Management 02/2006 to 07/2007
• Responsible for Banking - Conducted daily reviews of ACH returns, EFT cancellations, and affidavits for Duplicate Check requests. Managed the deposit process for checks and EFTs. Worked with stale-dated checks for the escheatment process.
• Prepared monthly bank reconciliation reports used by the supervisor in Bank Reconciliation.
• Managed Payroll Distribution and Retro Additional Pay: Reviewed and entered cross-college and other requests received from UF departments. Handled related
correspondence with departments, updated department budget tables, and supported Accounting Coordinator 3 as needed in other distribution tasks.
05/2004 -02/2006 Bank Teller Bank of America - Gainesville, FL EDUCATION
Provided essential teller services, focusing on large-scale deposits and daily cash vault balancing.
Oversaw and participated in the training of new tellers on policies and procedures.
Acquired knowledge of customers' financial needs, establishing trust and optimizing sales opportunities for quality customer service.
Maintained an in-depth understanding of bank products and services to provide appropriate recommendations to customers. Bachelor of Arts in Economics University of Batangas, Philippines April 1991
Associate in accounting University of Colorado Online Program March 2010- May 2012
COMMUNICATION
Strong written and verbal communication skills.
LEADERSHIP
Ability to manage multiple projects simultaneously and meet tight deadlines, while maintaining the highest standards of quality.
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