Hardworking individual with over 13 years of experience in healthcare with excellent analytical and multitasking abilities. Results-driven and experienced in financial statement review, auditing and reporting. Well-versed in producing reports, evaluating department operations and handling month- and year-end closings. Meticulous, conscientious and methodical in approach.
Hi, I’m
Priscilla Gonzalez
Darien,IL
Summary
Overview
17
years of professional experience
Work History
Progressive Psychiatry
Medical Billing Executive (Independent Contractor)
07.2014 - Current
Job overview
- Managed monthly billing process to complete billings and returns to meet company revenue policies for 2 locations; Oak Park,IL and Tampa, FL offices.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Evaluated and negotiated insurance contracts to procure favorable financial terms.
- Posted payments and collections on a regular basis.
- Communicated with insurance providers to resolve denied claims
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Completed Prior Authorizations for procedures and medications
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Prepared billing statements for patients and verified correct diagnostic coding.
Progressive Psychiatry
TMS Technician
09.2014 - 10.2022
Job overview
- Administered Transcranial Magnetic Stimulation (TMS) to patients and assisted the physician with TMS evaluations
- Educated patients about procedures, answered questions, and provided comforting words to control anxiety and enhance procedure results.
- Gathered, charted, and analyzed patient history data and discussed key points with clinicians.
- Utilized medical software to document and track patient progress.
- Cleaned and sterilized instruments, equipment and surfaces.
Riveredge Hospital & Chicago Behavioral Hospital
Dictations (Independent Contractor)
11.2014 - 01.2017
Job overview
- Composed psychiatric discharge summaries by gathering all pertinent information from patient charts and dictate the information for transcribers to type.
- Include information about the status of the patient prior to admission and on the day of discharge including psychiatric, physical and functional condition.
Wolcott, Wood and Taylor UIC Physicians Group
Refund Claims Specialist/Cash Applications
02.2008 - 06.2013
Job overview
- Accurately read EOB’s and determine claim overpayments, duplicates and COB issues
- Accurately distribute/undistribute payments and apply necessary adjustments if not taken based on claim payment
- Monitor credit balance work ques on a daily basis and process refunds for new credits
- Work electronic claim refund requests on Real Med (Dispute, appeal and process correspondence sent through Real Med)
- Multi task and help other departments as needed; Payment post and reconcile if necessary during month end
- Post payments on to patient accounts from lockbox deposits; Insurance payments; ACH deposits and credit card payments
- Work with departments regarding billing errors and voided charges
Epic, UIC
Charge Entry Specialist
02.2008 - 06.2011
Job overview
- Enter charges into the database from various departments within required time-frame
- Ensure all charge information is accurate prior to entry so claims are processed accurately
- Verify patients insurance information on patients charge ticket
- Help other departments as needed; Post payments to Epic and help create the paper work needed to process refunds
- Train new employees on the charge entry process
Rush Copley Medical Group, Staffing
Medical Billing CSR/Cash Applications Specialist
08.2007 - 02.2008
Job overview
- Handle inbound calls from patients regarding invoices
- Process patient payments and set payment plans
- Resubmit denied claims and discuss billing issues with patients and insurance companies
- Reconcile batch status report; entering debit/credit adjustments, transfers, and negative balance report adjustments into the system
- Train new customer service employees
- Handle escalated patient phone calls and resolve issues thoroughly
- Perform posting functions for payors
Connextions Inc
Benefits Advisor/Member Services
02.2006 - 07.2007
Job overview
- Assist members with questions on different plan services, claim status, eligibility and disenrollment issues
- Provide thorough explanations of health and prescription benefits that are available to prospects
- Conduct telephonic enrollments for Medicare and Medicaid recipients
- Consistently meet and exceed company sales quotas and client goals
- Review enrollment applications to ensure all requirements are followed and completed
Hewitt Associates, Adecco
Customer Service Associate/Member Services
05.2005 - 02.2006
Job overview
- Responsible for employee’s annual enrollment elections and status changes
- Handle incoming calls from our clients' employees, answering their questions about their benefit choices for annual enrollment
- Sort out any clients' employee issues relating to their health, life, ST & LT disability insurance, retirement and their individual policy provisions
Education
Rasmussen University
Associate of Science from Health Information Technology
05.2024
University Overview
Northern Illlinois University
2004
University Overview
Skills
- Exceptional understanding of commercial & government health insurance policies and EOB’s
- Very high learning agility, high attention to detail and superior written and verbal communication skills
- Benefits Explanations
- Revenue Cycle Management
- Medical Records Requests
- Strong knowledge of employee benefits; Health, life, ST & LT disability insurance, and retirement coverage
- Great understanding of the claims process
- Advanced proficiency in Windows, MS Word, Excel, Access, Outlook, Epic Medical Software, People Soft, Covermymeds and OnBase database systems
- Advanced 10 Key skills and very strong keyboarding skills (55wpm)
- Excellent knowledge of CPT/ICD-10 codes
- Dictation and Transcription
- Outstanding phone etiquette and customer service skills
Additional Information
Additional Information
- 215 , Florida License Orlando, FL Sales Producer Health, Life and Annuities License (2006) –expired (willing to obtain)
Languages
Spanish
Native or Bilingual
Timeline
Dictations (Independent Contractor)
Riveredge Hospital & Chicago Behavioral Hospital
11.2014 - 01.2017
TMS Technician
Progressive Psychiatry
09.2014 - 10.2022
Medical Billing Executive (Independent Contractor)
Progressive Psychiatry
07.2014 - Current
Refund Claims Specialist/Cash Applications
Wolcott, Wood and Taylor UIC Physicians Group
02.2008 - 06.2013
Charge Entry Specialist
Epic, UIC
02.2008 - 06.2011
Medical Billing CSR/Cash Applications Specialist
Rush Copley Medical Group, Staffing
08.2007 - 02.2008
Benefits Advisor/Member Services
Connextions Inc
02.2006 - 07.2007
Customer Service Associate/Member Services
Hewitt Associates, Adecco
05.2005 - 02.2006
Rasmussen University
Associate of Science from Health Information Technology
Northern Illlinois University
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