Summary
Work History
Education
Skills
Awards
Timeline
Generic

Valerie Gomez

Medical Billing Specialist
Santa Ana,CA

Summary

Diligent professional with a comprehensive background in medical billing, leadership, and process optimization. Proven track record of successfully managing billing operations and driving improvements in accuracy and efficiency of payment processing. Adept at fostering team collaboration and utilizing problem-solving skills to ensure a seamless workflow and maintain compliance with industry regulations.

Work History

Lead Medical Biller

Statim LLC
  • Bill approximately 12 accounts on a weekly basis
  • Payment post on a daily basis
  • Send out deductibles and paid to member statements
  • Train new oncoming employees
  • Follow up with insurance companies on getting claim status
  • Request for medical records and mail them to the appropriate payer
  • Send back payments for higher reimbursement
  • Make file for new clients
  • File Explanation of Benefits
  • Train interns
  • Assist manager in billing
  • Contact facilities for facility documentation for insurance purposes
  • Appeal overpayment

Billing Specialists

Orange County Management Solutions
  • Bill Approximately 5 accounts on a weekly basis
  • Post patient Payments
  • Verify Eligibility for Medicare, Medi-Cal, HMO and PPO policies
  • Send out Billing Record Request from law offices
  • Upload Patient Demographics
  • Train new oncoming employees
  • Contact patients for updated demographics
  • Collect patient payments over the phone
  • Payment posting on a daily basis
  • Bank Deposits

Education

Medical Billing and Insurance Coding -

UEI
Anaheim, CA
03.2020

High School Diploma -

Saddleback High School
Santa Ana, CA
06.2017

Skills

  • Medical Terminology
  • Payment Posting
  • Knowledge of ICD-10
  • Knowledge of CPT & HCPCS for Substance Abuse, Cardiology and Neurology
  • Medicaid and Medicare Knowledge
  • Patient confidentiality
  • HIPAA Compliance Knowledge
  • Claims Processing Proficiency
  • Continuous learning mindset
  • Insurance Verification

Awards

  • Award for Hard Work Achievement (Statim LLC)
  • Award for Taking on New Tasks (Statim LLC)
  • Award for Honor Roll (Both High School and UEI)

Timeline

High School Diploma -

Saddleback High School

Lead Medical Biller

Statim LLC

Billing Specialists

Orange County Management Solutions

Medical Billing and Insurance Coding -

UEI
Valerie GomezMedical Billing Specialist