Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gail Abernathy

Navarre,FL

Summary

Efficient billing professional with twenty plus years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Overview

23
23
years of professional experience

Work History

Medical Billing Specialist (Remote)

EngageMed
06.2020 - 05.2024
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
  • Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
  • Located errors and promptly refiled rejected claims.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Identified and resolved patient billing and payment issues.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Precisely evaluated and verified benefits and eligibility.
  • Filed and updated patient information and medical records.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Verified insurance of patients to determine eligibility.

Front Office Assistant/Clinic Coordinator II

CHI St Vincent/ 270 West Clinic
02.2017 - 06.2020
  • Enhanced customer satisfaction by promptly addressing inquiries and concerns at the front desk.
  • Streamlined office operations for increased efficiency through effective organizational tasks such as filing, scheduling, and data entry.
  • Facilitated seamless communication between departments by routing calls and relaying messages accurately and in a timely manner.
  • Managed inventory supplies, reducing waste and ensuring availability of essential materials for daily operations.
  • Resolved conflicts professionally and efficiently, fostering a positive workplace atmosphere.
  • Collaborated with team members to improve overall front office performance through consistent feedback and process improvement suggestions.
  • Directed phone inquiries, answered customer questions, and scheduled appointments for six providers.
  • Processed incoming and outgoing mail, sorting and distributing to correct staff and departments.
  • Reviewed and updated customer information in database for accuracy.
  • Completed patient check-in processes by verifying insurance and submitting forms to nursing team.
  • Processed payments and informed individuals of further financial responsibility to facilitate timely payments.

Front Office/Appointment Scheduler

CHI St Vincent Orthopedic Clinic
02.2016 - 02.2017
    • Successfully scheduled patient appointments for eight providers and placed reminder calls to deliver exceptional customer experience.
    • Received, recorded and addressed incoming and outgoing communication via telephone and email.
    • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
    • Carried out front office duties utilizing data entry skills in framework of medical database.
    • Completed and filed financial documentation for accounting purposes.
    • Enhanced customer satisfaction with timely and accurate appointment confirmations and reminders.
    • Reduced no-show rates by consistently following up with clients prior to their scheduled appointments.
    • Managed high call volume while maintaining professionalism and accuracy when gathering client information for appointment bookings.
    • Provided excellent customer service through attentive listening, empathetic communication, and efficient problem-solving during the scheduling process.
    • Handled complaints and questions, and re-directed calls to other team members.

PSE

USPS - United States Postal Service
08.2015 - 01.2016
    • Sorted and placed mail into mailboxes and post office boxes with high levels of accuracy.
    • Provided service and sales to walk-in customers.
    • Upsold postal services like insurance and tracking.
    • Released registered and special delivery letters and packages to designated recipients and obtained signatures for release.
    • Weighed letters and packages and calculated costs based on classification, weight and destination.
    • Assisted customers in completing and submitting forms to update address or report lost and stolen mail.
    • Loaded and unloaded shipping containers and vehicles.
    • Weighed mail and computed pricing amounts.
    • Sorted mail according to size, shape, and destination.
    • Enhanced customer satisfaction by efficiently sorting, routing, and distributing mail to appropriate destinations.
    • Accelerated processing times with effective use of automated equipment for mail sorting and distribution.
    • Assisted customers with special services requests such as certified mail or insurance claims, fostering trust in the USPS brand.
    • Loaded and unloaded shipping containers and vehicles.
    • Sorted mail according to size, shape and destination.
    • Sorted and placed mail into mailboxes and post office boxes with high levels of accuracy.
    • Released registered and special delivery letters and packages to designated recipients and obtained signatures for release.
    • Provided service and sales to walk-in customers.
    • Weighed letters and packages and calculated costs based on classification, weight, and destination.
    • Used computer systems to track packages and update client information.

Accounts Receivable Coordinator II

Mercy
02.2006 - 08.2015
    • Located errors and promptly refiled rejected claims.
    • Posted and adjusted payments from insurance companies.
    • Precisely completed appropriate claims paperwork, documentation and system entry.
    • Communicated effectively and extensively with other departments to resolve claims issues.
    • Maintained current accounts through aged revenue reporting.
    • Communicated with insurance providers to resolve any denied claims and resubmit.
    • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
    • Researched and followed up on denied insurance claims.
    • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.

Front Office/Billing

Hot Springs Internal Medicine
02.2001 - 02.2006
  • Promptly answered multi-line phone system and greeted callers enthusiastically.
  • Located errors and promptly refiled rejected claims.
  • Registered new patients and updated existing patient demographics by collecting detailed patient information including personal and financial information.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff..
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Posted payments and collections on regular basis.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Collected payments and applied to patient accounts.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Assisted patients by determining financial assistance available and setting up payment plans.

Education

Business Diploma -

Quapaw Technical Institute
Hot Springs, AR
05.1995

GED -

Perryville High School
Perryville, AR
02.1993

Skills

  • Multitasking and Organization
  • Teamwork and Collaboration
  • Critical Thinking and Problem Solving
  • Professionalism and Strong Work Ethic

Timeline

Medical Billing Specialist (Remote)

EngageMed
06.2020 - 05.2024

Front Office Assistant/Clinic Coordinator II

CHI St Vincent/ 270 West Clinic
02.2017 - 06.2020

Front Office/Appointment Scheduler

CHI St Vincent Orthopedic Clinic
02.2016 - 02.2017

PSE

USPS - United States Postal Service
08.2015 - 01.2016

Accounts Receivable Coordinator II

Mercy
02.2006 - 08.2015

Front Office/Billing

Hot Springs Internal Medicine
02.2001 - 02.2006

Business Diploma -

Quapaw Technical Institute

GED -

Perryville High School

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Gail Abernathy