Ginnett Valverde
Miami,FL
Summary
Achieved improved operational efficiency by applying comprehensive knowledge of ICD-10 and CPT procedures. Contributed to organizational growth through dedicated application of skills and resourcefulness. Thrived in diverse work settings, driving team success and individual performance.
Overview
10
10
years of professional experience
Work History
EOB Analyst
HSA
Miami, FL
02.2025 - Current
- Evaluated and analyzed explanation of benefits (EOBs) and remittance advices to ensure accuracy of insurance payments.
- Analyzed denials, underpayments, and payment discrepancies, escalating accounts for timely follow-up.
- Executed precise adjustments and payment postings in compliance with payer guidelines.
- Directed routing of accounts necessitating insurance follow-up or appeals to designated departments.
- Facilitated collaboration between billing and accounts receivable teams to expedite claim resolution and reimbursement processes.
- Ensured adherence to Medicare, Medicaid, and commercial insurance policies.
- Analyzed and escalated insurance underpayments to enhance revenue recovery efforts.
- Analyzed EOBs to identify denial patterns and payment discrepancies.
- Facilitated collaboration between billing and accounts receivable teams to efficiently resolve claim issues.
- Managed accounts receivable processes and conducted thorough claim follow-up activities.
- Executed identification of insurance denials to streamline claims processing.
- Conducted comprehensive reviews of underpayment cases to ensure accurate compensation
- Provide support in tracking payments and resolving discrepancies.
- Assisted in understanding insurance guidelines for Medicare, Medicaid, and commercial plans. Applied contract and fee schedule knowledge to ensure correct reimbursement for complex claims. Provided information to help resolve insurance-related inquiries.
- Facilitated claim resolution processes and supported payment posting activities.
Payment Poster Specialist
Gastromed
Miami, FL
05.2022 - 01.2025
- Processed and recorded checks and credit card payments to patient accounts.
- Processed insurance payments electronically and manually according to EOB or ERA guidelines.
- Conducted post-checks on websites including Availity, Payspan, and Echo for Tricare Health and Sunshine United Health Care.
- Executed adjustments and write-offs as authorized by management.
- Executed application of insurance payments in alignment with designated dates and established procedures.
Billing Specialist
Miami, FL
09.2021 - 04.2022
- Billing Insurance, Report Preparation, Electronic claims, record patient management, checking eligibility from health insurances, Coding.
Trucking & Freight Dispatcher
AES Transport Inc
09.2020 - 12.2021
- Transportation dispatch (AES Transport)/Scheduled truck drivers, delivery vehicles, best traffic routes, and ideal delivery windows/ Accepted consumer and business client phone calls and emails to coordinate delivery schedules and logistics. /Generated freight invoices and delivery receipts, while maintaining records of all transactions and deliveries
Customer Service
Law Office
02.2016 - 10.2020
- Respond to telephone Inquiries/Providing quality services to customers and associates/ Listen attentively to caller needs to ensure a positive costumer experience/ Document preparation and filling immigration forms. (Ex. I-765 / I-485 / I-131 /I-130 / I-821 / I-821D / N-400 / I-864)/ Resolved costumer problems and complaints by clarifying the issue, explaining the best solution, and following up with cases.
Education
Medical Billing and Coding - undefined
Miami, FL06.2023
High School Diploma - undefined
01.1997
Skills
Bilingual (English / Spanish)
Insurance Billing
Medical terminology
Data Entry and Management
Medisoft medical payment poster
Clerical support
Intergy System
Payment posting
Care Cloud system
Customer Service
Printing Pulling and filling of explanation of benefits
Timeline
EOB Analyst
HSA
02.2025 - Current
Payment Poster Specialist
Gastromed
05.2022 - 01.2025
Billing Specialist
09.2021 - 04.2022
Trucking & Freight Dispatcher
AES Transport Inc
09.2020 - 12.2021
Customer Service
Law Office
02.2016 - 10.2020