Gayle Newsome-Davis
St. Petersburg,FL
Summary
Dynamic professional with over 20 years of experience in customer service, quality assurance, process improvement, and risk management across diverse sectors, including banking, law enforcement, and healthcare. Expertise in healthcare delivery systems, HIPAA compliance, and clinical and administrative terminology complements a commitment to customer service excellence. Recognized for innovative problem-solving abilities, exceptional communication skills, and meticulous attention to detail that enhances time management and multitasking capabilities. Proven track record in financial operations and invoice management, driving efficiency through collaboration and adaptability in fast-paced environments while consistently achieving organizational goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Billing Coordinator Level 2
RCM Enterprise Services
06.2017 - Current
- Call insurance companies and patients to verify insurance information. Contact physician offices and insurance companies to obtain prior authorizations and/or referrals. Verifies claims billing addresses for veteran and HMO patients. Correct claim billing errors to ensure error-free insurance claims are billed out to insurance. Responsible for all administrative and financial functions related to processing insurance overpayments. Responsible for inputting and verifying accurate patient information into system of record. Engage in clear and concise communication with patients, insurance companies, department administrators, and other departmental staff to ensure productive and ideal patient experience.
- April, 2019 - current
Inmate Records Specialist I
Pinellas County Sherriff’s Office
03.2017 - 05.2017
- Responsible for transcribing, processing and editing daily court orders and dockets. Retrieve, enter, and verify and update inmate status or court related information utilizing various agency computerized database systems. Answer public inquiries by handling a large volume of calls from the public, media, bondsmen, and local and federal agencies. Interact with the Clerk of the Court to research, organize, summarize and assemble requested court information and documentation. Processes inmate/offender/detainee request forms; forwards requested information to appropriate inmate/offender/detainee.
Process Design Consultant
Bank of America, NA
04.2014 - 03.2016
- Interacted with business partners, senior leaders and executives to identify themes, symptoms and causes for customer complaints. Performed quantitative and qualitative systematic investigations, using documented evidence and data to validate conclusions, findings and recommendations. Collaborated with business partners to identify potential solutions to prevent recurrence of customer complaint issues, satisfy customer needs and reduce the cost of poor quality. Built project plans, summaries and reports; including presentations to executives, stakeholders and senior leaders. Obtained and inputted complaint remediation data into appropriate systems accurately. Maintain direct oversight of monthly remediation tracking for Solution Recommendation projects.
Education
Medical Coder/Biller Program -
Pinellas Technical College
St. Petersburg, FL07.2017
Medical Billing and Coding Specialist Certificate - undefined
National Healthcareer Association
12.2016
Project Management Essentials - undefined
St. Petersburg College Professional Development and Continuing Education
St. Petersburg, FL05.2014
Skills
- Microsoft Suites
- Medical Terminology
- Medical Billing
- Worker's Compensation Claims
- Audit support
- Deadline oriented
- File management
- Data entry proficiency
- Accuracy and precision
Certification
- Certified Billing and Coding Specialist #P2Y8R4CS
- National Healthcareer Association - Dec. 13, 2016
Languages
English
Native or Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Billing Coordinator Level 2
RCM Enterprise Services
06.2017 - Current
Inmate Records Specialist I
Pinellas County Sherriff’s Office
03.2017 - 05.2017
Process Design Consultant
Bank of America, NA
04.2014 - 03.2016
Medical Billing and Coding Specialist Certificate - undefined
National Healthcareer Association
Project Management Essentials - undefined
St. Petersburg College Professional Development and Continuing Education
Medical Coder/Biller Program -
Pinellas Technical College