Summary
Overview
Work History
Education
Skills
Additional Information
Certification
Timeline
Generic

Gina Montello

Magnolia,TX

Summary

Driven Medical Account Specialist with over 11 years of expertise in facility and professional billing and accounts receivable follow-up. Proven ability to enhance revenue streams by identifying process inefficiencies, coding discrepancies, and billing errors, while effectively analyzing claim denial trends. Committed to delivering exceptional accuracy and efficiency in all aspects of account management, ensuring optimal financial performance for healthcare organizations. Detail-oriented professional dedicated to streamlining operations and maximizing revenue recovery.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Quality & Training

R1RCM
03.2024 - Current
  • Sorted and organized files, spreadsheets, and reports.
  • Analyzed problems and worked with teams to develop solutions.
  • Explored new technologies and approaches to streamline processes.
  • Participated in workshops and presentations related to projects to gain knowledge.
  • Collected, arranged, and input information into database system.
  • Conducted regular reviews of operations and identified areas for improvement.
  • Assessed new employee skills and strengths to provide customized training.
  • Provided recommendations for process improvements and discontinuation of ineffective or outdated methods.
  • Audit Global auditors
  • Certify Global auditors

AR Denials Follow up

R1 RCM, Health
12.2019 - 03.2024
  • Knowledge of all payers Reviewed billing edits and provided insurance Company with correct information
  • Patient eligibility status Reviewed patient bills for accuracy and Completeness and obtained missing information
  • Daily AR meetings to help identify trends.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
  • Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.

AR Billing Representative

R1 RCM-Amita Health
07.2016 - 12.2019
  • Patient eligibility status
  • Knowledge of all payers
  • Created appeal packets for denied claims
  • Daily AR Report
  • Knowledge of all payers Reviewed billing edits and provided insurance Company with correct information
  • Transmitted, corrected 200+claims daily in Nebo claims management system
  • Patient eligibility status Reviewed patient bills for accuracy and Completeness and obtained missing information
  • Daily AR meetings to help identify trends.
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Completed quality assurance reviews of practices and billing histories.
  • Worked with outside parties to obtain payments and solve problems.
  • Corrected in Epic Scrubber system for claim edit errors.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections
  • Implemented new accounting processes to decrease spending and work flow downtime.

Education

High School Diploma -

Joliet West High School
Joliet, Illinois
05.1993

Skills

  • Multitasking and Prioritization
  • Data Entry
  • Health Quest
  • Cerner
  • One Source
  • Work Force Management System
  • Referral Authorizations
  • SSI
  • RA Claims Management
  • Nebo Claims Management
  • TRAC Accounting System
  • Proficiency in Microsoft Office
  • Meditech
  • File systems maintenance
  • Meeting coordination
  • Administrative tasks
  • Facility Credentialing
  • Newton Mapping System
  • Epic Systems
  • Insurance Verification
  • Scheduling
  • Presentations
  • GO Rev
  • Rev Manager

Additional Information

  • Microsoft Excel Certificate

Certification

  • Certified Quality & Training, R1RCM - CRCR -Issued July 2024 expires July 2027.
  • Certified Quality & Training, R1RCM- CSPR Issued June 2025
  • Licensed Property & Casualty License - July 2023- August 2027.

Timeline

Quality & Training

R1RCM
03.2024 - Current

AR Denials Follow up

R1 RCM, Health
12.2019 - 03.2024

AR Billing Representative

R1 RCM-Amita Health
07.2016 - 12.2019

High School Diploma -

Joliet West High School

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