Years of medical industry experience
Andrew Gonce OCSR
KESWICK,Virginia
Summary
Proven Medical Billing Associate with a track record of enhancing revenue recovery and minimizing reimbursement delays at Virginia Retina Consultants. Expert in medical coding and denial management techniques, coupled with exceptional organizational abilities and a continuous learning mindset. Demonstrated professionalism in improving billing processes and patient interactions, achieving significant improvements in accounts receivable handling.
Overview
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4
Work History
Medical Billing Associate
Virginia Retina Consultants
03.2023 - Current
- Developed comprehensive knowledge of various payer requirements for successful claim submission, minimizing delays in reimbursement.
- Accelerated cash flow by promptly resolving discrepancies between billed services and paid amounts, involving payer negotiations when necessary.
- Managed accounts receivable, ensuring timely collection of payments and minimizing outstanding balances.
- Demonstrated strong attention to detail while managing multiple priorities within a fast-paced environment, consistently meeting deadlines without sacrificing quality.
- Contributed to team success by actively participating in brainstorming sessions aimed at identifying areas for improvement within the billing department processes.
- Enhanced revenue recovery through diligent follow-up on denied or underpaid claims.
- Facilitated clear communication between medical staff and insurance companies, improving understanding of coverage limitations and reducing claim rejections.
- Increased overall efficiency by staying current on industry trends, attending relevant training sessions, and sharing knowledge with colleagues.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prevented financial delinquencies by working closely with the office manager to resolve billing issues before becoming unmanageable.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Adhered to established standards to safeguard patients' health information.
- Collected and posted payments and collections on regular basis.
- Audited and corrected billing and posting documents for accuracy.
- Processed vendor and supplier payments on weekly basis.
Medical Billing Associate
Charlottesville Eye Associates
01.2021 - 03.2023
- Reduced claim denials by consistently verifying insurance eligibility prior to submitting claims for payment.
- Developed comprehensive knowledge of various payer requirements for successful claim submission, minimizing delays in reimbursement.
- Maintained strict compliance with HIPAA regulations by safeguarding sensitive patient information during the billing process.
- Accelerated cash flow by promptly resolving discrepancies between billed services and paid amounts, involving payer negotiations when necessary.
- Demonstrated strong attention to detail while managing multiple priorities within a fast-paced environment, consistently meeting deadlines without sacrificing quality.
- Contributed to team success by actively participating in brainstorming sessions aimed at identifying areas for improvement within the billing department processes.
- Enhanced revenue recovery through diligent follow-up on denied or underpaid claims.
- Reduced instances of delayed payments by regularly monitoring aged accounts receivable reports and taking prompt action to address outstanding balances.
- Collaborated effectively with healthcare providers to ensure proper coding and documentation for accurate reimbursement.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies, and billing office.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Floor Staff Member
Regal Cinemas
01.2019 - 08.2019
- Arranged new merchandise with signage and appealing displays to encourage customer sales and move overstock items.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Retained product, service and company policy knowledge to serve as resource for both coworkers and customers.
- Built and maintained effective relationships with peers and upper management to drive team success toward common sales, service and operational goals.
- Answered incoming telephone calls to provide information about products, services, store hours, policies and promotions.
- Mentored team members in mastering sales techniques to consistently exceed objectives.
- Kept apprised of emerging trends and provided informative customer service to assist in product selection.
- Assisted customers by finding needed multiple items and checking inventory for items at other locations.
- Processed orders through system and coordinated product deliveries.
- Offered product and service consultations and employed upselling techniques.
- Resolved issues regarding customer complaints and escalated worsening concerns to Supervisor for remediation.
- Assisted customers to find appropriate products, answered product questions and provided product solutions.
- Drove sales and add-on purchases by promoting specific item options to customers.
- Liaised with team members throughout store to promote upkeep efforts.
- Processed efficient and accurate cash, check, debit, and credit card payments using Point-of-Sale system.
- Stayed up to date on current item discounts to support promotions.
- Observed company return policy when processing refunds, including inspecting merchandise for wear or damage.
- Maintained high productivity by efficiently processing cash, credit, debit and voucher program payments for customers.
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
- Balanced and organized cash register by handling cash, counting change, and storing coupons.
- Collaborated with team members to maintain store appearance, resulting in a more enjoyable shopping experience for customers.
- Assisted with store opening and closing procedures, ensuring thorough preparation for each day''s business activities.
- Increased efficiency in floor operations by organizing and stocking merchandise, reducing clutter and ensuring optimal product placement.
- Maintained safety standards on the theater floor by promptly addressing spills or other potential hazards, protecting both staff and customers from accidents.
- Maintained safety standards on the theatre floor by promptly addressing spills or other potential hazards, protecting both staff and customers from accidents.
- Handled cash transactions efficiently while adhering to company policies for secure financial management.
- Supported coworkers during busy periods or when additional assistance was needed, fostering a productive work environment through teamwork.
- Maintained a positive attitude throughout each shift, effectively navigating challenges and fostering a pleasant work environment for both staff and customers.
- Utilized strong communication skills when interacting with both customers and colleagues, effectively conveying relevant information as necessary for successful daily operations.
- Processed payments and provided receipts to establish proof of transaction.
- Managed efficient cash register operations.
- Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
Education
High School Diploma -
Monticello High School
Charlottesville, VA05.2015
Skills
- Medical Coding Expertise
- Professionalism and Ethics
- Organizational abilities
- Continuous learning mindset
- Accounts Receivable Handling
- Medical Billing Software Proficiency
- Denial Management Techniques
- Payment Posting Abilities
- Customer Service
- Multitasking and Organization
- Work Prioritization
- Medicare and Medicaid process
Timeline
Medical Billing Associate
Virginia Retina Consultants
03.2023 - Current
Medical Billing Associate
Charlottesville Eye Associates
01.2021 - 03.2023
Floor Staff Member
Regal Cinemas
01.2019 - 08.2019
High School Diploma -
Monticello High School
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