Gabriela Mejia

- Scrubbed and corrected claims to ensure compliance and accuracy before submission
- Oversaw patient accounts for three doctors, ensuring all billing, collections, and reimbursements were up to date
- Leveraged expert knowledge of health insurance processes and plan policies to resolve claim discrepancies
- Streamlined patient account reconciliation, maintaining compliance with Refunds Policy and HIPAA
- Generated monthly accounts receivable reports to identify trends and optimize workflows
- Acted as a liaison between patients, billing staff, and insurance carriers, ensuring prompt resolutions

- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.

- Created repayment plans based on account holders' financial status and repayment abilities.

- Encouraged customers to pay due amounts on credit accounts, claims or overdrawn checks.

- Managed patient payments, ensuring accurate posting and timely updates to financial records
- Identified discrepancies in financial reports, supporting decisions to enhance revenue cycle efficiency
- Facilitated communication between hospitals and internal departments to improve billing processes
- Researched discrepancies in claim information to determine appropriate resolution.
- Responded to inquiries from providers and managed disputes related to unpaid claims.
- Maintained records of customer interactions, recording details of inquiries, complaints, and comments.
- Performed data import, scanning, or manual keying processes to verify invoice accuracy.

- Coordinated office operations, scheduled appointments, and maintained client records

- Handled incoming calls and directed callers to appropriate department or employee.

- Assisted in crisis management by contacting appropriate authorities for clients with mental health issues

-Coordinated and scheduled meetings, including room reservations, catering, and technical setup, for seamless execution.
- Helped clients complete paperwork to apply for assistance programs.
- Discussed available program services with potential participants and outlined procedures to facilitate smooth engagement in program processes.
- Collaborated with social workers to support patients.

- Processed claims and monitored office calendars to ensure timely service delivery
- Resolved client complaints calmly and courteously, ensuring high patient satisfaction

- Initiated and established the billing department specializing in Medicaid claims, contributing to significant office revenue growth.

- Processed claims and monitored office calendars to ensure timely service delivery.

- Resolved client complaints calmly and courteously, ensuring high patient satisfaction.

- Processed invoices for payment; tracked payments received from vendors and clients.

-Sent and distributed mail and parcels.

- Supervised front desk to manage check-ins and check-outs, verify insurance and collect payments.