Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Gabriela Loera

Crystal City,Texas

Summary

Motivated professional with background supporting patient medical needs by verifying insurance, scheduling appointments, and organizing documents. Forward-thinking and resourceful with good interpersonal skills, strong attention to detail and upbeat mentality. Advanced abilities in healthcare billing and scheduling software. Flexible hard worker ready to learn and contribute to team success. Demonstrative eligibility specialist proudly offering several years' experience assisting others with enrollment and program services. Polished professional known for interactions that are fair, compassionate and respectful. Promoting issue resolution expertise in fast-paced environments.

Overview

11
11
years of professional experience

Work History

Collections Specialist

GreenSky
REMOTE
12.2024 - 02.2025
  • Arranged debt repayment or established schedules for repayment based on customer's financial situation.
  • Kept abreast of changes in federal and state laws affecting collections processes; updated procedures accordingly within the organization.
  • Remitted payments received from customers promptly while adhering to all applicable laws and regulations governing the collection process.
  • Negotiated rates with customers and entered payments into accounting system.
  • Analyzed account histories, monitored payments, reconciled discrepancies and updated customer information in the database.
  • Received payments and posted amounts to customer accounts.
  • Negotiated credit extensions and waivers when necessary.
  • Monitored accounts in various stages of delinquency for potential legal action; referred cases as required according to established policies.
  • Updated account status and maintained accurate records of all collection activities.
  • Ensured compliance with federal and state collections laws and regulations.
  • Advised delinquent customers on strategies for debt repayment.
  • Developed collection methods to achieve or exceed company financial goals.

Customer Care Agent

Tomorrow Health
REMOTE
05.2024 - 08.2024
  • Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
  • Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
  • Maintained updated knowledge of products and services offered by the company.
  • Researched resolutions, contacted necessary departments and responded to customer by phone, mail, or fax as follow-up.
  • Prepared and evaluated CRM reports to identify problems and areas for improvement.
  • Followed manufacturer guidelines when servicing medical devices to ensure compliance with regulations governing such activities.
  • Compiled detailed reports documenting all service activities performed on each medical device unit serviced.
  • Ordered necessary parts and supplies required for repair or maintenance of DME units.
  • Stayed informed about any changes in policies or procedures relating to servicing and repairing medical devices.
  • Participated in regular meetings with colleagues from other departments within the organization.
  • Completed routine repairs and modifications to existing DME units as needed.
  • Instructed individuals on proper use of blood pressure monitors and other medical devices.

Patient Scheduler

PRC
REMOTE
08.2023 - 10.2023
  • Maintained up-to-date knowledge of office policies related to scheduling operations
  • Highly organized professional with experience in scheduling and managing patient appointments
  • Proven ability to effectively coordinate with healthcare staff, insurance companies and patients
  • Possesses a strong focus on accuracy and customer service
  • Dedicated individual with a strong focus on patient care
  • Highly skilled in using EHR systems to collect and document patient information
  • Experienced in providing patients with detailed information regarding appointments and medical care
  • Exceptional record of meeting tight deadlines and ensuring accuracy in scheduling
  • Reliable healthcare professional offers experience administering medications, collecting and processing lab specimens, scheduling appointments and updating patient records
  • Proven ability to remain organized and work closely with physicians and nurses in a fast-paced environment
  • Committed to providing outstanding patient care and support to ensure patient satisfaction
  • Accomplished individual with demonstrated expertise in patient intake, scheduling appointments, medical records management, and insurance filing
  • Proficient in both administrative and clinical duties including vitals, injections, lab draws, and patient education
  • Committed to providing exceptional patient care and satisfaction

Billing Collection Clerk

Vida y Salud Health System
Crystal City
06.2018 - 12.2019
  • Ensured that all appointment times were accurately recorded in the system
  • Performed clerical duties such as filing documents, faxing forms, printing reports
  • Resolved conflicts between physician schedules, hospital policies, and patient needs efficiently
  • Collaborated with colleagues to coordinate multiple appointments within a timely manner
  • Assisted with training new staff members on the appointment scheduling process
  • Responded quickly and effectively to urgent requests from patients or medical personnel
  • Assisted with check-in and check-out procedures for scheduled patients
  • Monitored no-show rates for appointments and worked proactively to reduce them
  • Utilized excellent communication skills to interact with patients over the phone or in person regarding their appointments
  • Actively participated in meetings related to scheduling changes or updates
  • Assisted patients with daily labs, doctor appointments, lab drop-offs, immunizations, etc., checked health insurance daily, collected co-pays daily, advised patients of daily balance on accounts, tried to resolve their accounts to make sure they were current, handled sending invoices to partner companies, fixed daily errors on each patient's account, mailed out claims for health insurance's for patient services, took care of all the bad debt patients had, helped them bring accounts current, and resolved issues daily
  • Analyzed financial data to identify discrepancies or irregularities in payment histories
  • Reviewed credit applications for completeness prior to processing them into the system
  • Audited files regularly to ensure compliance with applicable laws and regulations
  • Compiled detailed reports on past due accounts, delinquencies, and collection activities
  • Utilized effective communication skills when dealing with difficult customers or situations
  • Trained new staff members on policies and procedures related to collections activities
  • Accurately processed payments and reconciled accounts receivable records
  • Performed daily reconciliation of deposits received against invoices issued to ensure accuracy
  • Researched account information using internal databases and external sources to verify accuracy
  • Proficiently operated cash registers, computers, and other office equipment
  • Developed strong relationships with customers in order to facilitate the resolution of outstanding balances
  • Negotiated payment plans with customers according to company policy guidelines

ER Clerk

Dimmit Regional Hospital
Carrizo Springs
09.2016 - 03.2017
  • Assisted Doctors and Nurses with patient charts, made sure everything was in order before patients would be seen or transferred to another facility or needed to be admitted to the hospital, answered calls, checked insurances, collected co-pays, offered programs to patients without health insurance, and made sure everything was in order for the billing department
  • Successfully maintained an organized filing system for patient charts and documents
  • Maintained confidentiality regarding patient information in accordance with HIPAA regulations
  • Processed payments accurately and efficiently using computer software programs
  • Prepared daily logs of all incoming and outgoing mail items related to patient accounts
  • Conducted regular audits of medical records to ensure accuracy of data entry
  • Utilized problem solving skills to resolve issues related to billing discrepancies and insurance inquiries
  • Maintained current knowledge of coding guidelines set forth by various health care organizations
  • Accurately entered patient information into the electronic medical records system
  • Assisted in training new employees on proper procedures for entering data into the EMR system
  • Efficiently handled requests for medical records from outside agencies such as lawyers or government entities
  • Provided support to clinical staff by researching lab results, radiology images
  • Ensured that all paperwork is completed correctly prior to submitting it for processing
  • Performed administrative duties such as typing correspondence letters, faxing documents, and photocopying forms
  • Researched missing or incomplete documentation in order to complete medical records accurately
  • Exhibited strong communication skills when speaking with both internal and external customers
  • Compiled reports on patient visits, referrals, treatments, diagnoses as needed by physicians or other staff members

Substitute Teacher

Carrizo Springs Independent School District
Carrizo Springs
03.2016 - 05.2016
  • Followed the instructions of the Teachers for the daily assignments for students, assisted them in all subjects and extracurricular activities, volunteered during lunchtime to watch over the students, and attended all necessary meetings
  • Managed classroom environment, helping students learn in absence of regular teachers
  • Maintained discipline and classroom control, fostering safe and positive learning environment
  • Provided classroom teacher with written feedback on results of lessons and student behavior issues
  • Followed existing lesson plans to provide consistent instruction to assigned students

Customer Service Representative

PFS Group
HYBIRD
03.2015 - 02.2016
  • Assisted in answering inbound calls, did call outs for patients in outbound calls, helped patients with their hospital accounts, advised them of discounts and offered assistance to settle their accounts, managed the Hospital systems, assisted with health insurance credentials, and handled many payment transactions over the phone
  • Handled customer complaints and inquiries in a courteous and efficient manner
  • Demonstrated excellent communication skills, both verbal and written, in order to effectively interact with customers
  • Developed strong customer relationships and loyalty through effective communication
  • Maintained knowledge of company products to provide helpful suggestions and recommendations to customers
  • Responded to telephone inquiries and complaints following standard operating procedures
  • Greeted customers by name and displayed respectful attitude, helping develop rapport with customer base and build lasting relationships
  • Addressed customers courteously using suitable methods and problem-solving skills
  • Utilized problem-solving techniques to identify solutions for complex customer inquiries
  • Assisted with training and mentoring new team members
  • Adhered to company policies and procedures while providing superior service
  • Met daily customer service quotas with a focus on quality
  • Participated in team meetings to discuss new ideas for improving the overall quality of customer service provided
  • Remained open to feedback from supervisor and peers to build and improve skills set
  • Updated and maintained database with accurate customer information and timely data entry
  • Developed and maintained working knowledge of internal policies, procedures, and services to appropriately address customer issues

Substitute Teacher

Avance
Crystal City
02.2014 - 09.2014
  • Observed established classroom schedules to provide consistency for students
  • Created an inclusive atmosphere where every student felt valued and respected
  • Demonstrated strong organizational skills while managing multiple classrooms
  • Documented summary of work completed to update regular classroom teacher
  • Maintained accurate records including attendance reports, grades, behavior logs
  • Fostered positive relationships with students, parents, and colleagues
  • Collaborated with other teachers, administrators and staff to provide quality education for students

Education

Bachelor of Science (B.S.) - Criminal Justice

Southern New Hampshire University
Manchester, NH
12-2028

GED -

Texas Education Agency
Austin, Texas
07.2010

Skills

  • Healthcare Knowledge
  • Attention to Detail
  • Problem Solving
  • Task Prioritization
  • Software Navigation
  • Interpersonal Skills
  • Adaptability
  • Team Collaboration
  • Strong Organization
  • Critical Thinking
  • Data Entry Proficiency
  • Patient Confidentiality
  • Medical Terminology
  • Telephone Etiquette
  • Empathy and Compassion
  • Insurance Verification
  • Conflict Resolution
  • Strong negotiation skills
  • Call center background
  • Active listening
  • Account reconciliation
  • Payment plan coordination
  • System maintenance
  • Data entry efficiency
  • Outbound calling
  • Supply ordering
  • Collections
  • Payment acceptance
  • Credit and collections
  • Time Management
  • Professionalism
  • Decision Making
  • Resourcefulness
  • Excellent Communication
  • Computer Literacy
  • Multitasking Abilities
  • Appointment Scheduling
  • Active Listening
  • Customer Service
  • Follow-up Skills
  • Transcription
  • Medical Billing
  • Facility coordinating
  • Educating patients
  • Updating charts
  • Records Management
  • Multi-Line Phone Systems
  • Patient Registration
  • Following up with patients
  • Obtaining authorizations
  • EHR systems expertise
  • Correspondence Writing
  • Checking in patients
  • Verifying insurance
  • Schedule Management
  • Data Entry
  • File preparation
  • Reception oversight
  • Database Maintenance
  • Patient Relations
  • Appointment Coordination
  • HIPAA Compliance
  • Patient Scheduling
  • Standards Compliance
  • Medical Records Management
  • Medical office administration
  • Patient support
  • Electronic Charting
  • Payment Processing
  • Office Support
  • Medical Coding
  • Supply Management
  • CPR/AED
  • Written Communication
  • Vital Signs Documentation
  • Problem-Solving
  • Diagnostic Testing
  • Operating EKG Equipment
  • Nonviolent Crisis Intervention
  • Analytical Skills
  • Patient Care
  • Basic Math
  • Multitasking
  • Self Motivation
  • CPT coding
  • Private insurance
  • Quality assurance practices
  • Medical billing procedures
  • Clinical documentation improvement
  • Medical coding expertise
  • Patient referrals
  • Healthcare regulations
  • Knowledgeable in EPIC
  • Medical appeals handling
  • Authorizations
  • Insurance procedures
  • HIPAA compliance
  • Claim research
  • Physician order verification
  • Records maintenance
  • Medical terminology
  • Electronic health records proficiency
  • Billing procedures
  • Benefit coverage
  • Claims processing experience
  • Retro-authorizations
  • Patient scheduling
  • ICD-10 coding
  • Medical office procedures
  • Prior authorization process
  • Outpatient surgery coding

Languages

English
Native/ Bilingual
Spanish
Native/ Bilingual

Timeline

Collections Specialist

GreenSky
12.2024 - 02.2025

Customer Care Agent

Tomorrow Health
05.2024 - 08.2024

Patient Scheduler

PRC
08.2023 - 10.2023

Billing Collection Clerk

Vida y Salud Health System
06.2018 - 12.2019

ER Clerk

Dimmit Regional Hospital
09.2016 - 03.2017

Substitute Teacher

Carrizo Springs Independent School District
03.2016 - 05.2016

Customer Service Representative

PFS Group
03.2015 - 02.2016

Substitute Teacher

Avance
02.2014 - 09.2014

Bachelor of Science (B.S.) - Criminal Justice

Southern New Hampshire University

GED -

Texas Education Agency

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Gabriela Loera