ROSIE GALLARDO
Fresno,CA
Summary
My ability to prioritize and bill accordingly allows me to perform multiple responsibilities in a fast-paced environment while still exhibiting professionalism, composure, and integrity.
Detail-oriented and methodical Medical Billing offering 10 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
22
22
years of professional experience
Work History
Billing Specialist II
Fogg Remington EyeCare
12.2023 - Current
- Worked A/R report for facility ensuring all claims were paid on timely basis.
- Submitted claims through clearinghouse Waystar
- Corrected billing errors directly in clearinghouse and resubmitted claims
- Worked all incoming mail/correspondence & submitted requested information to requesting insurance companies
- Made follow up calls to insurance to verify why claims were not paid in timely manner & requested claims reprocessing as needed.
- Answered incoming calls from patients and answered any statement questions & made payment arrangements.
- Took the lead in training new employees when it pertained to insurance compliance and education.
- Followed up on any claims that were passed timely filing & submitted appeals to insurance.
Billing Specialist
Valley Eye Institute
04.2022 - 10.2023
- Worked aging report for the clinic and ambulatory surgical center on monthly basis
- Submitted claims through clearinghouse office ally
- Corrected billing errors directly in clearinghouse and resubmitted claims
- Worked all incoming mail/correspondence & submitted requested information
- Made follow up calls to insurance to make sure of timely payment on claims or verify why claims were not paid in timely manner
- Answered incoming calls from patients and answered any statement questions & made payment arrangements for higher balances.
Medical Billing Receptionist
Cedar North Dental & Sleep
01.2020 - 02.2022
- Bill medical claims in a dental office for sleep apnea oral devices
- Schedule appointments for sleep consultations & follow up visits
- Verify insurance coverage for current & potential patients
- Obtain prior authorization as required by various commercial insurances
- Work on aging report on monthly basis, make follow-up inquiries via phone and insurance websites & correct billing errors if any are found
- Post payments from insurance to patient accounts
- Verify all necessary legal forms are completed as required by insurance before treatment of patient
- Collect co-pays, bill, & establish collections process on patient balances
Accounts Receivable Specialist
99 Property Managements
05.2019 - 03.2020
- Entered monthly rent payments for over 30 properties
- Mailed monthly statements showing tenant balances
- Answered phones for English/Spanish speaking patients with questions regarding their statements
- Made collections calls to any tenants with outstanding balances
- Reconciled physical payments received in office to online bank portal
Billing Assistant
Eye Medical Clinic of Fresno
01.2017 - 01.2019
- Specialized in billing secondary claims to Medicare
- Worked on aging report on a monthly basis, made follow-up inquiries via phone and insurance websites to ensure timely payments by insurance
- Assisted English/Spanish speaking patients with any questions regarding their bills
- Worked incoming mail/correspondence from insurances to rectify any billing errors and resubmitted corrected claims
Billing Specialist II
Eye Q Vision Care
01.2008 - 01.2017
- Responsible for billing government and private insurances for patient services performed in and out of our office
- Specializing in Medicare billing
- Worked on aging report on a monthly basis, made follow-up inquiries via phone and insurance websites for insurance payments
- Answered patient phone calls regarding bills and assisted patients with payment arrangements if needed in both English and Spanish
- Submitted claims daily & uploaded to our clearinghouse for claim processing
- Kept accurate records of all activity and conversations for each claim as needed
- Reviewed claim denials and payer requirements for corrective action & prevention of denial in the future.
Appointment Secretary
Fogg, Lanier, Remington
01.2004 - 01.2008
- Scheduled and re-scheduled appointments for 15 physicians at 5 different locations
- Coordinated schedules for physicians that were unable to see patients
- Assisted with calls for Spanish speaking patients
- Created and implemented training worksheets in MS Word for scheduling patients
- Trained new employees on proper scheduling protocols
- Confirmed appointments via phone in English and Spanish.
Education
A.A.S - Computer Business Administration
Heald College School of Business
Fresno, CA01.2001
High School Diploma -
McLane High School
Fresno, CA01.1999
Skills
- Data entry proficiency at 45 WPM
- Attention to detail
- Insurance verification
- Decision-making
- Database & Records Entry
- Microsoft Office 365
- Time Management
- Billing cycle management
- Medical billing and collections
- Customer service
- Claim submission
- Multitasking and organization
- Problem-solving
- Accounts receivable expertise
- Dispute resolution
- Billing dispute resolution
- Research and due diligence
- Monthly billing management
Accomplishments
- Documented and resolved claim denials which led to payment from Medicare of $90,000 on multiple outstanding claims.
LANGUAGES
Spanish Bilingual
Timeline
Billing Specialist II
Fogg Remington EyeCare
12.2023 - Current
Billing Specialist
Valley Eye Institute
04.2022 - 10.2023
Medical Billing Receptionist
Cedar North Dental & Sleep
01.2020 - 02.2022
Accounts Receivable Specialist
99 Property Managements
05.2019 - 03.2020
Billing Assistant
Eye Medical Clinic of Fresno
01.2017 - 01.2019
Billing Specialist II
Eye Q Vision Care
01.2008 - 01.2017
Appointment Secretary
Fogg, Lanier, Remington
01.2004 - 01.2008
A.A.S - Computer Business Administration
Heald College School of Business
High School Diploma -
McLane High School