Bertha Gonzalez
Long Beach,CA
Summary
Dynamic Insurance Verification Specialist with a proven track record at Orange Coast Memorial Medical Center, excelling in insurance coverage verification and patient communication. Adept at maintaining HIPAA compliance while ensuring timely claims processing. coordination, enhancing patient care and operational efficiency.
Overview
19
19
years of professional experience
Work History
Insurance Verification Specialist
Orange Coast Memorial Medical Center
Fountain Valley, CA
03.2023 - Current
- Verified patient insurance eligibility and benefits to ensure timely processing of claims
- Communicated with insurance providers to obtain necessary documentation for coverage verification
- Assisted healthcare staff in understanding insurance policies and procedures for accurate billing
- Maintained detailed records of verification processes and outcomes using electronic health record systems
Care Coordinator
The Children's Clinic
01.2007 - 03.2023
- Coordinated patient care plans, ensuring timely follow-ups and adherence to treatment protocols.
- Facilitated communication between families and healthcare providers to address concerns effectively.
- Managed scheduling for appointments, optimizing clinic workflow and resource allocation.
- Educated families on available services, enhancing understanding of care options and support resources.
Education
High School Diploma -
Cabrillo High School
Long Beach, CAMedical Assistant -
Scroc
Torrance, CASkills
- Attention to detail
- Patient confidentiality
- HIPAA compliance
- Insurance coverage verification
- Eligibility determination
- Data entry proficiency
- Coverage and authorizations
- Communication and interpersonal skills
- Coordination and scheduling
- Electronic medical records
- Prior authorization processing
- Patient communication
- Customer service
Languages
Spanish
Full Professional
Timeline
Insurance Verification Specialist
Orange Coast Memorial Medical Center
03.2023 - Current
Care Coordinator
The Children's Clinic
01.2007 - 03.2023
High School Diploma -
Cabrillo High School
Medical Assistant -
Scroc