Gisele Arias

• Ensure accurate and timely submission of claims to insurance companies to commercial and government agencies.
• Corrected and resubmitted rejected claims to secure payment.
• Resolve complex billing issues and manage appeals process to reverse denial of payments decision.
• Tracking insurance company, patient, and third-party payments.
• Following up with patients and insurance companies for outstanding bills.
• Resolved complex billing issues and managed appeals process to overturn payment denials.
• Maintained accurate financial balances for accounts.
• Balances.
• Navigated insurance processes for claims submissions.
• Portal, experience in amazing chart, Phreesia software, Epic Athena and veradigm software.
• Gained experience managing client accounts and relationships.
• Experience

• Gathered patient insurance and verified coverage for billing services. Accurately submitted insurance claims for Medicare and commercial Insurances by verifying patients. communication with providers and patients to ensure accurate services following up on claims, managing accounts receivable, handling claim denials, and ensuring compliance with payer guidelines, all while maintaining accurate patient billing and timely revenue cycle collection. -Assigning appropriate HCPCS codes items based on medical documentation to ensure correct billing. Electronically submitting medical claims to insurance companies according to payer guidelines. Monitored claim status, identified and addressed claim denials, and initiated appeals. Analyzed claim denials, identified coding errors, and implemented corrective actions to successfully resubmit claims. updated on medical billing regulations and ensuring compliance with HIPAA and other healthcare laws.
• Processed medical claims efficiently, ensuring compliance with industry regulations and payer requirements.
• Analyzed billing data to identify discrepancies and resolved issues promptly, enhancing accuracy of submissions.
• Trained junior staff on billing procedures and software utilization, fostering team development and knowledge sharing.

• Prepared rooms for patient arrival, gathered patient information for providers. Taking vital signs, updated patient medication and medical history. Administering injections by provider orders .Assisted physician with minor procedures, performed EKG, collected lab samples, and conducted in-clinic testing.. Scheduled patient referrals to specialists. Stock rooms weekly Cleaned examination rooms at the end of each day end of each day Translated medical information for Spanish-speaking patients Spanish speaking patients Performed blood draws for laboratory testing Assisted providers with medical procedures Provided wound care treatment Escorted patients to examination rooms for appointments to exam rooms Recorded patient vital signs Led educational sessions for patients regarding their health Answered a high volume of phone calls Verified and scheduled patient appointments Responsible for back office duties
• Assisted healthcare providers with patient examinations and procedures, ensuring smooth workflow.
• Managed patient scheduling, optimizing appointment availability and reducing wait times.
• Coordinated communication between medical staff and patients, enhancing service delivery experience.

• Performed clinical skills under physician and Nurse Practitioners' supervision Assisted doctor with in-office procedures to ensure patient comfort and procedural accuracy Obtained patient vitals Provided patient support during appointments Perform EKG Processed medication refill requests Maintained cleanliness and organization of exam rooms clean and stocked schedule. Administered injections under physician supervision. Performed ECG. Assisted Providers with minor procedures. Assisted with lab draws.
• Conducted vital signs assessments, maintaining high standards of patient care.
• Administered patient care and assisted with medical procedures to ensure comfort and safety.
• Maintained accurate patient records using electronic health record (EHR) systems for efficient data management.
• Assisted in scheduling appointments, optimizing clinic flow, and reducing wait times for patients.

Certified medical billing and coding