REBECCA GOMEZ
Wasco,CA
Summary
Bilingual Medical Biller candidate with experience in medical collections, medical records management, and with the ability to flourish in any medical office setting including scanning documentation, heavy data entry, and assistance with the processing of medical billing related and insurance related documentation
Overview
17
17
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist
Richard Alexan MD Inc.
01.2023 - 10.2024
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
- Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Medical Biller Trainee
Extern Training Site
09.2023 - 11.2023
- Performing all administrative duties including referral documentation, utilizing of office machinery, insurance website authorization, verification of insurance, filling out physical examination forms, telephone etiquette, emailing billing information, utilizing internal electronic medical software, working utilization of practice mate and simple practice as two systems, eligibility and benefits, front desk, mental health office experience, appointment scheduling, claim entry and payment posting, Medicare, denial, and collection management
Server/Supervisor
Denny's
01.2008 - 01.2019
- Duties include operation of cash register, fresh meal preparation; provide high quality extraordinary customer service, cash handling, and opening/closing of restaurant location, supervising employees shifts
Education
High School Diploma -
Wasco High School
Medical Billing & Insurance Coding Program -
UEI College
01.2022
Skills
- ICD 9 & ICD 10 Coding
- Insurance Verifications
- Scanning Billing Documents
- Electronic Health Records
- MS Office Suite
- Medical Collections
- Medical Records Clerk
- Medical Terminology
Certification
- CPR-BLS
- OSHA-Infection Control
- HIPAA Certificate
Timeline
Medical Biller Trainee
Extern Training Site
09.2023 - 11.2023
Prior Authorization Specialist
Richard Alexan MD Inc.
01.2023 - 10.2024
Server/Supervisor
Denny's
01.2008 - 01.2019
High School Diploma -
Wasco High School
Medical Billing & Insurance Coding Program -
UEI College
- CPR-BLS
- OSHA-Infection Control
- HIPAA Certificate
Similar Profiles
Joan OhnmachtJoan Ohnmacht
Office Manager at Richard K Ohnmacht, MD, LtdOffice Manager at Richard K Ohnmacht, MD, Ltd
Sue HeilSue Heil
Medical Office Administrative Assistant at Richard C Kaiser MD LLCMedical Office Administrative Assistant at Richard C Kaiser MD LLC
Adrienne BurnleyAdrienne Burnley
Office Manager/Front Desk at Richard Bensinger, MDOffice Manager/Front Desk at Richard Bensinger, MD