Dynamic professional with a proven track record in customer service and medical billing, notably at Pfs Group. Excelled in resolving complex insurance claims and enhancing customer satisfaction through effective communication and problem-solving. Skilled in ICD-10 and inbound calling, consistently achieving high standards of service.
Hi, I’m
Rebecca Gonzales
Houston,TX
Summary
Overview
6
years of professional experience
Work History
Pfs Group
Customer Service Representative
08.2023 - 03.2025
Job overview
- Followed up with customers about resolved issues to maintain high standards of customer service.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collaborated with customers to resolve disputes.
- Handled account payments and provided information regarding outstanding balances.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
St Luke's Patients Medical Center, East Sam Houston Pkwy S
Medical Biller
04.2020 - 08.2022
Job overview
- Adhered to established standards to safeguard patients' health information.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient diagnosis codes to verify accuracy
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
Progressive
Receptionist
09.2019 - 04.2020
Job overview
- Resolved customer problems and complaints.
- Corresponded with clients through email, telephone, or postal mail.
- Kept reception area clean and neat to give visitors positive first impression.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Answered phone promptly and directed incoming calls to correct offices.
- Organized, maintained and updated information in computer databases.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
- Responded to customer requests for products, services, and company information.
Education
Waltrip High School Houston, TX
05.2018
University Overview
Skills
- Inbound and outbound calling
- Call escalation
- Data entry
- Claims review
- Invoice coding
- ICD-10
- Insurance billing
Timeline
Customer Service Representative
Pfs Group
08.2023 - 03.2025
Medical Biller
St Luke's Patients Medical Center, East Sam Houston Pkwy S
04.2020 - 08.2022
Receptionist
Progressive
09.2019 - 04.2020
Waltrip High School
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