Carolyn Gilbert
Round Rock,Texas
Summary
Reliable Medical Biller with coding and medical terminology knowledge, seeking to maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills, exceptional data entry and customer service. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
29
29
years of professional experience
Work History
Medical Billing Specialist
CapSource Solutions
08.2022 - 12.2023
- Responsible for claim accounts receivable and claims denial resolution to include reviews and appeals for multiple providers.
- Communication with physicians, office staff, insurance companies and patients via phone, fax and email.
- Claim data entry, as well as timely filing and follow-up of claims via fax, phone, web portals and e-mail.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Posted and adjusted payments from insurance companies.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
Medical Billing/Coding Account Manager
Medorizon
08.2021 - 08.2022
- Responsible for all aspects of claim coding, billing, accounts receivable, claims resolution to include reviews and appeals for 6+ offices
- Communication with physicians, office staff, insurance companies and patients via phone, fax, email
- Claim data entry, as well as timely filing and follow-up of claims via fax, phone, web portals and e-mail
- EClinicalWorks and CareTracker software
Medical Billing/Coding Account Manager
Rock Chiropractic
01.2021 - 08.2021
- Responsible for all aspects of claim coding, billing, accounts receivable, claims resolution to include reviews and appeals
- Communication with physicians, office staff, insurance companies, attorneys and patients
- Timely filing and follow-up of claims via fax, phone, web portals and e-mail communication with physicians, office staff, insurance companies, attorneys and patients
- Eclipse software
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Maintained accurate records of customer accounts, payments and payment plans.
- Researched billing errors and discrepancies to initiate corrective action.
Medical Billing/Coding Account Manager
New Profit Elevation Consulting
03.2020 - 01.2021
- Remote biller/coder for several clinics/offices, representing two offices (San Antonio, Corpus Christi)
- Responsible for all aspects of claim coding, billing, accounts receivable, claims resolution to include reviews and appeals
- Communication with physicians, office staff, insurance companies, attorneys and patients
- Timely filing and follow-up of claims via fax, phone, web portals and e-mail
- EClinicalWorks software.
- Researched billing errors and discrepancies to initiate corrective action.
Administrative Assistant/Transcriptionist
Power of Love Ministry
09.2017 - 03.2020
- Sole transcriptionist of approximately 19,000 audio/video minutes per year in specific formats with 24 to 48-hour turnaround
- Proofreading and editing written and transcribed work of others for accuracy and completeness.
Administrative Assistant/Office Coordinator
Kalahari Resorts & Convention Center
12.2015 - 09.2017
- Sole Administrative Assistant of the Director of Housekeeping of a 1,000-room resort in a fast-paced environment, interfacing with the public and as a liaison of the Housekeeping Department with all departments and levels of management, as well as public, on a daily basis and to maintain payroll, attendance, discipline and personnel records for Housekeeping and Laundry.
- Assisted new employees with new-hire paperwork and reviewed for completeness.
- Answered multiple console telephone system to direct calls to appropriate personnel.
- Improved office operations by automating client correspondence, record tracking and data communications.
Chiropractic Assistant, Billing/Coding Specialist
Wellness Chiropractic Center, Inc.
09.1994 - 05.2015
- Developing and implementing concrete tracking processes to document and report on patient care effectiveness and compliance which increased claim reimbursement success rate
- Coordinating and scheduling patient treatment plans; maintaining and auditing patient files for completeness/accuracy
- Performing efficient, timely filing of all insurance claims and follow-up through completion; maintaining documentation of HIPAA-compliant communications as a liaison between the doctors and relevant third parties to achieve successful claim resolution for patients/office to include Medicare, Medicaid, commercial insurance, Workers’ Compensation, and personal injury claims.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Legal Assistant
Catri & Kellam, Co., LPA
06.2007 - 11.2009
- Assisting in preparing Social Security Disability cases by obtaining and organizing highly sensitive medical/legal supportive documents; reviewing often high-volume records to identify subjective/objective data court use
- HIPAA and legal compliant
- Administrative office duties.
Chiropractic Assistant/Office Manager
Wensink Chiropractic, LLC
10.2003 - 06.2006
- Applying experience gained from Wellness Chiropractic Center to establish business practices, systems, and procedures for a newly opened chiropractic office.
- Created and updated records and files to maintain document compliance.
- Maintained computer and physical filing systems.
Education
Certified Culinarian -
EHOVE Culinary Arts Program
Sandusky, Ohio04.2008
Registered Radiologic Technologist -
Providence Hospital School of Radiologic Technology
Sandusky, Ohio01.1984
High School Diploma -
Margaretta High School
Castalia, Ohio01.1982
Skills
- CPT Knowledge
- Time Management
- Denial Management
- Data Entry Accuracy
- Organizational Skills
- Problem Solving
- Claim Submission
- Software Proficiency
- Medical Coding Knowledge
- Work Prioritization
- Medicaid and Medicare Knowledge
Timeline
Medical Billing Specialist
CapSource Solutions
08.2022 - 12.2023
Medical Billing/Coding Account Manager
Medorizon
08.2021 - 08.2022
Medical Billing/Coding Account Manager
Rock Chiropractic
01.2021 - 08.2021
Medical Billing/Coding Account Manager
New Profit Elevation Consulting
03.2020 - 01.2021
Administrative Assistant/Transcriptionist
Power of Love Ministry
09.2017 - 03.2020
Administrative Assistant/Office Coordinator
Kalahari Resorts & Convention Center
12.2015 - 09.2017
Legal Assistant
Catri & Kellam, Co., LPA
06.2007 - 11.2009
Chiropractic Assistant/Office Manager
Wensink Chiropractic, LLC
10.2003 - 06.2006
Chiropractic Assistant, Billing/Coding Specialist
Wellness Chiropractic Center, Inc.
09.1994 - 05.2015
Certified Culinarian -
EHOVE Culinary Arts Program
Registered Radiologic Technologist -
Providence Hospital School of Radiologic Technology
High School Diploma -
Margaretta High School
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