Nyellah Gutierrez
Midlothian,Virginia
Summary
Motivated and detail-oriented professional specializing in patient care, insurance authorizations, and medical billing. Experienced in maintaining HIPAA compliance and ensuring accuracy in documentation while managing patient records and resolving authorization issues. Committed to delivering high-quality service and building positive relationships.
Overview
1
1
Certification
9
9
years of professional experience
Work History
Billing Administrator
Beyond The Christian Counseling
Chesterfield, Virginia
06.2024 - Current
- Manage insurance authorizations and eligibility verification through the Availity platform.
- Process and submit billing claims based on counselors’ weekly client service logs.
- Acted as primary contact for billing inquiries from clients, counselors, and office staff, facilitating clear communication.
- Resolve claim issues, payment discrepancies, and insurance-related concerns in a timely manner.
- Checked documentation for accuracy and confirmed adherence to coding and billing procedures.
- Process invoices and billing statements for client counseling services.
- Maintain accurate client billing records while ensuring confidentiality and compliance with privacy regulations.
- Coordinated with counselors to gather complete and accurate documentation for timely claim submissions.
- Assist with payment posting, account reconciliation, and follow-up on outstanding balances.
Medical Assistant
Forefront Dermatology
Glen Allen, Virginia
11.2022 - Current
- Provide clinical support across locations while adapting quickly to different providers’ workflows and preferences.
- Assist physicians with examinations, biopsies, surgeries, injections, suture removals, and patient education.
- Record patients' medical history, vital signs, and test results in their medical records.
- Maintain accurate documentation while ensuring HIPAA compliance and high-quality patient care.
- Train and mentor newly hired Medical Assistants, providing hands-on instruction while maintaining full patient schedules.
- Perform Prior Authorizations through CoverMyMeds and Forus platforms for Biologics and other medications.
- Process appeals for denied authorization requests efficiently and accurately.
- Maintain precise documentation during prior authorization process to ensure compliance and clear communication with healthcare providers.
Medical Assistant
Paladin Dermatology
Midlothian, Virginia
10.2020 - 11.2022
- Assist physicians in patient examinations, treatments and surgeries, while also performing tasks such as injections and suture removals.
- Prepare and administer medications according to physician instructions.
- Record patients' medical history, vital signs, and test results in their medical records.
- Interviewed patients to gather essential medical information for accurate diagnosis.
- Educate patients and their families based on their treatment plan.
- Responded to nurse calls, facilitating timely communication between patients, pharmacies, and laboratories.
- Perform Prior Authorizations for Biologics and other medications.
- Prepare exam rooms by keeping rooms clean and tidy for patients and physicians.
- Ensured patient safety by delivering attentive care and addressing individual needs.
- Maintained HIPAA at all times.
Intern
Lane and Hamner
North Chesterfield, Virginia
08.2017 - 10.2020
- Assisted clients during office visits to ensure a welcoming experience.
- Communicated with clients and courts by phone to facilitate effective case management.
- Scheduled client appointments for consultations.
- Addressed and resolved client concerns promptly to enhance client satisfaction.
- Provided support to attorneys during case preparation.
- Scan, file, fax, and copy documents.
Education
Health, Physical Education, and Exercise Science -
Virginia Commonwealth University
Richmond, Virginia01-2023
Nurse Aide Certificate -
Chester Career College
Chester, Virginia08-2020
Skills
- Insurance authorizations
- Claims processing
- Medical billing
- Payment posting
- Documentation accuracy
- HIPAA compliance
- Attention to detail
- Time management
Certification
- Certified Nurse Aide
- The Association of Certified Dermatology Techs
Timeline
Billing Administrator
Beyond The Christian Counseling
06.2024 - Current
Medical Assistant
Forefront Dermatology
11.2022 - Current
Medical Assistant
Paladin Dermatology
10.2020 - 11.2022
Intern
Lane and Hamner
08.2017 - 10.2020
Health, Physical Education, and Exercise Science -
Virginia Commonwealth University
Nurse Aide Certificate -
Chester Career College