Gabriela Freeman
Genoa City,WI
Summary
Proven leader in medical billing management at Medical Eye Services, Inc, enhancing revenue cycles and patient satisfaction through expert claims processing and exceptional customer service. Skilled in ICD-10 and HIPAA compliance, I spearheaded initiatives that significantly reduced denied claims, leveraging critical thinking and organizational abilities to streamline operations and foster team collaboration.
Overview
9
9
years of professional experience
Work History
Collector Team Lead
Lifeline Vascular Center
03.2022 - 07.2024
- Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
- Implemented effective communication strategies among team members, resulting in increased productivity and reduced miscommunications.
- Maintained strict adherence to HIPAA privacy guidelines, protecting sensitive patient information at all times during the billing process.
- Established efficient workflows, organizing tasks to optimize the use of time and resources within the team.
- Meticulously reviewing and correcting billing errors before re-submission.
- Identified trends in denied claims, addressing root causes to prevent future issues and improve overall success rates.
- Expedited payment processing with timely follow-ups on outstanding insurance claims.
- Collaborated with clinical staff to ensure accurate coding of procedures and diagnoses for proper claim submission.
- Provided exceptional customer service when addressing patient inquiries about bills or insurance coverage details, contributing to positive overall experiences with the healthcare facility.
- Managed accounts receivable aging reports, prioritizing collections efforts for overdue balances.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- ERA & EFT insurance payer set up
- Handled insurance and patient refunds
- Strong skills submitting appeals according to the insurance guidelines.
- Worked close with third party vendor and clearing house to minimize missing payments and accurate billing edits.
- Monthly staff meetings to discuss ideas to resolve work issues.
Medical Billing Manager
Medical Eye Services, Inc
12.2015 - 03.2022
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
- Collaborated with providers and staff to ensure accurate coding for billing purposes.
- Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
- Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
- Served as an expert resource on complex patient account issues or high-dollar claims requiring specialized handling, ultimately resolving outstanding balances in an efficient manner.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Improved medical billing processes by streamlining workflows and implementing efficient systems.
- Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
- Established and checked coding procedures, monitored reports and updated internal files.
- Utilized financial software to prepare consolidated financial statements.
- Complied with established internal controls and policies.
- Evaluated and negotiated contracts to procure favorable financial terms.
Education
Billing Specialist Certificate -
College of Lake County
Grayslake, IL05.2015
Skills
- Medical Billing Software Proficiency
- ICD-10 Knowledge
- Claims Processing Proficiency
- HIPAA Compliance Understanding
- Critical thinking abilities
- Organizational abilities
- Collections experience
- Electronic Health Records Experience
- Payment Posting Abilities
- Microsoft Office Suite proficiency
- Continuous Improvement Mindset
- Analytical Problem Solving
- Accounts receivable management
- CPT Coding Familiarity
- Patient Billing Procedures
- Denial Management Expertise
- Teamwork and Collaboration
- Customer Service
- Problem-Solving
- Time Management
- Attention to Detail
- Multitasking
- Reliability
- Excellent Communication
- Organizational Skills
- Team Collaboration
- Customer service support
- Adaptability and Flexibility
- Task Prioritization
- Billing and Invoicing
- Billing statement review
- Billing Data Verification
- Payment Processing
- Collections processing
- Adaptability
- Payment Collection
Timeline
Collector Team Lead
Lifeline Vascular Center
03.2022 - 07.2024
Medical Billing Manager
Medical Eye Services, Inc
12.2015 - 03.2022
Billing Specialist Certificate -
College of Lake County
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