Gabriella Joseph
Hollywood,FL
Summary
Enthusiastic about harnessing my detail-oriented nature and customer service background to excel in the healthcare industry. Eager to apply my organizational and multitasking skills, proven through managerial experience, to contribute positively to medical billing and coding processes. My goal is to gain valuable skills and make a meaningful impact by ensuring accuracy, compliance, and efficiency in healthcare administration.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Claim Follow-up Specialist
Codemax Medical Billing
Commercial Blvd, Florida
06.2024 - Current
- Maintained up-to-date records of Denials, Medical Records, Negotiations and Pending claim statuses on monthly Excel spreadsheet.
- Out-bound calls to payers to process all pending claim payments.
- Review and work on unpaid claims, identifying and rectifying billing issues.
- Conducts research and appeals denied claims.
- Collaborates with the billing team to ensure accurate claim submission.
- Resubmits claims with necessary corrections or supporting documentation when needed.
- Programs used were internal, Codemax Portal and Collaborate MD.
Medical Biller
Nova Southeastern University
Davie, FL
11.2023 - Current
- Using Nextgen and EHR, I bill patient claims to the correct insurance within timely filing guidelines, correct and edit errors before submitting the claim, and add coding modifiers when needed
- Assisting patients with balance inquiries, including the processing of their claims and balances after insurance payments
- Evaluate and verify benefits eligibility, deductibles, copay and policies
- Identify and resolve patient billing and payment issues posted and adjusted payments from the insurance companies
- Contact patient insurance to review, appeal and check on status of claims if unable to locate in provider portals
- Knowledge of CMS Official Guidelines for Coding and Reporting ICD-10-CM coding and EM Guidelines.
Front Desk Receptionist
Jarlin Cabinetry
Davie, FL
05.2023 - 11.2023
- Greet walk-in customers and proceed with their order numbers to print confirmation pick up list
- Direct them to make payment and pick up their orders
- Answer incoming calls, direct the customer to the correct department and/or answer questions
- Educate the customers on the products, measurements, stock, and business policy
- Keep a record of the showroom visits, picked up orders, item quotes, and returns.
Member Experienced Agent
Nations Benefits
Plantation, FL
01.2023 - 03.2023
- Collaborated with members within the Health Department for Insurance providers under HIPAA Laws
- Handled third-party Over the Counter (OTC) item orders, including profile resets and benefits verification
- Managed escalations and ticket submissions for prompt resolution of outstanding issues and grievances
- Prioritized excellent member service, ensuring utmost satisfaction.
Coordinator
Mobile Eyecare Associates
Sunrise, FL
09.2022 - 01.2023
- Demonstrated organizational skills in coordinating eye care services for nursing home and rehabilitation facility patients
- Validated insurance status and benefits, executed medical billing claims, and facilitated seamless glasses orders and shipments
- Maintained meticulous records of monthly glasses frames inventory in the office and lab
- Established and managed patient accounts, meticulously scheduling appointments based on diagnosis and progress notes
- Executed diverse in-office duties, from maintaining tidiness to managing incoming and outgoing communications.
Supervisor
Lifeline Support
Remote
10.2021 - 10.2022
- Ensured compliance with qualifying documentation standards for households under my supervision
- Mentored, trained, and evaluated my team, focusing on achieving monthly quotas and delivering exceptional call quality
- Leveraged expertise to assist agents in effectively communicating with and advising customers
- Designed schedules and adherence logs to optimize agent performance.
Manager
Fiserv Hybrid
11.2019 - 07.2021
- Guided members through website navigation and application downloads, enhancing their online experience
- Provided training sessions for customer service representatives in response to updates presented by clients
- Resolved escalated issues by offering effective solutions, even in the absence of a manager
- Ensured seamless operations through effective management and problem-solving.
Assistant Manager
Copart Direct
Brooklyn, NY
08.2018 - 11.2019
- Facilitated successful agreements between clients and buyers, overseeing smooth transactions and document verification
- Led a team of customer service agents, providing training, coaching, and performance evaluations
- Implemented effective communication channels to foster a positive working environment.
Supervisor
T-Mobile
Brooklyn, NY
01.2017 - 08.2019
- Managed store operations, including inventory management, sales activities, and cash handling
- Ensured a streamlined and customer-centric store experience, contributing to customer loyalty and satisfaction.
Education
Diploma in Medical -
NUC University - Florida Technical College
04.2023
Skills
- Health Insurance Verification
- Strong critical thinking and problem-solving abilities
- Skill in addressing patient inquiries and concerns related to billing
- Awareness of HIPAA regulations and patient confidentiality
- Understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS Level II coding
- Efficiently manage and prioritize tasks
- Familiarity with medical terminology, anatomy, and physiology
- Familiarity with basic EHR systems and data entry
- Effective communication skills
- Strong attention to detail to ensure accurate coding and billing information is applied
- Proficient in Microsoft Word, Excel and PowerPoint
- Ability to work under high stress situations
- Medical collection
- ICD coding
- Anatomy knowledge
Certification
- Medical Coding Certification
- Certified Coding Associate
- Certified Coding Specialist
- RHIT
- RHIA
- AHIMA
Timeline
Medical Claim Follow-up Specialist
Codemax Medical Billing
06.2024 - Current
Medical Biller
Nova Southeastern University
11.2023 - Current
Front Desk Receptionist
Jarlin Cabinetry
05.2023 - 11.2023
Member Experienced Agent
Nations Benefits
01.2023 - 03.2023
Coordinator
Mobile Eyecare Associates
09.2022 - 01.2023
Supervisor
Lifeline Support
10.2021 - 10.2022
Manager
Fiserv Hybrid
11.2019 - 07.2021
Assistant Manager
Copart Direct
08.2018 - 11.2019
Supervisor
T-Mobile
01.2017 - 08.2019
Diploma in Medical -
NUC University - Florida Technical College
- Medical Coding Certification
- Certified Coding Associate
- Certified Coding Specialist
- RHIT
- RHIA
- AHIMA
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