Stephanie Gomez
Wallington
Summary
Experienced professional in payment processing, skilled at accurately posting payments and managing accounts. Proficient in resolving discrepancies, maintaining meticulous financial records, and ensuring adherence to company policies. Recognized for exceptional collaboration skills and ability to adapt to changing needs. Dependable and results-driven, committed to achieving organizational goals and enhancing operational efficiency.
Overview
16
16
years of professional experience
Work History
Ops Associate II
Cloudmed/R1
02.2023 - Current
- Cultivated a positive work environment through open communication channels, encouraging collaboration, and fostering a culture of continuous improvement.
- Analyzed and reported on key performance metrics to senior management.
- Trained and guided team members to maintain high productivity and performance metrics.
- Collaborated with cross-functional teams to develop new payment solutions that catered to specific team needs.
- Meet productivity metrics as defined by supervisors with projects assigned, while being able to help other team members with overdue volume.
- Experienced payment poster with variance payors including Medicare, Medicaid, HMO, Workers Comp and so many others.
Client Billing Representative
Bio Reference Laboratories Inc
02.2016 - Current
- Communicate daily with high volume clients to obtain missing data required for healthcare billing
- Provide clear and concise services, advice and consulting to clients with a friendly and empathetic attitude and strong interpersonal and relationship building skills
- Introduced a new work flow that produced department efficiencies and improved client satisfaction
- Act as a liaison between the business departments, billing and medical records to resolve billing errors and apply appropriate ICD-9, CPT-4 and HCPCS codes, charges and corrected charges
- Navigate and utilize insurance website to verify eligibility
- Responsible for processing, adjustment and denials according to insurance guidelines
Medical Biller/Coder
Comp Medical Eval of Paterson
02.2013 - 02.2016
- Promoted continued accuracy by evaluating provider charges, including dates of service, procedures, level of care, locations, diagnosis, patient identification and provider signatures
- Performed full-cycle medical billing in a fast paced company
- Followed up with insurance companies on denial and appeal to ensure all claims come to accordance with billing guidelines
- Worked directly with insurance companies to get claims processed and paid
Medical Assistant/Administrative
Center for UroGynecology of Livingston, NJ
10.2012 - 11.2013
- Consistently praised for efficient handling of administrative duties (e.g
- Answering phones, scheduling appointments, maintaining medical records) that allowed the doctor and staff to focus on the health concerns of their patients
- Demonstrated proficiency in taking patient medical histories and vital signs
Assistant Manager
Panera Bread of Paramus, NJ
10.2008 - 11.2012
- Oversee employee work in front and back of house to ensure compliance with company policies, regulations, and food safety guidelines
- Completed restaurant opening and closing procedures and managed deposits
- Rescheduled staff per needs of the company
Education
Certificate - Medical Billing and Coding
Fortis Institute
High school Diploma - undefined
Eastside High school
Paterson, NJ06.2010
Skills
- Standard operating procedures
- Operational excellence
- Software knowledge
- Team leadership
- Maintaining compliance
- Month-end closing procedures
- Payment posting
- Teamwork and collaboration
- Reliability
- Excellent communication
Timeline
Ops Associate II
Cloudmed/R1
02.2023 - Current
Client Billing Representative
Bio Reference Laboratories Inc
02.2016 - Current
Medical Biller/Coder
Comp Medical Eval of Paterson
02.2013 - 02.2016
Medical Assistant/Administrative
Center for UroGynecology of Livingston, NJ
10.2012 - 11.2013
Assistant Manager
Panera Bread of Paramus, NJ
10.2008 - 11.2012
High school Diploma - undefined
Eastside High school
Certificate - Medical Billing and Coding
Fortis Institute
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