Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Marisol Gonzalez

MIAMI,FL

Summary

To join an organization where I can use my various skills in management and medical billing and coding. As well as obtain a high level of performance in all aspects required by the company.

Overview

35
35
years of professional experience
1
1
Certification

Work History

Office Manager

VitalMD
MIAMI, Florida
09.1998 - Current
  • Manage the billing and financial performance of the practice
  • Manage patient scheduling, registration, financial counseling, medical records, billing and collection, data entry, and processing deposits
  • Reviewing medical procedures as documented by doctors
  • Translating medical procedures into codes (Common Procedure Terminology codes – CPT) that can be translated by payers, other medical coders, and other medical facilities
  • Transmitting coded patient treatment information to payers and other recipients
  • Coordinating reimbursement activities with payers
  • Billing patients for medical services
  • Provide guidance on documentation requirements, queries, and documentation improvement process
  • Develop, implement and maintain office policies and procedures
  • Interview, hire and train medical office staff
  • Conduct performance reviews
  • Promote excellent customer service.
  • Supervised staff members, organized schedules and delegated tasks.
  • Monitored inventory levels and placed orders when needed.
  • Developed strong relationships with clients through excellent customer service skills.
  • Processed financial documents, contracts, expense reports and invoices.
  • Checked figures and postings for correct entry and proper codes.
  • Managed service agreements and purchase orders to drive budget performance and meet schedule requirements.
  • Used specialized accounting software to debit, credit and total accounts on computer spreadsheets and databases.
  • Coordinated with IT department to resolve technical issues and maintain office software updates.
  • Recruited and trained new employees to meet job requirements.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Mediated conflicts between employees and facilitated effective resolutions to disputes.
  • Organized team activities to build camaraderie and foster pleasant workplace culture.
  • Analyzed business performance data and forecasted business results for upper management.
  • Developed a system for tracking denied claims due to incorrect or incomplete coding.
  • Created reports summarizing coded data for administrative use.
  • Attended continuing education seminars related to new developments in medical coding field.
  • Maintained up-to-date knowledge of medical terminology and coding systems.
  • Collaborated with physicians, nurses, other healthcare professionals to resolve questions regarding code selection or documentation requirements.
  • Identified areas that require improvement in order to maintain accuracy of coded data.
  • Ensured HIPAA compliance when handling confidential patient information.
  • Investigated discrepancies between billed charges and actual payment amounts received from insurance companies.
  • Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
  • Prepared monthly statistical reports outlining trends in diagnosis and procedure codes used by healthcare providers.
  • Educated staff members on proper coding techniques according to industry standards.
  • Researched coding guidelines and regulations to ensure accurate coding practices.
  • Monitored changes in reimbursement policies affecting medical coding activities.
  • Conducted periodic audits to ensure compliance with coding rules and regulations.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Communicated with healthcare personnel, including practitioners to promote accuracy.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Conducted audits to ensure compliance with federal and state regulations.
  • Prepared reports detailing the progress of complex claims investigations.
  • Performed quality control reviews of claims files prior to closure.
  • Negotiated settlements with claimants, attorneys and other parties.
  • Assessed potential losses for insureds in accordance with applicable laws and regulations.
  • Developed relationships with clients, underwriters, adjusters, brokers and other internal and external stakeholders.
  • Calculated incident causes, estimated costs and recommended potential solutions.
  • Negotiated total loss settlements by reasonably applying company estimates to benefit both client and company needs.
  • Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
  • Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Enforced compliance with regulatory standards and company policies.
  • Coordinated with legal counsel to ensure organizational compliance.
  • Negotiated contracts and agreements with vendors and partners.
  • Ensured the security and confidentiality of sensitive information.
  • Monitored and reported on operational performance metrics.
  • Assessed company operations for compliance with safety standards.

Administrative Assistant to Chief Executive Officer

HEALTHSOUTH DOCTORS’ HOSPITAL
01.1997 - 09.1998
  • Coordinates Administrative and Executive Secretarial tasks as assigned by the Chief Executive Officer (CEO)
  • Maintains internal and external corporate documents and files for the organization
  • Works closely with the physicians and other practitioners prepare for meetings, daily work schedules and completion of professional documents
  • Attends various meetings at the discretion of the CEO
  • Support upper management with secretarial/administrative skills as needed.
  • Created new processes or procedures to streamline administrative tasks within the office environment.
  • Compiled data into organized records for easy retrieval and reference purposes.
  • Developed and implemented efficient office procedures to streamline workflow.
  • Provided support to other departments within the organization as required.
  • Tracked expenses and prepared expense reports for management review.
  • Reviewed existing policies and procedures ensuring compliance with applicable regulations.
  • Assisted in the preparation of reports, presentations and correspondence.
  • Managed daily calendar activities including scheduling meetings, deadlines.
  • Performed basic bookkeeping duties such as accounts payable and receivable entries and reconciliations.
  • Coordinated meetings, conferences and travel arrangements for staff members.
  • Inputted customer information into database systems for accurate record keeping purposes.
  • Ensured compliance with company policies related to health and safety regulations.
  • Provided administrative support for executive staff members.
  • Managed daily office operations and maintained office supplies inventory, ensuring efficient workplace functionality.
  • Executed on-time, under-budget projects by solving complex issues for senior leadership.
  • Raised funds by organizing multiple events and diligently managed details to meet deadlines.
  • Conducted research, compiled and typed statistical reports, synthesized information and provided excellent communication to disseminate information throughout organization.
  • Oversaw staff correspondence, record tracking and data communications, resulting in improved automation of office operations.

Administrative Assistance to Chief Financial Officer

HEALTHSOUTH DOCTORS’ HOSPITAL
02.1995 - 01.1997
  • Provide CFO daily financial reports
  • Assist CFO in monthly reconciliation of the hospital accounts
  • Monthly general ledger entries
  • Daily cash posting and deposits
  • Assist controller with end of the month reports/budget figures.
  • Generated weekly budget reports for review by senior management team members.
  • Coordinated with other departments in order to complete special projects assigned by the CFO.
  • Managed expense reimbursements submitted by staff members; ensured accuracy of all documentation before submitting them for payment processing.
  • Developed process improvements within the finance department to streamline operations and increase efficiency.
  • Performed cost analysis on projects as requested by the CFO.
  • Collaborated with external auditors during year-end audits to ensure compliance with accounting standards.
  • Provided support to the CFO in preparing presentations and other documents related to finance activities.
  • Developed and maintained strong relationships with internal stakeholders for the purpose of obtaining necessary information for the CFO.
  • Prepared monthly reconciliations of accounts to ensure accuracy of financial statements.
  • Analyzed variances in actual results versus planned budgets; identified trends or areas needing improvement.
  • Attended meetings alongside the CFO as required; took notes and prepared minutes of meeting discussions.
  • Assisted in developing new policies and procedures related to finance activities.
  • Coordinated audits conducted by external auditors or regulatory agencies.
  • Created spreadsheets tracking key performance indicators used by senior management team members.
  • Reviewed contracts, leases, and other agreements prior to submission to the CFO for approval.
  • Maintained communication between departments regarding financial matters as directed by the CFO.
  • Maintained company confidence and protected business operations by keeping sensitive information confidential.
  • Tackled and addressed top-level, high-priority issues with professional administrative discretion.
  • Wrote and distributed executive meeting agendas and minutes to department heads and executive team members.

Payroll/Account Receivable Clerk

HEALTHSOUTH LARKIN HOSPITAL
03.1994 - 02.1995
  • Managed hospital payroll
  • Reconciling and calculating Bi weekly payroll reports
  • Data entry of payroll manual adjustments and benefit
  • Educate employees on Time & Attendance System
  • Auditing payroll reports and employees benefits
  • Assist controller with generation of totals for department budget
  • Entering patient’s payments and assessment of balances
  • Reallocating patients accounts according to their financial class.
  • Created and maintained employee records, including new hires, terminations, salary changes, and tax withholding forms.
  • Reviewed timesheets for accuracy and completeness prior to processing payroll.
  • Processed payroll for over 500 employees bi-weekly, ensuring accuracy of pay and deductions.
  • Developed and implemented procedures to ensure accurate entry of payroll data into the system.
  • Responded promptly to inquiries from employees regarding their paychecks or deductions.
  • Provided timely customer service support to employees regarding questions about their paychecks or other payroll issues.
  • Assisted with auditing processes related to payroll.
  • Maintained up-to-date knowledge of relevant laws and regulations regarding wage and hour compliance.
  • Solved complex problems related to payroll processing quickly and efficiently.
  • Reviewed timecards at month end to ensure accuracy before approving payment.
  • Reconciled monthly benefit statements from vendors to ensure accuracy of information in the payroll system.
  • Ensured that all necessary taxes were withheld accurately from each employee's paycheck.
  • Managed multiple tasks simultaneously while meeting deadlines consistently.
  • Prepared quarterly reports for government agencies such as 941s, W-2s, 1099s.
  • Coordinated with Human Resources staff on employee leaves of absence or termination paperwork.
  • Onboarded new employees in time reporting and payroll systems.
  • Maintained up-to-date knowledge of federal, state, and local payroll tax laws to ensure compliance.
  • Collaborated with external auditors during annual audits, providing necessary payroll records and explanations.
  • Managed payroll and time and attendance systems.
  • Compiled statistics, statements and reports on pay and benefits to submit to department heads.

Account Payable/Receivable Clerk

THE STERLING GROUP
06.1991 - 10.1993
  • Daily accounts payable reconciliation
  • Paying vendors according to terms
  • Assist in the processing of payroll
  • Preparing and mailing of vendor checks/payroll checks.
  • Reviewed and processed invoices to ensure accuracy of data entry.
  • Investigated payment issues and resolved them promptly.
  • Researched discrepancies in invoice payments, credits, and debits.
  • Ensured compliance with company policies regarding expenses.
  • Processed employee expense reports in accordance with corporate policy.
  • Developed weekly reports for management on Accounts Payable activities.
  • Tracked purchase orders from vendors to ensure timely delivery of goods.
  • Negotiated terms with vendors when needed to obtain discounts or extended payment terms.
  • Worked closely with other departments to resolve billing issues quickly.
  • Prepared journal entries related to Accounts Payable transactions.
  • Responded promptly to inquiries from vendors regarding payment status.
  • Conducted monthly reconciliation of vendor accounts.
  • Created new vendor accounts and maintained existing ones in the system.
  • Developed relationships with key suppliers as part of supplier relationship management program.
  • Monitored accounts payable aging report to ensure timely payment of vendor invoices.
  • Managed month-end closing process for Accounts Payable department.
  • Maintained accurate records for audit purposes.
  • Provided guidance and support to Accounts Payable staff with day-to-day operations.
  • Analyzed invoice and expense reports, identified variances and researched issues to correct problems and maintain financial compliance.
  • Assisted with month-end and year-end closings to support accounting system accuracy.
  • Addressed month-end closing functions for detailed reporting.
  • Reconciled monthly statements and transactions to keep records accurate and current.
  • Managed bookkeeping and accounting systems and completed data entry with accuracy and efficiency.
  • Compiled current budget data from estimated revenues, expenses and prior budgets.

Head Cashier/Sales Representative

LURIAS AND SONS
08.1989 - 06.1991
  • Merchandise sales
  • Daily opening and balancing of store’s cash registers
  • Customer service.
  • Resolved discrepancies between POS system and physical money amounts in drawers at end of shift.
  • Assisted cashiers with resolving customer complaints and inquiries.
  • Identified discrepancies between actual sales figures and expected totals.
  • Ensured compliance with all safety regulations while performing tasks.
  • Conducted inventory audits to ensure accuracy of product levels in the register area.
  • Provided guidance to cashiers on how to accurately ring up customers' purchases.
  • Performed daily opening and closing procedures for the register area.
  • Recognized potential theft or fraud attempts by monitoring suspicious behavior.
  • Managed scheduling, payroll, and time off requests for team members.
  • Analyzed sales data reports to identify trends in customer buying habits.
  • Participated in weekly meetings to discuss upcoming promotions, initiatives, and strategies.
  • Processed refunds and exchanges according to company policy.

Education

Bachelor Degree -

Nova Southeastern University
01.2007

Associates Degree -

Miami Dade Community College
01.2003

MBA (Currently completing) -

Nova Southeastern University

Skills

  • Intergy
  • ECW
  • Tebra
  • Excel
  • AVILITY
  • WORD
  • Care 360
  • Medisoft
  • ADP
  • MICROSOFT OFFICE
  • Power Point
  • Web-Clock
  • CoAdvantage
  • Alphastaff

Certification

  • Certified Professional Coder/ AAPC 2013
  • Certified Risk Adjuster
  • Compliance Officer Certification
  • Notary Public/ State of Florida 2012

Timeline

Office Manager

VitalMD
09.1998 - Current

Administrative Assistant to Chief Executive Officer

HEALTHSOUTH DOCTORS’ HOSPITAL
01.1997 - 09.1998

Administrative Assistance to Chief Financial Officer

HEALTHSOUTH DOCTORS’ HOSPITAL
02.1995 - 01.1997

Payroll/Account Receivable Clerk

HEALTHSOUTH LARKIN HOSPITAL
03.1994 - 02.1995

Account Payable/Receivable Clerk

THE STERLING GROUP
06.1991 - 10.1993

Head Cashier/Sales Representative

LURIAS AND SONS
08.1989 - 06.1991

Bachelor Degree -

Nova Southeastern University

Associates Degree -

Miami Dade Community College

MBA (Currently completing) -

Nova Southeastern University

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Marisol Gonzalez