Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gina Toledo

Daly City,USA

Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.

Overview

19
19
years of professional experience

Work History

Reimbursement Specialist

CareDx
03.2025 - Current
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Prevented delays and claim denials by correcting information prior to submission.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Used data entry skills to accurately document and input statements.

Practice Manager

SFN
04.2016 - 01.2025
  • Evaluated patient care procedural changes for effectiveness.
  • Created annual goals, objectives and budget and made recommendations to reduce costs.
  • Served as liaison between management, clinical staff and the community.
  • Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.
  • Jumped in to fill gaps when necessary.
  • Observed strict confidentiality and safeguarded all patient-related information.
  • Addressed any patient or team member concerns immediately.
  • Ordered all supplies needed and kept tabs on inventory levels.
  • Consulted with clinicians to develop business strategy.
  • Motivated staff by offering direction and providing constructive feedback.
  • Communicated with patients with compassion while keeping medical information private.
  • Created and maintained electronic record management (EMR) systems to store data and develop reports.
  • Complied with OSHA and HIPAA regulations.

Insurance Billing Manager

The Clinic
04.2018 - 06.2022
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Developed improved standard operating procedures to increase billing accuracy and cash flow.
  • Engaged in oversight of all billing for Cigna.
  • Helped customers to bring accounts into good standing by implementing payment plans.
  • Managed contract administration, including maintaining files, validating codes and monitoring reporting.

Billing Manager

Psychiatric Alternatives
03.2013 - 11.2015
  • Executed accounts receivable reporting enhancements and reconciliation procedures.
  • Resolved billing issues by applying knowledge and completing in-depth research.
  • Conducted insurance verification and pre-authorization, coded behavioral health procedures and managed patient charts.
  • Helped customers to bring accounts into good standing by implementing payment plans.
  • Developed improved standard operating procedures to increase billing accuracy and cash flow.
  • Evaluated historical, current and forecast data to determine opportunities for development and enhancement.
  • Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
  • Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
  • Followed up on legal claims to update and verify status or patients' of outcome and obtain due payments.
  • Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.

Data Entry/ Contracts Specialist

Mulhall Construction
10.2012 - 02.2013
  • Reviewed and updated account information in company computer system.
  • Completed accurate and efficient data entry and database updates to support business operations.
  • Sorted source documents and organized to be filed.
  • Identified and corrected data entry errors to prevent duplication across systems.
  • Input client information into spreadsheets and company database to provide leaders with quick access to essential client data.
  • Verified and logged deadlines in response to daily inquiries and requests.
  • Identified, corrected and reported data entry errors.
  • Communicated with coworkers regarding deadlines and project milestones.
  • Organized billing and invoice data, prepared accounts receivable and generated revenue reports to provide controllers with vital financial information.

Accounts Receivable Clerk

Roto-Rooter
04.2006 - 07.2007
  • Cleared account balances by examining customer payments, payment history and coordinating contact with collections.
  • Reconciled accounts receivable and prepared income summary reports and cash reports.
  • Processed weekly invoicing, including posting and reconciling payments and addressing all aged receivables.
  • Completed outbound collection calls and sent emails to encourage customer payment of overdue invoices.
  • Researched customer billing issues and resolved problems to facilitate receipt of overdue monies and promote good customer relationships.
  • Sent copies of invoices and statements to customers to facilitate payment of outstanding invoices.
  • Posted customer payments by recording cash, checks and credit card transactions.
  • Used AS400 to enter and post accounts receivable documents.
  • Answered inbound calls to provide information, answer questions or discuss payment options.
  • Performed administrative tasks to support strategic initiatives.

Education

Certificate - Billing And Coding Specialist

National Healthcare Assoc
Daly City, CA
01-1999

Skills

  • Payment posting
  • Microsoft office
  • Data recording
  • HIPAA compliance
  • Administrative writing
  • Client service
  • Financial accounting
  • Insurance verification
  • Patient billing
  • Collections management
  • Claim submission
  • Claims review
  • Records maintenance
  • Electronic health record software
  • Commercial and private insurance
  • Payer contracts
  • Accounts receivable

Timeline

Reimbursement Specialist

CareDx
03.2025 - Current

Insurance Billing Manager

The Clinic
04.2018 - 06.2022

Practice Manager

SFN
04.2016 - 01.2025

Billing Manager

Psychiatric Alternatives
03.2013 - 11.2015

Data Entry/ Contracts Specialist

Mulhall Construction
10.2012 - 02.2013

Accounts Receivable Clerk

Roto-Rooter
04.2006 - 07.2007

Certificate - Billing And Coding Specialist

National Healthcare Assoc

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