GLORIA MAYES
Douglass,USA
Summary
Detail-oriented professional with extensive experience in cardiology office and cath lab coding, possessing a deep understanding of various insurance plans, including Medicare, Medicare Advantage, Commercial PPO and HMO, Medicaid, Military, and Supplement plans. Expertise in ensuring accurate coding and compliance with industry regulations has led to significant improvements in billing processes and revenue cycle management. A strong commitment to delivering high-quality results enhances operational efficiency while supporting patient care initiatives. Proven track record of contributing to organizational success through meticulous attention to detail and a focus on regulatory adherence.
Overview
22
22
years of professional experience
Work History
Office Coordinator
Nacogdoches Cardiac Center
Nacogdoches
03.2006 - 02.2025
- Executed medical coding and billing tasks efficiently.
- Coordinated authorization and appeal processes for diagnostics.
- Managed insurance referral processes.
- Coordinated appointment schedules.
- Coordinated efficient patient flow during check-in and check-out.
- Handled patient payment transactions efficiently.
- Ensured accurate posting of insurance remittances.
- Processed claim denials and appeals.
- Facilitated communication between Spanish-speaking clients and English-speaking professionals.
- Applied knowledge of multiple EMR systems to streamline workflows, including Lytec, Prognosis, and Athena.
- Nacogdoches Cardiac Imaging Center 2006-2025
- Coordinated benefits and eligibility processes for technical and professional charges
- Managed claim submissions for CMS 1500 and UB04 formats.
- Streamlined billing operations for pending claims.
Medical Records Clerk
Nacogdoches Heart Clinic
Nacogdoches
08.2003 - 03.2006
- Streamlined record-keeping processes for efficient data retrieval.
- Resolved pending transactions promptly.
- Ensured accurate verification of insurance details.
Education
2 Year Nursing Pre-requisites
Angelina College
High School Diploma - undefined
Alto High School
Alto01.2002
Skills
- Teamwork and collaboration
- Problem-solving
- Multitasking Abilities
- Organizational skills
- Adaptability and flexibility
- Task prioritization
- Managing multiple projects
- Performance improvement
Timeline
Office Coordinator
Nacogdoches Cardiac Center
03.2006 - 02.2025
Medical Records Clerk
Nacogdoches Heart Clinic
08.2003 - 03.2006
2 Year Nursing Pre-requisites
Angelina College
High School Diploma - undefined
Alto High School