MYRLENE GIBBINGS
Bordentown,NJ
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
26
26
years of professional experience
Work History
Patient Account Representative
Medix Staffing
Parsippany, New Jersey
04.2025 - 08.2025
- Processed patient account inquiries and resolved billing issues efficiently.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Communicated with insurance companies to secure timely collections outstanding balances.
- Updated existing patient files with relevant information such as changes in address or contact information.
PATIENTS ACCOUNT RECEIVABLE
University Of Maryland Medical System
07.2022 - 08.2024
- Gathered and mailed medical records to Managed Care Organizations for reconsideration.
- Kept documents moving in proper flow by applying strong organizational and multitasking abilities.
- Developed and updated spreadsheets in excel to track documents.
- Collaborated with fellow team members to assure proper submission to Manage Care Organizations. manage large volume of claims.
- Provided excellent customer service when dealing with clients regarding their accounts receivable status.
- Handled escalated issues from customers regarding their accounts receivables in a professional manner.
- Researched and resolved unapplied cash items related to Accounts Receivable transactions.
- Ensured compliance with all applicable regulations related to Accounts Receivable collections.
- Followed up on unpaid claims from third party payers such as insurance companies and government agencies.
- Adhered to established guidelines when collecting past due balances from customers.
- Answered customer questions regarding account discrepancies or problems.
- Recorded information about status of collection efforts.
- Contacted insurance companies to check status of claim payments.
BILLING SUPERVISOR
Brooklyn United Methodist Church Home
05.2006 - 05.2020
- Processed weekly billing and managed care claims, obtain authorizations, review weekly remittances for denials, and re-bill accordingly.
- Met with residents/family to collect financial documentation for Medicaid applications and recertification; verify that new admissions are eligible for benefits through an initial review of their applications and information provided.
- After all applicable information has been obtained and verified for accuracy and eligibility is confirmed; prepare, review and send billing statements to Medicaid for approval.
- Collected resident's monthly income checks per Medicaid eligibility requirements and visited the social security office monthly for income verification.
- Conduct daily NAMI posting and reconcile cash receipts.
- Generated invoices, processed payments and prepared deposits and part of financial operations oversight.
MEDICAID ENTITLEMENT ASSISTANT/UNIT CLERK
Jewish Home and Hospital
04.1999 - 05.2006
- Determine whether applicants for Medicaid programs meetings the necessary qualifications.
- Coordinate eligibility determinations and other related activities associated with Medicaid benefits.
- Acted as the liaison between the Department of Medical Assistance, VA, SSA, and other state and federal agencies.
- Completed documentation reports of individuals submitted for benefits.
- Provide appropriate documentation on each case for the active chart on a bi-weekly (twice per month) basis.
- Maintained competency by continuously reviewing new and current programs to submit effective and ethical recommendations and reports.
- Performed audits on charts to maintain quality control in compliance with state, local, and federal guidelines.
- Completed applications for all eligible individuals to include 'Presumptive' applicants.
- Traveled to the social security office for meetings with individuals applying for benefits as needed.
- Attend Face to Face Interviews with individuals.
- Initiated procedures to grant, modify, deny, or terminate eligibility for various aid programs.
- Worked closely with various funding sources to streamline the process for the individuals to acquire financial support.
- Met the critical needs to complete and research potential financial resources for the individuals served.
- Demonstrate advocacy on behalf of the clients/applicants.
- Record Keeping; Record and evaluate personal and financial data obtained from individuals.
- Exhibit compliance with FHC's corporate compliance policy.
Education
Bachelor of Science -
St. Joseph's College
Brooklyn, NY01.2009
Skills
- Strong interpersonal & Communication skills
- Ability to work collaboratively
- Problem - Solving
- Meticulous attention to detail
- Excellent Organizational skills
- Poised under pressure
- Accounts Receivable
- Insurance Verification
- Customer Relationship Management
- Reliability
- Training and Teaching
Timeline
Patient Account Representative
Medix Staffing
04.2025 - 08.2025
PATIENTS ACCOUNT RECEIVABLE
University Of Maryland Medical System
07.2022 - 08.2024
BILLING SUPERVISOR
Brooklyn United Methodist Church Home
05.2006 - 05.2020
MEDICAID ENTITLEMENT ASSISTANT/UNIT CLERK
Jewish Home and Hospital
04.1999 - 05.2006
Bachelor of Science -
St. Joseph's College