Suanlimar Gonzalez
Orlando
Summary
Reliable Manager demonstrating high level of ownership and initiative. Possessing exceptional work ethic and desire to go above and beyond to exceed company expectations. Offering knack for building productive working relationships. Successful in fast-paced, deadline-driven environments to manage goals and team development. History of thriving in team-oriented environments.
Overview
9
9
years of professional experience
Work History
Manager/ Medical Biller
Chiropractic Therapy Center
01.2020 - Current
- Manage/ Monitor staff in 3 offices. Travel to each clinic weekly.
- Enforce patient service standards and resolve patient's problems to uphold quality service following established protocols.
- Assist hand and hand with the owner of the company.
- Schedule, Train employees/New staff on additional job positions to maintain coverage of roles, office procedures, insurance processes and medical terminology.
- Provide leadership and guidance.
- Exercise good judgment and decision-making in escalating concerns and resolving issues.
- Assign tasks to associates to fit skill levels and maximize team performance.
- Maintain up-to-date records of employee attendance, payroll, sick days and vacation requests.
- Maintain effective communication with patients regarding their treatments and follow-up visits.
- Track and organize office supplies/ Restock items.
- Collaborate and negotiate with adjusters and attorneys for the bills of the patients. Resolved issues if needed.
- Submit electronic claims in HCFA 1500 forms to various insurance carriers.
- Verify medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Open mail: processed payments, Complete and submit appeals for denied claims.
- Answer incoming calls regarding billing inquiries from patients and/or providers in a professional manner.
- Verify insurance information and obtain billing authorization.
- Redirect callers to the appropriate personnel or department and took messages as needed.
- Greet patients warmly and made them feel welcome.
- Conduct patient intake interviews to collect medical information and demographics.
- Refer patients out to MRI or specialist.
Front Desk/ Medical Records Clerk
Central Florida Breast Center, P.A.
02.2019 - 01.2020
- Welcome patients to front desk and engaged in friendly conversations while conducting check-in process.
- Perform various administrative tasks as assigned, such as filing documents and answering emails from patients or colleagues.
- Schedule appointments for patients according to their availability.
- Collect co-pay and deductibles from patients requested from healthcare provider.
- Assist with the doctor every Tuesday in biopsy procedure.
- Assist patients in filling out pre-appointment paperwork via phone call.
- Process incoming medical requests.
- Organize patients charts, gathering medical history, lab results and consents.
- Pull out patient records and transfer information to appropriate parties for upcoming appointments.
Medical Biller
Path Medical
11.2015 - 02.2019
- Scheduled appointments for patients according to their availability.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted claims with CMS1500 forms to auto insurance companies in a timely manner attached with soap notes and reports.
- Effectively coordinated all communication between patients, billing personnel, insurance carriers, and attorneys.
Education
High School Diploma -
Cypress Creek High School
Orlando, FL05.2015
Skills
- Fluent in English and Spanish
- Detail oriented
- Team Leadership
- Energy Efficiency
- Microsoft Office/Excel/PowerPoint
- Fast learner
- Muli-tasking
- Staff Training and Development
Timeline
Manager/ Medical Biller
Chiropractic Therapy Center
01.2020 - Current
Front Desk/ Medical Records Clerk
Central Florida Breast Center, P.A.
02.2019 - 01.2020
Medical Biller
Path Medical
11.2015 - 02.2019
High School Diploma -
Cypress Creek High School
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