Julianne Gonzalez
Apopka
Summary
Detail-oriented healthcare professional with 5+ years of experience in medical billing, insurance verification, revenue cycle operations, and claims processing across Medicaid, Medicare, and commercial plans. Proven ability to manage high-volume workflows, identify discrepancies, and ensure accurate resolution in compliance with healthcare regulations.
Overview
9
9
years of professional experience
Work History
Healthcare Coordination Specialist
Falck Global Assistance
Lake Mary
07.2023 - Current
- Coordinated healthcare services and supported patient cases, ensuring timely and accurate documentation for improved patient outcomes
- Reviewed and verified medical and insurance information to facilitate efficient service delivery and accurate billing
- Communicate with providers, insurance companies, and internal teams to resolve case-related issues
- Assisted with case tracking, updates, and follow-ups to ensure timely resolution and continuity of care
- Identify and correct discrepancies in patient or service data to prevent delays or errors
- Maintain accurate records across systems, ensuring compliance with healthcare regulations
Intake Specialist
Health First Health Insurance
Lake Mary
10.2019 - 12.2022
- Collected and verified patient and insurance information to facilitate efficient intake processing
- Ensured record accuracy to enable timely authorizations, billing, and service coordination
- Communicated with members, providers, and external organizations to streamline completion of intake workflows
- Managed multiple cases simultaneously while meeting time-sensitive deadlines
- Assisted with payment processing and program eligibility verification
- Maintained detailed documentation to support continuity of care and future case review
Member Service Representative
Health First Health Insurance
Lake Mary
10.2019 - 12.2022
- Provided support to members regarding benefits, coverage, and healthcare services
- Resolved inquiries and discrepancies related to insurance and account information
- Utilized internal systems to update records and maintain data accuracy
- Ensured compliance with company policies and healthcare regulations
- Delivered high-quality service in a fast paced, high-volume environment
Member Resolution Speacialist
Sears Holdings Company
Lake Mary
04.2017 - 09.2021
- Resolved customer issues by identifying root causes and implementing effective solutions
- Maintained accurate documentation of service interactions and account updates
- Assisted in coaching team members and improving service quality metrics
- Managed escalations and ensured timely resolution of complex cases
- Used data and reporting tools to monitor performance and support operations
Education
High School Diploma -
Apopka High School
Apopka, FL05-2015
Certificate - Data Analysis
Google Certificates
Online04-2026
Skills
- Insurance verification and prior authorizations
- Medical documentation
- Revenue cycle management
- Compliance adherence
- Microsoft Excel and Office Suite proficiency
- Patient support
- Cross-functional collaboration
- Problem solving
Timeline
Healthcare Coordination Specialist
Falck Global Assistance
07.2023 - Current
Intake Specialist
Health First Health Insurance
10.2019 - 12.2022
Member Service Representative
Health First Health Insurance
10.2019 - 12.2022
Member Resolution Speacialist
Sears Holdings Company
04.2017 - 09.2021
High School Diploma -
Apopka High School
Certificate - Data Analysis
Google Certificates