Gladys Morales Torres
Durham,NC
Summary
Financial services professional prepared to excel in healthcare finance. Proven ability to navigate complex financial systems, ensuring accuracy and efficiency. Strong focus on team collaboration and delivering results. Skilled in patient billing, account reconciliation, and financial counseling. Known for adaptability and reliability in fast-paced environments.
Overview
7
7
years of professional experience
Work History
Financial Care Counselor/ Insurance Specialist
University Of North Carolina at Chapel Hill
09.2017 - Current
- Provide financial counseling and assistance to patients to help them understand and navigate their medical bills and insurance coverage
- Collaborate with healthcare providers and insurance companies to resolve billing discrepancies and disputes on behalf of patients
- Develop personalized payment plans and financial assistance programs to help patients manage their healthcare expenses
- Collaborate with insurance companies to verify coverage and negotiate billing disputes
- Conduct thorough reviews of medical documentation to determine eligibility and obtain prior authorizations for medical procedures and treatments
- Maintain accurate and detailed records of prior authorization requests, approvals, and denials
- Utilized knowledge of medical terminology, coding, and regulations to facilitate the prior approval process
- Demonstrated proficiency in navigating insurance policies, verifying benefits, and communicating effectively with all stakeholders
- Collaborate with healthcare providers and insurance companies to ensure timely approvals and minimize delays in patient care.
Education
Certified Medical Coder and Biller -
American Association of Oral and Maxillofacial Surgeons
09.2023
Certified Dental Billing and Coding -
American Dental Coders Association
08.2022
Certified Medical Billing and Coding -
Ashworth Community College
04.2020
Certified Medical Administrative Assistant -
Durham Community College
11.2018
Skills
- Medical Office Administration
- Medical and Dental Billing and coding
- EMR Systems
- Patient Care Budget Counseling
- Payment Processing
- Revenue Cycle Management
- Data Entry
- Problem Solving
- CPT, CDT, and ICD 10 Coding
- Accounts Receivable
- MS Office Suite
- HIPAA Compliance
- Insurance Specialist
- Typing skills 40 WPM
- Bilingual/Spanish Native
References
Reference provided upon request.
Timeline
Financial Care Counselor/ Insurance Specialist
University Of North Carolina at Chapel Hill
09.2017 - Current
Certified Dental Billing and Coding -
American Dental Coders Association
Certified Medical Billing and Coding -
Ashworth Community College
Certified Medical Administrative Assistant -
Durham Community College
Certified Medical Coder and Biller -
American Association of Oral and Maxillofacial Surgeons
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