Summary
Overview
Work History
Education
Skills
Timeline
Generic

Stephanie Gonzalez

McAllen,,TX

Summary

Detail-oriented professional with 10+ years of experience in documentation review, financial analysis, and decision-making. Currently a Tier 2 Patient Success Specialist and Subject Matter Expert (SME) at Natera, specializing in complex case review, denial analysis, and account resolution.

Skilled in evaluating documentation, identifying discrepancies, and determining outcomes based on policy guidelines. Proven ability to manage high-volume workloads with accuracy and strong attention to detail.

Overview

9
9
years of professional experience

Work History

Patient Success Specialist

Natera
02.2025 - Current
  • Review complex billing cases involving denials, prior authorizations, and documentation gaps
  • Analyze claims and supporting records to determine accuracy and appropriate resolution
  • Make account decisions including adjustments, write-offs, and reimbursement requests
  • Serve as SME, guiding team on policy interpretation and complex case handling
  • Partner with internal teams and field reps to resolve discrepancies
  • Educate patients on billing outcomes and financial responsibility
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.

Case Manager

Favorite Staffing
04.2023 - 11.2024
  • Managed caseload of 35-40 families; Coordinated client assessments to identify needs and develop personalized care plans.
  • Monitored client progress, adjusting interventions to ensure effective service delivery.
  • Oversaw shelter floor of ~200 residents, ensuring compliance with program rules
  • Reviewed and maintained records, census data, and reports using Excel
  • Led intake, registration, and orientation for new residents
  • Coordinated school enrollment, medical appointments, and community resources

Patient Coordinator-Dental Billing & Insurance

Tijerina Family & Cosmetic Dentistry
11.2016 - 04.2023
  • Practice underwent ownership transition during tenure; continued in the same role under new ownership
  • Processed insurance claims with accurate coding and required documentation
  • Reviewed claims for completeness to improve approval rates
  • Investigated denials and submitted appeals with supporting documentation
  • Followed up on 30/60-day claims and appeals for timely reimbursement
  • Verified insurance, posted payments, and managed account balances
  • Presented treatment plans and collected patient payments

Education

Associate of Science - Social Work

South Texas College
McAllen, TX
05.2022

Skills

    Risk Assessment Documentation Review Policy Interpretation Financial Analysis Claims & Denial Resolution Decision-Making Excel Data Tracking Customer Communication Problem Solving

Timeline

Patient Success Specialist

Natera
02.2025 - Current

Case Manager

Favorite Staffing
04.2023 - 11.2024

Patient Coordinator-Dental Billing & Insurance

Tijerina Family & Cosmetic Dentistry
11.2016 - 04.2023

Associate of Science - Social Work

South Texas College