Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Dolores Gillespie

Laguna Niguel,CA

Summary

Detail-focused professional in the financial documentation and management field, known for high productivity and efficient task completion. Specialize in accurate billing, proficient data entry, and effective account reconciliation. Excel at time management, problem-solving, and communication skills, ensuring seamless operational flow and client satisfaction.

Overview

21
21
years of professional experience

Work History

Medical Billing Coordinator

Chelsea Dermatology
Chelsea, MI
09.2007 - 05.2010
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Reviewed legal claims for accuracy and issues.
  • Processed insurance claims, appeals, and follow-up documentation.
  • Reconciled monthly payments received from payers against invoices sent out.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Investigated denied or rejected claims due to incorrect coding or lack of authorization.
  • Checked claims coding for accuracy with ICD-10 standards.

Research and Administrative Assistant

Law Office of Lori-Ann Rickard
Grosse Pointe Woods, MI
03.2001 - 03.2003
  • Administration and setup of a law office that specializes in billing medical procedures and guidelines for practitioners (hospitals, clinics, and doctors).
  • Research and publication of the HIPAA manual.
  • Time sheet entry of billable hours.
  • Case preparation for insurance review.
  • Research of Michigan State employment laws.
  • Research on federal Medicare guidelines.
  • Answering and administering incoming phone calls to the practice.
  • Scheduling attorney-client meetings.

Billing Systems Manager

Medical College of WI - Neurosurgery Department
Milwaukee, WI
01.1996 - 06.1999
  • Serve as a liaison to faculty regarding all aspects of medical billing.
  • Develop optimal billing and reimbursement effectiveness.
  • Monitor the adequacy of documentation guidelines.
  • Collect $12 million in reimbursement for the fiscal year 1998-1999.
  • Translate for Spanish-speaking patients.
  • ICD-9 and CPT coding of physician inpatient and outpatient services.

Administrative Support to Payroll Department

Milwaukee Brewers Baseball Club
Milwaukee, WI
01.1996 - 06.1996
  • Assist in computer programming and the upgrade of the network system.
  • Maintain and manage the payroll system.
  • Provide written and verbal translations of contract agreements for Spanish-speaking baseball players.

Office Manager/Associate Agent

MacNeil Associates Ltd
Milwaukee, WI
03.1993 - 01.1995
  • Establish meetings with prospective clients.
  • Interview and train new employees.
  • Provide ongoing service to clients' life insurance policies.
  • Maintain the database, schedules, and office equipment.

Office Manager/Legal Assistant

Hochstatter McCarthy & Rivas, S.C.
Milwaukee, WI
05.1989 - 03.1993
  • Meet with clients to gather information for the completion of respective immigration forms to file with the Immigration and Naturalization Service.
  • Prepare spreadsheets and necessary documents for estate planning.
  • Prepare extract translations of legal documents.
  • General office maintenance and billing.

Education

Bachelor of Arts - Business Administration

Marquette University
Milwaukee, WI
01-1996

Associate of Arts - Legal Administration

Stratton College
Milwaukee, WI
01-1989

High School Diploma -

St. Mary's Springs High School
Fond Du Lac, WI
01-1986

Skills

  • Healthcare reimbursement
  • ICD-10 knowledge
  • Denial resolution techniques
  • Accounts receivable management
  • Medical office software proficiency
  • Claims processing proficiency
  • Patient billing procedures
  • Organizational growth
  • Motivation and initiative
  • Information requests
  • Claims review
  • Electronic health records management
  • Medical transcription
  • Teamwork and collaboration
  • Work prioritization
  • Verbal and written communication
  • Records management
  • Account follow-up
  • Multitasking and organization
  • Clerical support
  • CPT coding
  • Medical terminology mastery
  • HIPAA compliance
  • Professionalism and ethics

Languages

Spanish
Professional
German
Limited
English
Professional

Timeline

Medical Billing Coordinator

Chelsea Dermatology
09.2007 - 05.2010

Research and Administrative Assistant

Law Office of Lori-Ann Rickard
03.2001 - 03.2003

Billing Systems Manager

Medical College of WI - Neurosurgery Department
01.1996 - 06.1999

Administrative Support to Payroll Department

Milwaukee Brewers Baseball Club
01.1996 - 06.1996

Office Manager/Associate Agent

MacNeil Associates Ltd
03.1993 - 01.1995

Office Manager/Legal Assistant

Hochstatter McCarthy & Rivas, S.C.
05.1989 - 03.1993

Bachelor of Arts - Business Administration

Marquette University

Associate of Arts - Legal Administration

Stratton College

High School Diploma -

St. Mary's Springs High School
Dolores Gillespie