Marlena Galvan
Chesterton,US
Summary
Professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving. Skilled in coding, claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Overview
27
27
years of professional experience
Work History
Medical Biller
Family Medicine of Merrillville
02.2021 - 06.2023
- Processed medical claims and invoices for a high-volume healthcare facility, ensuring accuracy and adherence to billing guidelines
- Verified patient insurance coverage and obtained necessary authorizations for medical procedures
- Maintained strict confidentiality of patient information in compliance with HIPAA regulations
- Followed up with insurance companies regarding claim denials or discrepancies, resolving issues in a timely manner
- Utilized electronic health record (EHR) systems to input patient information, update billing records, and generate reports
- Managed accounts receivable by tracking outstanding payments, contacting patients for payment arrangements, and initiating collections when necessary
- 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.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Unit Secretary
Select Medical Regency Hospital
03.2019 - 12.2020
- Good communication within the team; the physicians and staff, and interdepartmental leaders, utilized physician orders entry from the Electronic Medical Record (EMR), verified Physician privilege's prior to transcribing orders, and entered physician orders.
- Contacted physician consults and maintained on call physician group contact list.
- Achieved a high level of customer satisfaction by addressing patient concerns promptly and professionally, maintaining open lines of communication throughout their stay.
- Contributed to a positive work environment through effective collaboration with nurses, doctors, and other hospital staff members.
- Improved patient satisfaction by providing efficient administrative support and timely communication to medical staff.
- Assisted in training new Medical Unit Secretaries, sharing organizational knowledge and best practices for efficient operations.
- Managed inventory of office supplies to maintain an organized and well-stocked workspace for the entire team.
Unit Secretary
Methodist Hospitals
02.2018 - 03.2019
- Good communication skills, performed admission, transfer and discharge process, scheduled patients for activities in the Electronic Medical Record (EMR), assembled and maintained patient medical records in an appropriate sequence.
- Monitored location of charts and prepared charts/copies in anticipation of an admission and performed real time chart audit/chart compliance as instructed by the department manager/team leader.
- Entered the staffing schedule into an excel document and maintained for edits.
- Processed all patient and unit charge orders for equipment and supplies, vis the CIS order system.
- Managed incoming calls and directed to appropriate department.
- Contributed to positive patient experiences by greeting visitors, providing directions, and addressing inquiries professionally.
- Supported hospital compliance efforts by adhering to privacy policies and HIPAA regulations when handling sensitive patient information.
- Coordinated communication between medical staff and patients'' families, keeping everyone informed on treatment plans and progress updates.
Medical Biller
Obstetrical & Gynecological Associates, Inc
03.2015 - 01.2018
- Overseeing OB Wellness weight loss contracts, scheduling OB appointments that require weekly non-stress tests (NST's) and amniotic fluid index (AFI's).
- Responsible for billing all daily claims and verifying all daily appointment insurance and follow-ups.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Omni Fulfillment (Seasonal)
Kohl's Department Store
10.2016 - 02.2017
- Preparation and shipping for all online orders to various stores, worked in Omni system. (This was a seasonal job).
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
Operational Assistant for the Joint Academy
St. Mary's Hospital
01.2010 - 12.2014
- Pre-Scheduled all education classes, rehabilitation appointments, & meetings.
- Interacted with patients, guiding them through the process, was a resource for information.
- Enhanced team productivity by providing administrative support and coordinating schedules.
- Managed daily operations, maintaining an organized office environment for efficient workflow.
- Supported project management efforts by tracking progress, updating stakeholders, and facilitating communication between departments.
- Streamlined operational processes by identifying inefficiencies and implementing strategic solutions.
Medical Biller
Dr. Raiker, Cardiologist
05.2004 - 12.2009
- Transmitting claims, follow-up on account collections, monthly AR reports, electronic billing and posting of various insurance claims, coding hospital procedures.
- 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.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
Medical Biller
Midwest Eye Center
05.2002 - 04.2004
- Secretarial duties for all the doctors in the facility, posting charges and payments to patient accounts and coding services for surgeries and billing various insurances.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
Receptionist
Dr. Ames, Pediatrician
01.2000 - 12.2002
- Receptionist duties, filing, scheduling appointments, posting charges and payments to patient accounts, and billing insurances.
Receptionist
Prompt Medical Care
09.1996 - 11.1999
- Receptionist duties, filing, scheduled appointments, posted charges and payments to patient accounts and billing insurances.
Education
High School Diploma -
Portage High School
Portage, IN05-1995
Skills
- Insurance claims
- Insurance billing
- Medical billing
- Electronic claims
- HIPAA compliance
- Insurance verification
- Patient billing
- Billing and collection procedures
- CPT knowledge
- Customer service
- Accounts receivable
- Insurance claims processing
- Medical terminology expert
- Multitasking and organization
- Medical claims submission
Timeline
Medical Biller
Family Medicine of Merrillville
02.2021 - 06.2023
Unit Secretary
Select Medical Regency Hospital
03.2019 - 12.2020
Unit Secretary
Methodist Hospitals
02.2018 - 03.2019
Omni Fulfillment (Seasonal)
Kohl's Department Store
10.2016 - 02.2017
Medical Biller
Obstetrical & Gynecological Associates, Inc
03.2015 - 01.2018
Operational Assistant for the Joint Academy
St. Mary's Hospital
01.2010 - 12.2014
Medical Biller
Dr. Raiker, Cardiologist
05.2004 - 12.2009
Medical Biller
Midwest Eye Center
05.2002 - 04.2004
Receptionist
Dr. Ames, Pediatrician
01.2000 - 12.2002
Receptionist
Prompt Medical Care
09.1996 - 11.1999
High School Diploma -
Portage High School
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