Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gabrielle Klein

Blair,WI

Summary

Dynamic Payment and Charge Posting Specialist with a proven track record at Gundersen Health System, excelling in payment processing and documentation management. Recognized for exceptional interpersonal skills and accuracy in data entry, contributing to improved billing efficiency and enhanced patient satisfaction. Committed to maintaining high standards of service and compliance.

Overview

3
3
years of professional experience

Work History

Payment and Charge Posting Specialist

Gundersen Health System
10.2024 - Current
  • 1. Research/review and verify for appropriate patient accounts and claims to post insurance and patient payments through billing systems with accuracy and speed.
  • 2. Balance and process electronic 835 compliant files to post payments, adjustments/discounts to patient accounts within our billing systems.
  • 3. Identifies issues with Electronic Remittance Notice files. Involves PBS Systems, Payment Posting and appropriate staff to resolve and problem solve. Involves IS when necessary. Provides appropriate information and feedback.
  • 4. Works with our internal and external customers to maintain data integrity, which includes, but not limited to: demographic verification and correct insurance information to assure accurate posting of payments and contractual adjustments being posted and expedient filing of future claims to carriers, which ultimately affects the reduction of the organization's accounts receivable.
  • 5. Works collectively with payors and internal contacts to identify and rectify billing issues resulting in reimbursement and final disposition of claims. Verifies accuracy of payment for correct reimbursement.
  • 6. Research and process insurance recoups on patient accounts.
  • 7. Monitor and work reports generated by the billing system for unapplied payments.
  • 8. Update computer systems with information (insurance, demographics, claim/account status).
  • 9. Balancing and preparing daily bank deposits.
  • 10. Balance daily Accounts Receivable.
  • 11. Post denials to patient accounts/claims.
  • 12. Knowledgeable of all contractual guidelines to ensure compliance.
  • 13. Performs necessary error corrections and/or initiates a refund request to rectify the guarantor account.
  • 14. Actively participates in analysis of work processes and provides feedback to the PBS Managers and PBS Systems Trainers to assist in enhancing overall patient satisfaction and work processes.
  • 15. Prepares payment batches for scanning into the document imaging system.
  • 16. Scans source document information into the document imaging system, ensuring that images are readable.
  • 17. Performs quality assurance audits on document imaging

Patient Liaison

Gundersen Health System
09.2023 - 10.2024
  • 1. Represents Gundersen Health System's high standards for customer service in all telephone and face-to-face encounters through courteous, patient and respectful conduct and conversation.
  • 2. Communicates effectively with patients, family members and Gundersen Health System staff to schedule appointments, admissions, surgeries, tests and procedures utilizing good customer service skills. Provides information and instruction in a confidential manner to prepare patients for current and future appointments. Uses CWS (clinical workstation) to respond to the requests of MD, nurses, MA's to create, update and/or print patient's protected health information to assist with completion of documentation.
  • 3. Responsible to ensure accurate and complete data for promptly registering patients, gathering, verifying and up-dating demographics, as well as insurance and benefit information to drive a timely billing process for our patients.
  • 4. Demonstrates and maintains successful completion of defined core competencies in computer skills related to patient registration and appointment scheduling, insurance, cash collection and department computerized schedules.
  • 5. Works within the organizational financial guidelines to collect payment and assist customers with financial need for payment of services, utilizing appropriate resources.
  • 6. Obtains appropriate signatures on forms relating to registration, billing, and patient care, meeting all compliance regulations and requirements.
  • 7. Assists in obtaining estimates for patient responsibility and notifies guarantors prior to treatment according to published organizational standards.
  • 8. Keeps current through periodic in-service on registration policies, procedures, insurance guidelines and other information related to position.
  • 9. Solicits and responds to customer complaints/concerns either in writing or verbally, using appropriate resources.
  • 10. Views, documents, or prints from the patients electronic health record to assist with coordination of patient care.

Patient Services Specialist

Gundersen Health System
12.2022 - 09.2023
  • 1. Represents Gundersen Health System's high standards for customer service face-to-face communication through courteous, patient and respectful conduct and conversation, while meeting the needs of all customers encountered.
  • 2. Promotes and maintains a warm and inviting environment for the patient/family by focusing attention to their needs and in greeting, offering wayfinding and promptly notifying staff of patient arrival.
  • 3. Responsible for notifying the Patient Services Supervisor of issues/concerns affecting patient flow.
  • 4. The Patient Services Specialist ensures complete patient registration and reviews whether insurance has been verified upon check in. Obtains signatures on forms related to registration, billing and patient care, meeting all compliance regulations and requirements.
  • 5. Effectively coordinates and schedules appointments/procedures as directed and in alignment with patient needs. Provides closure to the visit, as well as applicable information and instructions to prepare the patient for subsequent appointments.
  • 6. Reconcile the department schedule to account for accuracy in billing, dictation and data collection related to patient visits.
  • 7. Demonstrates and maintains competency in computer skills related to patient registration and appointment scheduling.
  • 8. Keeps skills and education current through periodic in-service on service excellence, registration and scheduling policies, and insurance guidelines and other information related to position.
  • 9. Works within the organizational financial guidelines for collecting payment and directs customers to appropriate resources when necessary.
  • 10. Views, documents, or prints from the patient's electronic health record to assist with coordination of patient care.

Education

No Degree - Accounting

Southeast Technical College
Winona, MN
2009

High School Diploma -

Blair-Taylor High School
Blair, WI
05-2009

Skills

  • Documentation management
  • Excellent Organization
  • Time Management
  • Interpersonal Skills Both Over the Phone and In Person
  • Knowledge of Microsoft Office
  • Payment Processing
  • Understanding of Accounting Principles
  • Data Entry Accuracy

Timeline

Payment and Charge Posting Specialist

Gundersen Health System
10.2024 - Current

Patient Liaison

Gundersen Health System
09.2023 - 10.2024

Patient Services Specialist

Gundersen Health System
12.2022 - 09.2023

No Degree - Accounting

Southeast Technical College

High School Diploma -

Blair-Taylor High School

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