Janette Gonzalez
Okla. City,Oklahoma
Summary
An enthusiastic, passionate and highly motivated Senior Patient Account Rep, Sr. looking for an opportunity in a leadership role. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
26
26
years of professional experience
Work History
Pre-Visit Services/Patient Account Rep, Sr.
OU Health Partners, Inc.
09.2021 - Current
- Obtain authorizations and referrals for patient appointments
- Verify and obtain patient eligibility and benefits
- Gather records and fax to appropriate insurance companies to obtain authorizations
- Communicate with various Primary Care Physicians to obtain patient referrals
- Ensured compliance with HIPAA regulations throughout all aspects of the patient account collection process.
- Conducted regular audits of patient accounts to maintain accuracy and prevent revenue loss.
- Educated patients on available financial assistance programs, facilitating access to necessary resources.
- Managed a high volume of patient accounts, consistently meeting or exceeding performance targets for collections activity.
- Provided exceptional customer service when addressing patient inquiries regarding their accounts, fostering positive relationships and prompt resolution of issues.
- Trained new team members on effective techniques for managing accounts receivable tasks.
Pre-Visit Services/Patient Account Rep, IV
Inceed Temp Service (OU Physicians)
02.2021 - 09.2021
- Gather authorizations and referrals for patient appointments
- Update patient demographics
- Obtain patient eligibility and benefits
- Gather records and fax to appropriate insurance companies to obtain authorizations
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Exercised leadership capabilities by successfully motivating and inspiring others.
- Provided exceptional customer service when addressing patient inquiries regarding their accounts, fostering positive relationships and prompt resolution of issues.
Referrals/Prior Authorizations Specialist
Just Kids Pediatrics
11.2020 - 02.2021
- Retain referrals and authorizations for testing
- Communicate with various Primary Care Physicians to obtain patient referrals
- Verify and obtain patient eligibility and benefits
- Schedule follow-up appointments
- Evaluate the financial status of patient
- Review and update demographic and financial information
- Identify and verify liable parties/insurance carriers by payor plan.
- Mentored junior team members, fostering professional growth through guidance on best practices in the industry.
- Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
- Developed strong client relationships through consistent communication and attentive service.
Patient Financial Advocate
Integris
09.2015 - 07.2020
- Review and update demographic and financial information
- Collaborated with clinical staff to ensure accurate coding and billing procedures, mitigating discrepancies and minimizing claim denials.
- Achieve specific revenue cycle targets and goals
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Worked with patients to ascertain issues and make referrals to appropriate specialists.
- Trained new staff on filing, phone etiquette and other office duties.
- Followed document protocols to safeguard confidentiality of patient records.
- Reduced patient anxiety surrounding medical expenses by offering compassionate support and financial guidance during difficult times.
- Assisted patients in understanding insurance coverage, resulting in informed decisions regarding medical services.
Receptionist
Okla. Sports Science & Orthopedics
02.2012 - 01.2014
- Provided administrative support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
- Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in patients and clients.
- Improved appointment scheduling system, reducing wait times and increasing client satisfaction.
- Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
- Answered central telephone system and directed calls accordingly.
- Confirmed appointments, communicated with patients, and updated patient records.
- Kept reception area clean and neat to give visitors positive first impression.
- Restocked supplies and submitted purchase orders to maintain stock levels.
- Managed conference room schedules to ensure efficient use of space for meetings and other events.
Assistant Office Manager
Kevin M McMullen, M.D.
06.2003 - 02.2012
- Handled sensitive information with discretion by adhering to confidentiality protocols at all times.
- Assisted in budget preparation and financial management, helping to reduce expenses while maintaining quality service levels.
- Streamlined office procedures by implementing efficient filing systems and managing schedules.
- Conducted regular audits of office procedures and made recommendations for improvements, resulting in a more efficient and well-organized work environment.
- Served as liaison between management and staff, effectively resolving conflicts and fostering positive relationships.
- Managed daily operations, ensuring timely completion of tasks and maintaining a well-organized work environment.
- Maintained inventory of office supplies, proactively restocking materials when needed to minimize downtime due to shortages.
- Organized company events and meetings, contributing to an engaging workplace culture that promoted collaboration among employees.
- Assisted in recruitment efforts, interviewing candidates and onboarding new hires for a seamless transition into the company.
- Managed employee payroll processing duties while also ensuring accurate calculation of benefits such as health insurance premiums or vacation days accrual.
- Played a key role in developing an effective employee training program, which led to an increase in overall staff competency.
- Enhanced team productivity with strong leadership, training, and support for all staff members.
- Created and updated physical records and digital files to maintain current, accurate, and compliant documentation.
- Managed accurate and fully compliant AP/AR operations by documenting expenses, reconciling accounts and correcting discrepancies.
- Offered technical support and troubleshot issues to enhance office productivity.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Referral Front Office Support Lead
The Physician's Group
03.2003 - 06.2003
- Resolved scheduling conflicts proactively, minimizing disruptions to both patients and staff schedules.
- Trained new team members on front office procedures, fostering a cohesive work environment and promoting best practices.
- Streamlined referral processes for improved patient experience and increased overall efficiency.
- Guided patients through pre-authorization requirements to ensure seamless and efficient referral completion, minimizing any potential delays in care.
- Provided exemplary customer service during high-volume periods, maintaining composure under pressure while attending to multiple tasks simultaneously.
- Promoted positive working relationships with outside providers through effective communication and collaboration efforts.
- Maintained accurate records, ensuring proper documentation for all referral-related activities.
Medical Office Assistant
McBride Clinic
05.1998 - 03.2003
- Contributed to a positive work environment by maintaining organized files and facilitating clear communication between staff members.
- Coordinated successfully with healthcare providers to ensure timely delivery of test results and prescription refills for patients.
- Expedited claims processing by accurately updating ICD-10 codes in accordance with changes in diagnosis or treatment plans from physicians'' notes.
- Ensured smooth daily operations by managing incoming calls professionally while addressing inquiries or directing them to appropriate personnel.
- Assisted physicians in providing high-quality care, completing insurance forms and handling referrals promptly.
- Enhanced office productivity by assisting in training new hires on software systems, office procedures, and best practices.
- Supported administrative tasks such as ordering supplies, inventory management, and filing medical documents for streamlined office workflow.
- Improved patient satisfaction by efficiently scheduling appointments and managing patient records.
- Obtained pre-authorization from insurance companies ahead of medical services.
- Updated patient information and insurance details for accurate electronic medical records.
- Prepared and processed patient referrals and transfer requests.
- Processed medical insurance claims and payments.
- Assisted with medical coding and billing tasks.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Education
B.A Health Care Management -
Mid-America Christian University
01.2023
A.S Health Care Administration -
Oklahoma State University
01.2017
General Studies -
Oklahoma City Community College
01.2014
A.S Medical Assistant -
Wright Business School
01.1997
Skills
- Medical Billing
- Coding
- Insurance Verification
- Training Coordination
- Collections experience
- Administrative Support
- Interviewing ability
- Multitasking and Organization
- Conflict Mediation
- Team Collaboration
- Data entry proficiency
- Registration management
- Interpersonal Communication
- Fluent in Spanish
- Attention to Detail
- Calm Under Pressure
- Problem-Solving
- Windows, Word and Excel Software Proficiency
Languages
Spanish
Full Professional
English
Full Professional
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Pre-Visit Services/Patient Account Rep, Sr.
OU Health Partners, Inc.
09.2021 - Current
Pre-Visit Services/Patient Account Rep, IV
Inceed Temp Service (OU Physicians)
02.2021 - 09.2021
Referrals/Prior Authorizations Specialist
Just Kids Pediatrics
11.2020 - 02.2021
Patient Financial Advocate
Integris
09.2015 - 07.2020
Receptionist
Okla. Sports Science & Orthopedics
02.2012 - 01.2014
Assistant Office Manager
Kevin M McMullen, M.D.
06.2003 - 02.2012
Referral Front Office Support Lead
The Physician's Group
03.2003 - 06.2003
Medical Office Assistant
McBride Clinic
05.1998 - 03.2003
B.A Health Care Management -
Mid-America Christian University
A.S Health Care Administration -
Oklahoma State University
General Studies -
Oklahoma City Community College
A.S Medical Assistant -
Wright Business School