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
undefinedTimeline
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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