Bridget Gamez
Pomona,ca
Summary
I am a passionate self-motivated individual, offering strong work ethics, determined to complete tasks in a timely manner. I am accurate and detail- oriented worker with strong problem resolution capabilities. I am a very positive ambitious individual looking for a position to utilize my skills and to continue to grow and learn.
Overview
9
9
years of professional experience
Work History
Front Desk Medical Receptionist
Inland Psychiatric Medical Group
Claremont, CA
07.2023 - Current
- Greeted patients, verified insurance information and collected copays.
- Scheduled appointments, managed patient records and updated medical histories.
- Scan new patient packets in the system to maintain accurate medical information on each patient's accounts.
- Verified patient demographics, entered data into electronic health record system and provided support to physicians.
- Answered incoming calls, addressed inquiries and routed messages to appropriate personnel.
- Creating a new patient account upon receiving referrals from primary doctors.
- Provided administrative support such as filing documents, photocopying materials and organizing office supplies.
- Ensured compliance with HIPAA regulations by maintaining confidentiality of all patient information.
- Provided customer service to patients, including answering questions about treatments or calling pharmacies regarding medication and if PA is required.
- Checked-in patients when they arrived at the front desk; obtained necessary paperwork from them prior to check-in process.
- Managed multiple tasks simultaneously while providing excellent customer service in a busy office environment.
- Photocopied insurance cards, documented details and verified patient coverage for appointments.
Billing Specialist
Ontellus
San Dimas, CA
09.2019 - 08.2021
- Review and audit orders processed to generate client invoices
- Customize invoices and statements to meet client’s needs
- Work with other departments to ensure the orders are entered correctly
- Maintains various reports for billing accuracy
- Maintains billing group email inbox for various internal questions, issues, problems, etc
- Answer questions and handle complaints from customers regarding bills by responding with clear and reliable information
Administration/Member Services Representative
United Agriculture Benefit Trust
Corona, CA
11.2015 - 09.2019
- Providing Customer Services to members, providers, brokers and employers from multiple insurance/network companies
- Providing eligibility and benefits regarding (Medical, Dental, Vision and Pharmacy)
- Helping members/Providers with eligibility problems, and other concerns regarding their coverage, claims, EOB's, Rx, bills, Hospital admission and Pre-Authorizations request, etc
- Maintain phone logs in WLT system and AS400, doing follow-ups, researching out to the providers and insurances, finding out why claims are being denied and/or claims that require adjustment
- Assisting Pharmacy with eligibility problems, pre-authorizations, copays and reaching out to pharmacy's with claim issues
Medical Biller and coder specialist
CPA Place
City of Industry, CA
06.2015 - 10.2015
- Knowledge of CPT, ICD-9/10, HCPCS, etc
- Process medical claims & bill all insurance types (Medicare, Commercials, Medical, etc)
- Posting EOB payments from insurance companies and patients
- Entering Patient encounters in Medisoft and TotalMD using Practice fusion
- Assign appropriate medical codes to all diagnosis and services
Education
Associate of Science -
Mt. San Antonio College
Walnut, CA06-2024
Certificate - Medical Secretary, Terminology and Billing Coding
Hacienda La Puente Adult School
La Puente, CA05.2015
Skills
- Ability to type 45 wpm
- Knowledge of ICD-9/ICD-10 coding
- CPT
- CMS1500
- Intake form processing
- Insurance verifications
- UB 04
- Form completion
- Proficient in assigning appropriate medical codes to diagnoses and services
- Ability to work and communicate in a positive, cooperative manner
- Bilingual: English and Spanish
- Knowledge of privacy and HIPAA regulations
- Knowledge of Microsoft Office (Word, Excel, PowerPoint)
- Loyal team player
- Patient reception management
- Information documentation
- Letter preparation
- Genesight testing (swabbing patients) and UDS testing
Timeline
Front Desk Medical Receptionist
Inland Psychiatric Medical Group
07.2023 - Current
Billing Specialist
Ontellus
09.2019 - 08.2021
Administration/Member Services Representative
United Agriculture Benefit Trust
11.2015 - 09.2019
Medical Biller and coder specialist
CPA Place
06.2015 - 10.2015
Associate of Science -
Mt. San Antonio College
Certificate - Medical Secretary, Terminology and Billing Coding
Hacienda La Puente Adult School
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