ANGELITA GONZALES
Austin,Texas
Summary
Dedicated administrative professional with successful experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Responsible, punctual and productive professional when working with little to no supervision.
Overview
19
19
years of professional experience
Work History
Referral Specialist
Centene
Austin, TX
01.2022 - 12.2023
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process
- Partnered with other departments to provide top-notch service to clients
- Built professional relationships with service providers
- Verified insurance benefits and eligibility
- Obtained prior authorization for procedures
- Developed and maintained strong working relationship with referral sources to streamline processing
- Researched and resolved billing discrepancies to enable accurate billing
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction
- Monitored customer accounts to identify and rectify billing issues
- Provided excellent customer service, developing and maintaining client relationships
- Processed and verified invoices to secure accuracy of billing information
- Reviewed and reconciled customer accounts to manage accuracy of payments
- Generated monthly invoices for customers in multiple formats to provide transparency
- Used data entry skills to accurately document and input statements
- Handled account payments and provided information regarding outstanding balances
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Entered confidential patient information and updated electronic records in database.
- Tracked referral request progress and resolved issues to maintain smooth processing.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
- Collaborated with team members to ensure the accuracy of referral data entered into the system.
Billing Specialist
Austin Oral Maxillofacial Surgery/ US Oral Surgery
07.2015 - 05.2020
- Answered customer inquiries regarding billings, payments, account status.
- Investigated and resolved issues to maintain billing accuracy.
- Processed and sent invoices, adjustments and credit memos to customers.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Worked with team members and leadership to identify and develop process improvements.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Calculated billing charges, prepared and submitted claims to insurance companies.
Patient Service Representative
Children's Cardiology Associates
Austin, TX
05.2013 - 07.2015
- Answered incoming calls in a professional manner.
- Verified insurance information, collected payments, and scheduled appointments.
- Adhered to HIPAA regulations when handling confidential patient information.
- Assisted with scheduling follow-up appointments according to provider availability.
- Scheduled patient appointments and procedures.
- Inputted patient demographic data into electronic health record system.
- Scanned completed forms, identification and insurance cards, maintaining patient documents folder.
- Informed patients about payment options, billing policies, and procedures related to their visit or procedure.
Mail Clerk
IRS
Austin, TX
02.2008 - 03.2011
- Received, sorted and organized incoming letters and packages.
- Sorted and distributed incoming mail according to predetermined routing procedures.
- Inspected outgoing mail for accuracy prior to distribution and mailing.
- Weighed items using electronic scale to calculate shipping costs.
- Operated mail processing equipment and manually sorted mail.
Billing Specialist/Medical Receptionist/Referral Coordinator
Community Care Inc.
Austin, TX
01.2008 - 03.2011
- Processed and sent invoices, adjustments and credit memos to customers.
- Investigated incorrect billings and processed refunds as necessary.
- Worked closely with patients to discuss payment arrangements when needed.
- Answered customer inquiries regarding billings, payments, account status.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Answered incoming calls, responding to inquiries from patients and other medical offices.
- Checked patients in and out for appointments and collected co-payments.
- Called patients to confirm scheduled appointments and obtain additional details.
Front Desk Receptionist
Specially for Children
Austin, TX
05.2005 - 07.2007
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Greeted customers warmly and made them feel welcome.
- Provided excellent customer service by responding quickly to inquiries via phone or email in a professional manner.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Assisted with scheduling appointments for clients and visitors.
Education
GED -
Austin Community College
Skills
- HIPAA Regulations
- Medical Terminology
- Referral Verification
- Patient Data Management Systems
- Specialist Referrals
- Accounts Payable and Accounts Receivable
- Records Preparation
- Patient Referral
- Insurance Verification
- EMR Systems
- Administrative Duties
- Pre-Authorizations
- Patient Scheduling
- Appointment Scheduling
References
References available upon request.
Timeline
Referral Specialist
Centene
01.2022 - 12.2023
Billing Specialist
Austin Oral Maxillofacial Surgery/ US Oral Surgery
07.2015 - 05.2020
Patient Service Representative
Children's Cardiology Associates
05.2013 - 07.2015
Mail Clerk
IRS
02.2008 - 03.2011
Billing Specialist/Medical Receptionist/Referral Coordinator
Community Care Inc.
01.2008 - 03.2011
Front Desk Receptionist
Specially for Children
05.2005 - 07.2007
GED -
Austin Community College