LISA GONZALEZ
Bethpage,New York
Summary
Created workflows and manuals at Northwell Health to guide staff on accessing multiple systems within the organization.
Created team huddles with managers to review monthly stagnant accounts , write offs and solve outstanding claims .
Worked and trained bilingual staff.
Overview
25
25
years of professional experience
Work History
Scheduler 1
Catholic Health System
02.2024 - Current
- Schedule patients for department services, procedures, and studies based on physician referrals.
Coordinate and manage the flow of patient care to ensure timely and efficient service.
Ensure procedure orders are directed to the appropriate Nurse Practitioner and, Nursing staff.
Minimize patient wait times and maximize physician efficiency by editing Provider schedules, maintaining cancellation lists and, adjusting provider timeslots per patient need. - Answer, screen, and direct telephone calls to nursing pool, providers and, nurse practitioners
- Prepare standard registration forms.
Handle physician correspondence.
Prepare patient charts for visits.
Contact insurance companies for referrals and authorizations.
Perform related general office/clerical support duties. - Assist patients with various tasks.
- Provide clinical support and patient education related to scheduled procedures.Possess basic customer service skills and empathy while interacting with patients.
- Identify required personnel, supplies, equipment, and support needed for procedures.
- Communicate findings to relevant parties.Work closely with patients and relatives, healthcare professionals, physicians, department managers, and administrative staff.
Accounts Receivable Representative Medical Record Representative
Northwell Health
04.2012 - Current
- Gathers patient information by collecting medical records from a variety of systems, interacting with a variety of computer systems:
- Alpha, Sunrise, , Syngo, Aos obgyn nsuh, Aos obgyn nlij, Power sign, Health port, GECB, One Content for Staten Island, Huntington , Care stream, , Syngo Rad, Meditech, Logix, Nuance, Inetellichart, Dermatology, Stockamp, Aria, Cerner, On Base, Fertility, Nechtech, Cardio viewer
- Maintains record availability by processing charts into the M share drive
- Keeps health care providers informed by communicating availability or unavailability of the record
- Maintains quality results by following hospital standards
- Maintains continuity of work operations by documenting and communicating actions, irregularities, and continuing needs
- Maintains patient confidence by keeping patient records information confidential
- Serves and protects the hospital community by adhering to professional standards, hospital policies and Procedures, federal, state, and local requirements
- Enhances medical records and hospital reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments
- Uploads medical records with generated form letters to various carriers for review
- Review and analyze claims for accuracy as they pertain to medical records as far as coordinating dates, operative procedures, cpt codes
CPP BILLING REPRESENTATIVE
North Shore University Long Island Jewish Hospital PAANS
04.2012 - Current
- Reviews, corrects and approves all primary and secondary billing, submits hard copy or electronic claims to appropriate payers
- Reviews and edits any rejections stemming from electronic billing submissions and corrects and resubmits claims, as required
- Verifies accuracy of patient insurance and demographic information
- Generates bills to patients for services not covered by insurance
- Investigates duplicate payments and takes appropriate action to resolve
- Initiates refund requests, where necessary, in accordance with departmental procedures
- Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures
- Follow up on payer payment variances
- Reports trends of payer behavior
- Determines reason for denial and appeals accounts as necessary
- Responds to all requests for information and telephone inquiries from patient, insurance carrier, hospital business office and outside agencies in a courteous manner
Caseworker
Department of Social Service
06.2000 - 08.2002
- Prepared case files and verified eligibility of clients for food stamps, Medicaid, utility: heap aid, daycare, rent, and cash assistance
- Worked closely with Federal Agents to prepare home visits to verify living conditions, employment, daycare, child neglect and abuse
- Performed skip tracing procedures to verify client resources such as: employment, to enforce child support and or assets that the client may possess in excess of his or her assistance claim
- Secured shelter for our counties homeless population and counseled victims of domestic violence to prepare safe homes for women and children
- Liaison between community advocates, outreach services, churches, charities, attorneys, counselors, senior programs, food pantry and Medicaid coverage
- Communicated and translated with all Spanish speaking clients and helped them to complete the application process and maintain their case up to date with proper forms and legal documents
Education
Medical Assistant Certificate - undefined
Hunter Business School
01.2010
Paralegal Certificate - undefined
Nassau Community College
01.1996
Associates of Applied Sciences - undefined
Nassau Community College
01.1984
Skills
- Schedule verification
- Client-specific scheduling
- Teamwork and collaboration
- Account management
- Cross-functional coordination
- Data entry
- Document management
- Medical terminology
- Strong work ethic
- Workflow optimization
- Production schedules
- Patient scheduling
- Schedule coordination
- Customer service
- Materials management
- Insurance verification
- Critical thinking
- Patient registration
- Microsoft Office Suite
- Problem-solving
- Effective multitasking
- Call management
- Telephone etiquette
- Attention to detail
- Client relations
- Calendar management
- Computer skills
Languages
Spanish
Elementary
Timeline
Scheduler 1
Catholic Health System
02.2024 - Current
Accounts Receivable Representative Medical Record Representative
Northwell Health
04.2012 - Current
CPP BILLING REPRESENTATIVE
North Shore University Long Island Jewish Hospital PAANS
04.2012 - Current
Caseworker
Department of Social Service
06.2000 - 08.2002
Medical Assistant Certificate - undefined
Hunter Business School
Paralegal Certificate - undefined
Nassau Community College
Associates of Applied Sciences - undefined
Nassau Community College
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