Gimena Chavez
Floydada,TX
Summary
Billing and coding professional with a blend of medical office support, claims processing, and customer service experience. Contributes to accurate superbills, insurance verification, and secure records while supporting patients and staff with organized, professional communication.
Overview
1
1
Certification
7
7
years of professional experience
Work History
Medical Biller and Coder
Fun House Rehab
Donna, Texas
10.2024 - 09.2026
- Submitted rehab claims using coding and billing systems, ensuring timely processing for Fun House Rehab.
- Verified patient insurance coverage prior to rehabilitation appointments, facilitating seamless service delivery.
- Resolved claim denials with payers and fixed billing errors.
- Kept confidential records secure and updated billing files for Fun House Rehab.
Internship/Receptionist
Donna Childrens Clinic
07.2024 - 10.2024
- Greeted families at Donna Childrens Clinic, providing welcoming and professional service to enhance patient experience
- Answered phones and routed calls to clinic staff, ensuring efficient communication and timely assistance
- Scheduled pediatric appointments and managed daily reception calendars
- Organized and filed patient forms systematically, streamlining front desk paperwork for easier access and retrieval
- Created superbills for patient billing
Customer Service Rep
Contact Point 360
Pharr, Tx
02.2023 - 09.2023
- Assisted customers with inquiries to initiate electric service for residential locations, ensuring smooth setup and understanding of services.
- Resolved customer questions through phone, email, and chat support
- Promoted customer satisfaction by resolving issues with knowledgeable, friendly service, fostering positive customer relationships.
- Guided customers through account setup and basic troubleshooting steps
- Maintained professional communication during high-volume interactions, effectively addressing customer needs and concerns.
- Assisted callers with request resolution by phone.
- Reviewed customer account balances.
Hostess/ Server
Buffalo Wings and Rings
Mcallen, Tx
09.2021 - 02.2023
- Served food and beverages to tables, maintaining high service standards
- Seated customers promptly in their preferred sections, enhancing overall dining experience
- Prepared and packed online orders for timely delivery, ensuring customer satisfaction
Work Study
Southern Careers Institute
Pharr, Tx
02.2021 - 06.2021
- Processed student payments at financial aid office, enhancing transaction accuracy.
- Maintained and updated student financial aid records to ensure data integrity.
- Facilitated financial aid department operations to ensure efficient service delivery.
- Organized and prioritized tasks to achieve service goals effectively.
- Collaborated with team members to accomplish project goals and adhere to deadlines.
- Collaborated with diverse team members to address product and service challenges.
Insurance verification agent
Teleperformance USA
Edinburg, TX
09.2019 - 09.2020
- Completed pre-authorization for procedures, ensuring timely access to care for patients
- Authorized additional day fills on medications, supporting adherence to treatment plans for patients with Plan D benefits
- Reviewed and confirmed plan benefits for customers
- Processed payments for customer plans, facilitating seamless transactions and maintaining customer satisfaction
Education
CBCS Certification - Medical Billing and Coding
South Texas Vocational Technical Institute
Weslaco, Tx11-2024
Medical Office specialist -
Southern Careers Institute
Pharr, TX10-2021
High School -
Donna North High School
Donna, TX06-2019
Skills
- Medical coding
- HCPCS level II coding
- Insurance claims processing
- Claims adjudication
- Superbill preparation
- Billing process optimization
- Patient account resolution
- Outpatient billing procedures
- Electronic health records knowledge
- Third-party payer communication
- Medical records abstraction
Certification
OSHA 11/24, STVT, HIPAA 11/24, STVT
VOLUNTEERING
STVT, STVT Student Ambassador, 2024-01, 2024-11, Due to recognition for my 4.0 GPA and perfect attendance I am able to represent my school and learn new leadership skills. Was given the opportunity to volunteer within the school and our community.
Timeline
Medical Biller and Coder
Fun House Rehab
10.2024 - 09.2026
Internship/Receptionist
Donna Childrens Clinic
07.2024 - 10.2024
Customer Service Rep
Contact Point 360
02.2023 - 09.2023
Hostess/ Server
Buffalo Wings and Rings
09.2021 - 02.2023
Work Study
Southern Careers Institute
02.2021 - 06.2021
Insurance verification agent
Teleperformance USA
09.2019 - 09.2020
CBCS Certification - Medical Billing and Coding
South Texas Vocational Technical Institute
Medical Office specialist -
Southern Careers Institute
High School -
Donna North High School