Jennifer Gonzales
Melissa
Summary
Experienced in patient financial counseling, offering clear and compassionate financial guidance to individuals seeking healthcare services. Skilled in detailed financial analysis and insurance coordination, contributing to the smooth functioning of healthcare financial operations. Expertise in patient advocacy and compliance with healthcare regulations ensures comprehensive financial support for patients in need.
Overview
8
8
years of professional experience
Work History
Patient Financial Counselor
Baylor Scott & White Medical Center
11.2021 - 12.2024
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
Claims Assistant II
Zurich Insurance Group
05.2017 - 06.2022
- Improved customer satisfaction levels by providing timely, accurate, and empathetic support during the claims process.
- Provided exceptional customer service through clear communication, empathy, and proactive problem-solving during difficult situations.
- Prepared files, letters and notices.
- Ensured compliance with company policies and industry regulations through meticulous documentation of claim files.
Precertification Specialist
University Neuro
12.2020 - 10.2021
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
- Expedited treatment commencement by promptly acquiring authorizations for medically necessary services within required timeframes.
- Analyzed trends in denials or authorization delays to identify opportunities for improvement within the precertification department.
- Ensured smooth communication between healthcare providers, patients, and insurance companies, resulting in timely approvals and positive experiences.
- Elevated patient satisfaction by offering compassionate guidance and support during the often-stressful precertification process.
- Increased accuracy of submitted claims through meticulous attention to detail in verifying insurance eligibility and benefits.
Physician Office Representative
Baylor Scott & White, The Heart Group
03.2018 - 12.2020
- Streamlined appointment scheduling for optimized office flow, reducing patient wait times.
- Enhanced patient satisfaction by providing compassionate and efficient front desk support.
- Provided translation services when required, breaking down language barriers between patients and physicians, improving overall communication and understanding.
- Assisted physicians in maintaining accurate medical records, improving overall patient care.
- Collaborated with healthcare professionals to ensure a seamless patient experience during visits.
Education
Bachelor of Science - Interdisciplinary Studies: Child & Family Studies
University of North Texas
Denton, TX05-2001
Skills
- Medicare expertise
- Claims processing
- Payment negotiations
- Insurance verification
Timeline
Patient Financial Counselor
Baylor Scott & White Medical Center
11.2021 - 12.2024
Precertification Specialist
University Neuro
12.2020 - 10.2021
Physician Office Representative
Baylor Scott & White, The Heart Group
03.2018 - 12.2020
Claims Assistant II
Zurich Insurance Group
05.2017 - 06.2022
Bachelor of Science - Interdisciplinary Studies: Child & Family Studies
University of North Texas
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