Summary
Overview
Work History
Education
Skills
Timeline
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Gayle Anderson

Whittier,CA

Summary

Efficient billing specialist with 24+ years of experience performing various accounts receivable functions. Strong familiarity with claims procedures, collection techniques and customer query resolution. Knowledgeable with preparing invoices, processing payments and pursing past due balances. Well versed in accurately coding different types of claims, works well supervised and unsupervised.

Overview

26
26
years of professional experience

Work History

Biller II

Optum Care
Whittier, CA
12.2022 - 08.2023
  • Maintained confidentiality on all patient record data.
  • Input payment history and other financial data to keep customer accounts up-to-date in system.
  • Worked with various Provider clinics acquired by Optum. Duties included migrating charges and payments from eCW, Athena and Practice Fusion into Optum's software system, IDX.
  • Investigated and resolved issues to maintain billing accuracy.
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.
  • Worked with team members and leadership to identify and develop process improvements.
  • Performed data import, scanning or manual keying processes to verify invoice accuracy.

Senior Patient Care Coordinator

Optum Care
Whittier, CA
03.2021 - 12.2022
  • Assured regulatory compliance and professionalism across patient service.
  • Provided administrative support for patient care staff.
  • Troubleshot and resolved complex customer service issues to enhance patient and family experience.
  • Explained policies, procedures and services to patients.
  • Received patient inquiries or complaints and directed to appropriate medical staff members.
  • Verified documentation methodically to avoid critical errors impacting care delivery and payments for services.
  • Completed registration procedures for patients, expertly inputting information to meet provider, facility and legal requirements.
  • Verified patients' insurance and payment methods during check-in, processed patient payments
  • Protected patients by observing strict HIPAA guidelines.
  • Took messages from patients and promptly relayed to appropriate staff.
  • Maintained patient accounts by obtaining, recording and updating personal and financial information.
  • Applied knowledge of medical terminology and insurance processes to support office administration productivity.

Medical Biller, Accounts Receivable

Bergman Medical Group
Whittier, CA
02.1998 - 03.2021
  • Oversaw medical coding, charge entry, claims, and other day-to-day operations of billing department, ran daily and monthly reports.
  • Prepared and submitted claims to insurance companies electronically and manually, identified errors and re-filled denied or rejected claims quickly to prevent payment delays.
  • Posted and adjusted payments from insurance companies, applied patient payments, prepared daily bank deposits.
  • Verified proper coding, sequencing of diagnoses and procedures.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Tracked and recorded status of delinquent accounts and sent follow-up letters to request payment.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Flagged return claims and dealt with insufficient payments.
  • Responded quickly to questions and inquiries via phone and email.

Education

Certificate - Medical Billing

Concord Career College
Garden Grove, CA
01.1998

Certified Professional Coder

AAPC
Salt Lake City, UT

Skills

  • Patient Relations
  • Insurance Verification
  • Claims Processing
  • Posting Charges/Payments
  • Healthcare Operations
  • Patient Care Coordination
  • HIPAA Compliance
  • Insurance Practices
  • Decision Making
  • Time Management
  • Attentive to deadlines
  • Knowledge of IDX, Allscripts-Touchworks, eCW, Athena, Practice Fusion and Sage Medical software system's
  • Microsoft Excel, Word and Outlook

Timeline

Biller II

Optum Care
12.2022 - 08.2023

Senior Patient Care Coordinator

Optum Care
03.2021 - 12.2022

Medical Biller, Accounts Receivable

Bergman Medical Group
02.1998 - 03.2021

Certificate - Medical Billing

Concord Career College

Certified Professional Coder

AAPC

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Gayle Anderson