Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kellie gouveia

Waipahu,HI

Summary


Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.

Overview

18
18
years of professional experience

Work History

Medical Biller

Complete Dermatology
08.2018 - Current
  • Processed medical claims using billing software to ensure timely reimbursements.
  • Collaborated with healthcare providers to resolve billing discrepancies and improve accuracy.
  • Maintained patient records and updated billing information in electronic health systems.
  • Assisted in verifying insurance coverage and eligibility for patients prior to services rendered.
  • Provided administrative support by organizing documentation for audits and compliance checks.
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Collected payments and applied to patient accounts.

Patient Account Representative

Wahiawa General Hospital
11.2017 - 07.2018
  • Managed patient billing inquiries, resolving discrepancies to enhance account accuracy.
  • Coordinated insurance verification processes, ensuring timely and accurate patient coverage assessments.
  • Streamlined account reconciliation tasks, improving workflow efficiency within the revenue cycle team.
  • Guided patients through financial assistance options, fostering a supportive environment for efficient payment solutions.
  • Monitored claim submissions and follow-ups to maximize reimbursement rates and minimize denials.

ER Unit Secretary

Kapiolani Medical Center for Women and Children
08.2017 - 11.2017
  • Coordinated patient admissions and discharges, ensuring timely communication with nursing staff and physicians.
  • Managed electronic health records, maintaining accuracy and confidentiality of sensitive patient information.
  • Collaborated with multidisciplinary teams to facilitate effective care delivery and improve overall patient experience.
  • Increased ER efficiency with prompt communication between medical professionals regarding patient updates.

Patient Account Representative

Waianae Coast Comprehensive Health Center
07.2007 - 08.2017
  • Trained new staff on billing software and operational procedures, enhancing team performance and knowledge retention.
  • Analyzed patient data trends to identify areas for process improvements in account management practices.
  • Posted payments and processed refunds.
  • Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
  • Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
  • Worked with outside entities to resolve issues with billing, claims, and payments.

Education

High School Diploma -

Waianae High School
Waianae, HI

Skills

  • Insurance claims
  • Medical billing
  • Insurance billing
  • Electronic claims
  • Billing and collection procedures
  • Customer service
  • Accounts receivable
  • Data entry
  • Payment posting
  • Patient account analysis
  • Records management

Timeline

Medical Biller

Complete Dermatology
08.2018 - Current

Patient Account Representative

Wahiawa General Hospital
11.2017 - 07.2018

ER Unit Secretary

Kapiolani Medical Center for Women and Children
08.2017 - 11.2017

Patient Account Representative

Waianae Coast Comprehensive Health Center
07.2007 - 08.2017

High School Diploma -

Waianae High School

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Kellie gouveia