Gina Mariano
Branford,CT
Summary
I have a highly analytical HealthCare background, combined with more than 20 years of professional
work experience in office administration and the business of medicine. I have achieved success with
proficiency in problem solving, administrative assistant duties and customer service. I pose a strong
background in quality customer service and assurance with technology skills.
Authorized to work in the US for any employer
Overview
20
20
years of professional experience
1
1
Certification
Work History
Medical Biller
Atrinity Home Health, Inc
Parkway, MO
04.2023 - Current
- Medical billing specialist duties include patient billing, eligibility, authorization, accounts receivable, invoicing and posting
- Following up with patients regarding bill questions and insurance contacts
- Contact with all insurance companies regarding billing, eligibility and authorization issues.
Medical Billing Specialist
CPa Medical Billing
East Haven, CT
03.2022 - Current
- Research all information needed to complete billing processing
- Post any corrections to claims to ensure integrity of account information
- Review billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations
- Research and resolve all Third-party collection related activities, including working through accounts receivables to maximize reimbursement
- Function as a liaison between patients and site staff on claims, billing questions or insurance related issues as directed by management
- Research Overpayments, record adjustments to account and determine the appropriate destination of unidentified funds
- Respond to inquiries from outside agencies, insurance companies to assist in claim payment processing
- Effectively process all patient and third-party correspondence, including requests for copies of claims, statements and initiate refunds
- Process all legal documentation as it relates to patient accounts
- Act as a resource for Staff and patients regarding health insurance claim policies, procedures and requirements
- Provide support to the management team on various areas of patient billing research and analysis
- Work on various projects as assigned by the Billing Department Management Team
- Research, trouble-shoot Accounts Receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs
- Is responsible for accurate and timely completion of job assignments.
Personal Shopper/Sales Associate
The Fresh Market
Guilford, CT
12.2020 - 05.2022
- The requirements of being a personnel shopper/sales associate is to create a warm welcoming environment
- An environment that is memorable and enticing making our guests want to come back
- Knowing about our products and having experience cooking with them gives our guests a sense of comfort and community
- Personnel shopping is more than just finding the requested products, its about peace of mind
- Giving our Fresh Market community a quality product, the knowledge to make it great and a feeling you can feel good about
Gambardella's Stay, Home Mom
Branford, CT
03.2020 - 11.2021
- Career Break (covid pandemic)
- Due to the covid pandemic I took time off from my career to work jointly with the school board to setup remote learning for my children
- Worked with the school's IT department to help setup laptops and google meets from home
- Worked with school board to help stream line remote learning process
- Voluntarily provided professional consultation with Insurance Services to help with small projects.
Office Administrator
Digital Back Office
Milford, CT
11.2018 - 02.2019
- Pays office invoices by verifying transaction information; scheduling and preparing disbursements; obtaining authorization of payment
- Obtains revenue by verifying transaction information; computing charges and refunds; preparing and mailing invoices; identifying delinquent accounts and insufficient payments
- Collected revenue by reminding delinquent accounts; notifying customers of insufficient payments
- Prepares financial reports by collecting, analyzing, and summarizing account information and trends
- Maintains accounting ledgers by posting account transactions
- Verifies accounts by reconciling statements and transactions
- Resolves account discrepancies
- Maintains financial historical records.
Office Administrator
Insurance Services, Inc
Branford, CT
05.2012 - 09.2017
- Manages correspondence, emails and sorting mail
- Assists in planning and arranging events
- Manages reception area and look after visitors
- Field phone calls and transfer as necessary
- Drafts, formats, and prints relevant documents
- Orders office supplies as needed
- Manages staff expense requests
- Interacts with CEO and carries out their requests
- Creates agendas and takes meeting notes
- Assists with billing issues
- Maintains accurate records
- Photocopies and files appropriate documents
- Attends workshops and conferences when requested
- Take care of website functions and social media profiles.
Medical Biller
Pediatric Eye Care
Guilford, CT
02.2009 - 07.2011
- Enters information necessary for submission of insurance claims
- Answer patient's financial questions and insurance coverage questions
- Follows up with insurance carriers on unpaid or rejected claims
- Resolves issue and re-submits claims
- Prepares appeal letters and documents to insurance carrier when not in agreement with claim denial
- Prepares patient statements
- Soft collections when needed
- Provides necessary information to collection agencies
- Posts insurance and patient payments
- Prepares and submits secondary claims upon processing by primary insurer
- Periodically create insurance or patient aging reports
- Verify patient benefits eligibility and coverage
- Understands managed care authorizations and limits to coverage
- Knowledgeable on insurance and reimbursement process
- Familiarity with HIPAA privacy requirements
- Understanding of medical ICD 9/10 codes and CPT medical billing codes.
Medical Biller
Associated Podiatrists of North Haven
North Haven, CT
03.2005 - 12.2008
- Submits insurance claims to clearinghouse or individual insurance companies electronically or paper
- CMS-1500 form
- Answer patient questions on patient responsible portions, copays, deductibles, write- offs, etc
- Resolves patient complaints or explains why certain services are not covered
- Follows up with insurance company on unpaid or rejected claims
- Resolves issue and re-submits claims
- Prepares appeal letters to insurance carrier when not in agreement
- Prepares patient statements for charges not covered by insurance
- Soft collections for patient past due accounts
- Work with patients to establish payment plan for past due accounts
- Provides necessary information to collection agencies for delinquent or past due accounts
- Posts insurance and patient payments using TRAKnet billing software
- Prepares and submits secondary claims upon processing by primary insurer
- Follows HIPAA guidelines in handling patient information
- Knowledge in ICD9/10
- Understands managed care authorizations and limits to coverage
- Knowledgeable on insurance and reimbursement process
- Proficient in use of computers and common office equipment.
Education
Bachelor's degree - Healthcare administration and revenue cycle management
Charter Oak State College, Career Institute
09.2024
High School Diploma - Floriculture
Branford Hall Career Institute-Branford Campus
06.2001
in Computer Networking -
Lyman Hall High School
06.1998
Skills
- Medical Coding (4 years)
- Accounts Receivable
- Event Planning (2 years)
- Leadership
- Communication skills
- Revenue cycle management
- Conflict management
- Analysis skills
- Medical coding
- ICD-10
- ICD-9
- Accounts receivable
- Epic
- HIPAA
- Supervising experience
- Customer service
- Research
- Typing
- Data collection
- Google Suite
- Windows
- Front desk
- Pediatrics
- Medical terminology
- Medical billing
- Medicare
- Data entry
- Organizational skills
- Home health
- Home & community care
- Cooking
- Systems engineering
- Sales
- Accounting
- Grocery store
- Merchandising
Certification
- Office Administration (10+ years)
- Bookkeeping
- Microsoft Office (10+ years)
- Front Desk (5 years)
- ICD-9 (10+ years)
- CPT Coding (10+ years)
- Medical Billing (10+ years)
- Financial Report Writing (10+ years)
- HIPAA (10+ years)
- ICD-10, Microsoft Certified Systems Engineer (MCSE) March 2002 to Present CompTIA Network+ January 2001 to Present CompTIA A+ July 2000 to Present Certified Professional Coder Certified Coding Associate Driver's License
Timeline
Medical Biller
Atrinity Home Health, Inc
04.2023 - Current
Medical Billing Specialist
CPa Medical Billing
03.2022 - Current
Personal Shopper/Sales Associate
The Fresh Market
12.2020 - 05.2022
Gambardella's Stay, Home Mom
03.2020 - 11.2021
Office Administrator
Digital Back Office
11.2018 - 02.2019
Office Administrator
Insurance Services, Inc
05.2012 - 09.2017
Medical Biller
Pediatric Eye Care
02.2009 - 07.2011
Medical Biller
Associated Podiatrists of North Haven
03.2005 - 12.2008
Bachelor's degree - Healthcare administration and revenue cycle management
Charter Oak State College, Career Institute
High School Diploma - Floriculture
Branford Hall Career Institute-Branford Campus
in Computer Networking -
Lyman Hall High School
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