Angelica Gordon
San Antonio,TX
Summary
Highly-dedicated and results driven medical administrative professional with a desire to take on new challenges and elevate work ethic. Proficient in leveraging medical and clerical expertise to ensure compliance with federal regulations, and streamline organizational workflows. Seeking to contribute to mission-driven initiatives by utilizing skills. Devoted to giving every patient a positive and memorable experience.
Overview
7
7
years of professional experience
Work History
Medical Claims Specialist
NTT DATA Services
Dallas, Texas
08.2022 - Current
- Reviewed medical claims for accuracy and compliance with HIPPA and privacy regulations.
- Ensured compliance with applicable federal and state laws governing healthcare payments.
- Maintained accurate records of all claim activities for audit purposes.
- Communicated with healthcare providers, first responders, and MDIs to resolve claim discrepancies.
- Processed insurance payments using CPT codes; reviewed and addressed claim denials and NIGO letters issued to insureds; and prepared and submitted appeals for rejected or partially paid claims, including all required supporting documentation.
Office Coordinator/Medical Assistant
Southwest Orthopaedics And Reconstructive Specialists
Oklahoma City, Oklahoma
02.2020 - 07.2022
- Managed and Coordinated patient scheduling and appointment confirmations using EHR EPIC for multiple physicians.
- Assisted with insurance verification and pre-authorization processes for insurances like Tricare and Medicaid.
- Coordinated patient records, ensuring accurate distribution of registration, WC, and MVA forms.
- Provided administrative support for all departments in the organization as necessary.
- Collaborated with medical staff to streamline office operations and communication.
- Assisted physicians with patient examinations and procedures.
- Collected patient histories and recorded vital signs accurately.
- Educated patients on treatment plans and medication instructions clearly.
- Maintained inventory of medical supplies and ordered replacements as needed.
- Administered injections, medications and treatments as directed by the physician.
Office Administrator
Classen Urgent Care Clinic
Moore, OK
01.2019 - 02.2020
- Oversaw day-to-day facility functions. Processed patient intake forms and verified insurance information for accuracy using EHR NextGen-HealthFusion.
- Supported billing processes by preparing patient statements and collecting payments.
- Performed clerical duties such as photocopying, faxing and scanning documents.
- Created PowerPoint presentations for internal use or external clients when required, as well as Excel spreadsheets for data entry.
- Organized meetings, conferences, travel arrangements and other events as required.
Education
High School Diploma -
Ellison High School
Killeen, TX06-2018
Some College (No Degree) - Nursing
Western Governors University
Salt Lake City, UTSkills
- Proficient in Microsoft Word, Excel, and powerpoint; typing speed of 60 WPM
- Organization
- Effective communication
- Analytical thinking
- ICD-10 proficiency
- HIPAA compliance awareness
- Policy interpretation
- Insurance claims management
- Medical terminology
References
- Direct Manager NTT DATA - Lin Jones (402-440-5767)
- Team Lead Classen urgent care - Macy (405-312-2510)
- Friend for 10years - Alyssa Fabela (254-383-9517)
- Friend for 5years - Ashley Wilson (210-445-0184)
Timeline
Medical Claims Specialist
NTT DATA Services
08.2022 - Current
Office Coordinator/Medical Assistant
Southwest Orthopaedics And Reconstructive Specialists
02.2020 - 07.2022
Office Administrator
Classen Urgent Care Clinic
01.2019 - 02.2020
High School Diploma -
Ellison High School
Some College (No Degree) - Nursing
Western Governors University