Rosa González
Fayetteville,USA
Summary
Manager with over 18 years of experience in the health industry, specializing in primary care, MSO, ACO, and Medicare Advantage. Proven track record in enhancing business operations through effective staff management, operational coordination, and exceptional customer service. Successfully implemented new procedures and technologies that increased efficiency and streamlined processes. Committed to fostering a positive work environment by setting clear goals and monitoring team performance.
Overview
10
10
years of professional experience
Work History
Medical Biller Specialist
Kidzcare Pediatrics
Fayetteville, NC
10.2025 - Current
- Processed pediatric medical claims with efficiency and accuracy.
- Reviewed patient billing information for completeness and correctness.
- Delivered exceptional customer service, fostering patient satisfaction and loyalty.
- Verified medical codes for diagnoses, treatments, procedures, and supplies using ICD-10 coding system.
- Applied HIPAA privacy and security regulations in handling patient information.
Medical Biller & Collections Specialist
Pathways Health Partners
Leesburg, Florida
10.2023 - 11.2024
- Streamlined patient billing processes to ensure timely and accurate payments.
- Delivered exceptional customer service, enhancing patient satisfaction and loyalty.
- Verified medical codes for diagnoses, treatments, procedures, and supplies using ICD-10 system.
- Applied HIPAA regulations while managing sensitive patient information.
- Handled incoming calls professionally regarding billing inquiries from patients and providers.
- Reviewed account information to confirm accuracy of patient and insurance details.
Practice Manager
Piñeros Preventive Medical Care
Orlando, Florida
10.2022 - 12.2022
- Supervised and mentored staff to enhance team performance and improve patient care delivery.
- Implemented quality assurance protocols to ensure compliance with healthcare standards and improve service delivery.
- Facilitated effective communication and support to enhance patient relations and satisfaction.
- Coordinated patient scheduling processes to optimize appointment flow and reduce wait times.
- Ensured adherence to regulatory compliance requirements to maintain organizational accreditation and licensing.
- Managed revenue cycle processes to optimize financial performance and minimize claim denials.
Practice Manager
Bright Care Medical Grouup
Clermont, Florida
02.2021 - 04.2022
- Facilitated staff training programs to enhance team competence and improve overall service delivery.
- Led a diverse team to achieve organizational goals while fostering a collaborative work environment.
- Managed budgets effectively to ensure optimal allocation of resources and financial sustainability.
- Executed quality assurance measures to maintain high standards of care and patient satisfaction.
- Oversaw compliance initiatives to ensure adherence to regulatory standards and organizational policies.
- Coordinated patient scheduling processes to optimize appointment availability and enhance patient flow.
Business Office Director
First Hospital Panamericano
Cidra, PR
12.2015 - 11.2020
- Responsible for providing leadership and direction for the Business Office and Accounts Receivable Management services of the hospital and related services.
- This responsibility includes managing the services in a manner which will contribute to the achievement of the hospital financial and clinical goals and which enables the hospital to achieve its cash collections and account receivable goals.
- The BOD responsibilities include management of the Business Office staff and related functions, including admitting, billing and collection/follow-up.
- Work closely with the CFO to achieve facility goals.
- Must have strong knowledge of inpatient and outpatient hospital billing and insurance collections.
- Strong knowledge of Excel, electronic billing and general accounts receivable system.
- Also has effective leadership and organizational skills, interacts with patients and staff in a professional manner, promotes team work and demonstrates Service Excellence.
Education
Associate of Science - Secretarial Course
Metro College
05-1991
BBA - Psychology
Universidad Interamericana
05-1985
Skills
- Inpatient and outpatient billing expertise
- Leadership and organizational skills
- Medicare guidelines knowledge
- Microsoft Office proficiency
- HIPAA compliance
- Customer service excellence
- Medical terminology expertise
- Multitasking and organization
- ICD-9 proficiency
- Accounts receivable/payable management
- Account reconciliation skills
- Problem-solving abilities
- Staff supervision
- EMR systems: Athena, ICW, Kareo, Aprima, Practice Fusion, and Office Practicum OP
- Software: InstaMed, NCTracks, Microsoft Word, Excel, and PowerPoint
Languages
- Spanish
- English
Timeline
Medical Biller Specialist
Kidzcare Pediatrics
10.2025 - Current
Medical Biller & Collections Specialist
Pathways Health Partners
10.2023 - 11.2024
Practice Manager
Piñeros Preventive Medical Care
10.2022 - 12.2022
Practice Manager
Bright Care Medical Grouup
02.2021 - 04.2022
Business Office Director
First Hospital Panamericano
12.2015 - 11.2020
Associate of Science - Secretarial Course
Metro College
BBA - Psychology
Universidad Interamericana