Gipsi Martinez Ulloa
Waukegan,USA
Summary
Bilingual professional with strong command of English and Spanish. Effective communicator with parents, internal and external professionals. Skilled in prioritization, organization and multitasking. Highly motivated, experienced in telephone skills and customer service. Excellent problem analysis and creative solution finding abilities. Keen perception for extracting important data. Sharp, multitasking, quick learner. Active team player who excels independently with great attention to detail. Strong interpersonal, communication and critical thinking skills contribute to exceptional problem-solving abilities. Background in various roles including accounts receivable management, billing and prior authorizations specialist.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
KGH Autism Services
Deerfield, IL
08.2024 - Current
- Reduced outstanding accounts receivable balance by diligently following on overdue payment.
- Supported month-end closing activities by reconciling accounts, preparing reports and analyzing trends in account performance.
- Manage patient responsibilities including Collections, Payment plans and hardship application.
- Liaison with parents, internal and external vendors.
- Propose necessary adjustments to A/R. Resolving outstanding old A/R and payment posting.
- Review and resolve converted sessions issues preventing the billing services.
- Discharge inactive clients from the EMR system.
- Complete medical records requests.
- Ad-hoc reporting and special projects as requested
- Ensured the accuracy of the customer records internal system by updating contact information, payment terms and other relevant data as needed.
- Prepare and mailed invoice to customers, processed payment and documeed account updates.
Senior Billing Specialist
KGH Autism Services
Deerfield, IL
04.2023 - 08.2024
- Insurance Verification: Gather needed information pertaining to client insurance eligibility.
- Oversee Authorizations: Review insurance information, obtain and monitor status of pre-authorizations and notify administrative assistants of due dates.
- Insurance Processing: Process electronic and paper billing submissions for all services to insurance companies in an accurate and prompt manner, and in accordance with established guidelines for all services. Identify billing claim errors and promptly follow up with insurance companies.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Manages Medical Records requested by both insurance companies and third parties.
- Accounts Receivable: Reconciles all claims either manually or electronically. Maintain data entry accuracy in relation to payments from insurance.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Patient Responsibility: Manages outstanding patient-responsibility accounts receivable including analysis of outstanding balances while managing payment plans and special circumstances.
- Monitors Hardship Applications deadlines and follows up with clients.
- Communicates directly with clients for payment questions and issue resolution.
- Manage onboarding and off boarding of staff.
Billing Specialist
KGH Autism Services
Deerfield, IL
04.2022 - 04.2023
- Identified, researched and resolved billing discrepancies to enable accurate billing.● Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing write offs.● Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.● Maximized revenue potential by identifying and resolving under-billed accounts.● Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.● Identified opportunities for process improvement, leading to more streamlined billing operations..
Admissions Coordinator
Orsini Pharmaceutical Services
Elk Grove Village, IL
12.2021 - 03.2022
- Enroll new/existing patients. By evaluating referrals, and insurance verification.
- Responsible for accurately performing all functions of patient admission, including reviewing all information with patients, completing appropriate forms and copying appropriate insurance cards.
- Assist new patients with the enrollment process. As well following up with patients and doctors.
- Process test claim for PBM.
- Always maintain confidentiality with all patients in accordance with the - HIPPA laws.
- Handle outbound and inbound calls.
- Keep accurate information of daily duties
Benefit Verification Specialist
CVS Health
Buffalo Grove, IL
03.2019 - 12.2021
- Performing benefits verification on new and existing patients.
- High volume of inbound/outbound calls
- Day investigating and communicating with doctor’s offices.
- Validate the demographic and reimbursement information on all patients into a database prior to the initiation of therapy.
- Adjudicate POS/Retail billings, relate financial obligations to the patient and identify to the organization when a new patient is brought on service.
- Maintain customer confidence and protection of medical information by complying with HIPAA guidelines and regulations.
- Excellent organizational skills – able to multitask and manage multiple case files by commitment to excellence in Customer Service and follow-up.
- Initiate Process for Prior Authorization.
- Collaborate with other departments to assist in obtaining pre-authorizations in a cross functional manner.
Collection Specialist
Armor Systems Corporation
Zion, IL
12.2017 - 02.2019
- Collection calls and/or correspondence in a fast paced goal oriented collections department
- Finding and contacting debtors to arrange debt payoffs
- Comfortable working with targets
- Excellent communication skills (written and oral)
- Skilled in negotiation and problem-solving skills
- Responsible for monitoring and maintaining assigned accounts
- Customer calls, account adjustments, small balance write off, customer reconciliations and processing credit memos
- Provided exceptional customer service while resolving disputes, resulting in improved customer satisfaction ratings for the department
Customer Service Representative
USA Vein Clinics
Northbrook, IL
03.2017 - 10.2017
- Handles outgoing and incoming customer care calls
- Update patient and appointment information in accordance with established procedures
- Registers and schedules new patients. Obtain insurance information.
- Accommodates schedule needs of existing patients, including scheduling future appointments and addressing schedule changes
- Performs recalls, confirmations, and tasks for leads, existing or former patients
- Answers questions for patients and addresses concerns
- Served as an information desk, transfers calls and takes messages
- Handles multi-line and multi-language telephone calls
- Adheres to established procedures for inter-office communication and other guidelines related to the job and the company.
Insurance Agent
Lloyd Agency
Schaumburg, IL
01.2017 - 03.2017
- Communication Skills: Being able to speak with clients and potential customers in a friendly and open manner
- Attention to Detail: Understanding the fine print in contracts, looking for inconsistencies and watching out for every detail
- Organizational Skills: Working with multiple clients will require strong organizational skills
- Sales Skills: Negotiating deals, persuading clients and sellers
Customer Service Assistant
Check Into Cash
Round Lake Beach, IL
12.2016 - 01.2017
- Maintains solid customer relationship by handling customer's questions and concerns with accuracy
- Performs data entry and uses software programs
- Talks with customers by the phone or in person to initiate and follow-up with customers to sell, collect on an account
- Answer basic customer inquiries, service charges, and account histories while complying with disclosure requirements, regulations and consumer privacy policies
- Issue money order, complete money transfers
- Accept payment for bills
- Follow cash handling procedures including balancing the cash drawer daily, pickup and deposit of the center's funds
- Maintain appropriate currency logs and required daily paperwork
- Perform all actions needed to open and close the center along with complying with all security procedures.
Education
Certificate - Business Administration
Computer Systems Institute
01.2016
High School Diploma - High School Diploma
Waukegan High School
01.2015
Skills
- MS Office
- Word
- Excel
- Flexibility
- Customer Service
- Time Management
- Organization
- Attention to detail in financial transactions
- Attention to detail
- Communication Skills
- Teamwork
- Independently Player
- Strong analytical Skills
- Problem-solving skills
- Ability to communicate effectively with clients and vendors
Certification
- Customer Service Certification
- Social Media Strategist
- Microsoft Office Word 2013
- Microsoft Office Excel 2013
Phone
cell, 224-730-0933
Timeline
Accounts Receivable Specialist
KGH Autism Services
08.2024 - Current
Senior Billing Specialist
KGH Autism Services
04.2023 - 08.2024
Billing Specialist
KGH Autism Services
04.2022 - 04.2023
Admissions Coordinator
Orsini Pharmaceutical Services
12.2021 - 03.2022
Benefit Verification Specialist
CVS Health
03.2019 - 12.2021
Collection Specialist
Armor Systems Corporation
12.2017 - 02.2019
Customer Service Representative
USA Vein Clinics
03.2017 - 10.2017
Insurance Agent
Lloyd Agency
01.2017 - 03.2017
Customer Service Assistant
Check Into Cash
12.2016 - 01.2017
Certificate - Business Administration
Computer Systems Institute
High School Diploma - High School Diploma
Waukegan High School