Summary
Overview
Work History
Skills
Timeline
Generic

Gwen McShan

Conroe,TX

Summary

My objective is to work as team, as well as an individual with ethics, and integrity. Want to learn and advance myself in every aspect that I can.

Overview

1818
1818
years of professional experience

Work History

Receptionist/Medical Biller/Collector

Harvest Associates, Harvest Associates/Corporate Medical Systems
Spring, TX
03.2012 - 10.2016
  • Multi line phones, work with billing for ER Physicians, Multi programs on computer, 10 key, also collections, as well as taking payments
  • Also, Medical Billing for ER Physicians and facilities… Also worked with patients with their EOB’s
  • Call insurance companies to see why there were issues with claims
  • Would work on many different reports given
  • Always willing to learn and learn new ways.
  • Verified insurance of patients to determine eligibility
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers
  • Posted payments and collections on regular basis
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials
  • Processed payment via telephone and in person with focus on accuracy and efficiency
  • Handled account payments and provided information regarding outstanding balances
  • Used data entry skills to accurately document and input statements
  • Provided excellent customer service during difficult conversations, defusing tensions while effectively collecting payments
  • Developed strong relationships with clients, fostering trust and facilitating successful account resolutions
  • Improved customer satisfaction by effectively resolving delinquent accounts through negotiation and payment plans
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor

Territory Manager

Acosta
Spring, TX
08.2002 - 03.2012
  • Worked several stores each week, working with department managers and store managers
  • To make sure each product that needs attention throughout each store
  • Good customer services, work well with others
  • Work with Microsoft Word, Excel, PowerPoint, & Outlook
  • Trained new employees from time to time
  • Would be one who learns quickly and eager to learn new things to grow in new areas
  • Worked in field as well as from home
  • Improved customer satisfaction and retention through frequent visits, timely response to inquiries, and effective problem resolution.
  • Developed strong relationships with key decision-makers, fostering trust and loyalty in assigned territory.
  • Communicated regularly with territory, regional, and strategic managers for daily support and strategic planning for accounts.

Medical Receptionist

Texas Children's Pediatrics
The Woodlands, TX
12.199 - 08.2002
  • This job entitled:
  • Medical Billing
  • Patient scheduling
  • Verified Insurance
  • Working with Patient Accounts (Payments, etc.)
  • Managed high call volumes, directing calls to appropriate departments while maintaining polite and professional demeanor
  • Enhanced patient satisfaction by efficiently managing front desk operations and addressing inquiries in timely manner
  • Organized essential medical documents, streamlining access to vital information for healthcare providers during appointments
  • Excellent personal and telephone interaction/communication skills
  • Experience with Microsoft Office & Outlook
  • Several years of previous medical office
  • Facilitated effective communication between patients, medical staff, and insurance companies to ensure seamless coordination of care
  • Assisted healthcare providers with administrative tasks, enabling them to focus on quality patient care
  • Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies
  • Streamlined appointment scheduling for improved patient flow and reduced wait times
  • Reduced no-shows by implementing appointment reminder system through phone calls or text messages
  • Handled billing procedures accurately, ensuring prompt payment from both patients and insurance providers
  • Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage
  • Developed strong relationships with patients, fostering loyalty and trust in practice' services
  • Provided compassionate customer service, creating welcoming atmosphere for patients and their families
  • Maintained current and accurate medical records for patients
  • Adhered to strict HIPAA guidelines to protect patient privacy
  • Checked patient insurance, demographic, and health history to keep information current
  • Coordinated patient scheduling, check-in, check-out and payments for billing
  • Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability
  • Transcribed phone messages and relayed to appropriate personnel
  • Managed multi-line phone system and pleasantly greeted patients
  • Helped patients complete necessary medical forms and documentation
  • Invoiced patients accurately in line with charging guidelines
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff
  • Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls
  • Managed office bookkeeping with insurance billing and patient payments
  • Assisted with medical coding and billing tasks
  • Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments
  • Processed medical insurance claims and payments
  • Organized and maintained patient chart filing system to promote quick data finding for staff
  • Obtained payments from patients and scanned identification and insurance cards
  • Performed various administrative tasks by filing, copying and faxing documents
  • Managed office logistics by scheduling appointments, maintaining files and collecting payments
  • Managed high call volumes, directing calls to appropriate departments while maintaining polite and professional demeanor
  • Enhanced patient satisfaction by efficiently managing front desk operations and addressing inquiries in a timely manner
  • Increased efficiency in prescription refill requests by coordinating with pharmacies and obtaining necessary provider approvals promptly

Skills

Customer Service

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Timeline

Receptionist/Medical Biller/Collector

Harvest Associates, Harvest Associates/Corporate Medical Systems
03.2012 - 10.2016

Territory Manager

Acosta
08.2002 - 03.2012

Medical Receptionist

Texas Children's Pediatrics
12.199 - 08.2002

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Gwen McShan