Lidibet Franco Gamez
Miami Gardens,FL
Summary
Competent Certified Medical Coder / Front Desk Receptionist with 2 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies. Expertise in accurately inputting procedure.
Knowledgeable medical office professional talented at preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment.
Polished professional manages multiple tasks, utilizes electronic medical record systems, and provides excellent customer service to patients and staff. Adheres to medical records policies and procedures to comply with HIPAA regulations. Track record of effectively troubleshooting issues and maintaining patient confidentiality.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Medical Coder / Front Desk Receptionist
SUNCARE PHYSICAL THERAPY, INC
09.2022 - Current
- Verified, coded and added modifiers to diagnoses.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes. Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
- Collected room deposits, fees, and payments.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Answered multi-line phone system and transferred callers to appropriate department or staff member.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Completed data entry and filing to keep records updated for easy retrieval.
- Completed all tasks in compliance with company policies and procedures.
- Maintained confidentiality of sensitive data to protect customer and business information.
International Relations Coordinator
UNIVERSITY OF GUANTANAMO, HIGHER STUDIES MINISTRY
08.2011 - 07.2020
- Built and maintained positive relationships with public by utilizing strategic plans.
- Supported public relations managers with writing, researching and preparation of materials
- Engaged in professional networking to maintain strong relationships with communications and media professionals to drive partnerships and effective dissemination of mass communications.
- Produced and distributed brochures, newsletters and press kits.
- Used various social media platforms for media and blogger outreach.
- Developed and implemented social media strategy to increase engagement and reach new audiences.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Education
CERTIFIED PROFESSIONAL CODER - MEDICAL CODING
AMERICAN ASSOCIATION OF PROFESSIONAL CODERS
MIAMI, FLORIDA06.2023
Master of Arts - ENGLISH LANGUAGE
UNIVERSITY OF ORIENTE
SANTIAGO DE CUBA, CUBA12.2016
Bachelor of Arts - English Language And Literature
UNIVERSITY OF ORIENTE
SANTIAGO DE CUBA, CUBA07.2011
Skills
- Receiving and reviewing patients' documents from doctor's offices, hospital and medical centers for verification and accuracy
- Assigning and verifying codes to medical procedures and diagnoses related to physical therapy
- Working with WebPT, the electronic medical record system for physical therapists that also offers systems for billing, scheduling, and practice management
- Ensuring all medical records are filed and processed correctly
- Interacting with insurances' systems in regard to patients' eligibility, treatment authorization and reimbursement
- Complying with medical coding guidelines and policies and keeping updated with the latest changes on ICD-10, CPT and HCPCS
- Complying with HIPPA protocols and standards for patients' information and medical records privacy
- Office Administration
- Inventory Control
- Researching Skills
- Skills on networking, social media
- Coding Error Resolution
- Records Management
Affiliations
AMERICAN ASSOCIATION OF PROFESSIONAL CODERS
Certification
- CPC - Certified Professional Coder
Timeline
Certified Medical Coder / Front Desk Receptionist
SUNCARE PHYSICAL THERAPY, INC
09.2022 - Current
International Relations Coordinator
UNIVERSITY OF GUANTANAMO, HIGHER STUDIES MINISTRY
08.2011 - 07.2020
CERTIFIED PROFESSIONAL CODER - MEDICAL CODING
AMERICAN ASSOCIATION OF PROFESSIONAL CODERS
Master of Arts - ENGLISH LANGUAGE
UNIVERSITY OF ORIENTE
Bachelor of Arts - English Language And Literature
UNIVERSITY OF ORIENTE
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