Summary
Overview
Work History
Education
Skills
Timeline
Generic

VANESSA GALLO

Seattle,WA

Summary

Dynamic and results-oriented professional with extensive experience in medical billing and customer service, notably at Swedish Medical Group. Excelled in roles requiring proficiency in the Epic Billing System and exceptional problem-solving abilities. Recognized for leadership in training and system transitions, demonstrating adaptability and a commitment to excellence.

Overview

18
18
years of professional experience

Work History

Administrative Specialist I

King Coung Elections
10.2024 - 11.2024
  • Open returned envelopes
  • Remove security envelope and remove ballot from security envelope
  • Visual inspection of each ballot with focus on the ballot being able to move through the tabulation equipment and whether the voter intent can be read by the tabulation equipment
  • Counting the number of envelopes in each batch, matching the counts with the Accepted number on the Batch Slip

Insurance Representative II

Central Business Services at Swedish Medical Group
01.2021 - 01.2024
  • Insurance follow up for Medicaid Managed Care plans
  • Insurance follow up for Medicare Replacement plans
  • Appeals on insurance portals
  • Run daily correspondence report in Epic
  • Follow up on correspondence requests for medical records
  • Submitting denied charges for coding compliance review
  • Follow up patient contested account issues
  • Update Patient Registration for accurate billing
  • Identify payer processing issues
  • Review fee schedules for proper adjustments and reimbursements

Insurance Biller II

Planned Parenthood of the Great Northwest & Hawaiian Islands
01.2017 - 01.2021
  • Follow up billing, including denial review, corrected claims & appeals
  • Run daily billing audits
  • Claim edit review and correction
  • NextGen clearinghouse rejections review
  • Patient Portal assistance
  • Help ticket review and distribution
  • Patient Financial Services email assistance
  • Patient credit balance review
  • Insurance credit balance review
  • Unclaimed property review

Clinic Patient Accounts Lead

Northwest Hospital & Med Center/U.W. Medicine
01.2014 - 01.2017
  • Organize and supervise collection process for 300+ patients
  • Set up payment plans for delinquent accounts and provide assistance with financial support options
  • Transitioned from Allscripts billing system to Epic billing system
  • Initiated plan for collecting account payments using Epic Appointment & Scheduling applications
  • Train coworkers to successfully navigate Epic billing system
  • Assist Business Office Manager with research projects
  • Identify and correct billing and account errors

Financial Counselor

Swedish Neuroscience Institute
01.2013 - 01.2014
  • Reviewed procedural charges to ensure correct ICD-9 billing
  • Researched and corrected rejected claims
  • Follow up on insurance claims less than 45 days old
  • Reviewed and authorized coding change requests to ensure compliant billing practices
  • Reviewed miscellaneous cash receipts and direct to appropriate department of processing
  • Ensured accurate account information in all billing areas; correct and update information as necessary
  • Contact patients over the phone or in person regarding questions on billing or insurance

Specialty Billing Lead

Northwest Hospital & Med Center/U.W. Medicine
01.2012 - 01.2013
  • Recognized for initiative and eagerness to take on new tasks, was promoted to leader of a team of six in the Specialty Billing Department of the Clinic Business Office
  • Responsible for training new hires
  • Bi-weekly team meetings
  • Billing for three clinics
  • Billing support for all specialty clinics

Medical Billing Specialist

Northwest Hospital & Med Center/U.W. Medicine
01.2011 - 01.2012
  • Performed billing for three medical clinics, including Seattle Pacific Surgeons; specialty billing for bariatric, vascular and cosmetic surgeons
  • Reviewed and posted all charges, payments
  • Deposits
  • Generated monthly reports
  • Balanced charges, payments and refunds to A/R spreadsheets
  • Managed patient payment plans via spreadsheets
  • Insurance claim follow-up

Medical Billing Specialist

Urology Northwest
01.2009 - 01.2011
  • Hired for expertise in computer business systems conversions
  • Lead computer systems trainer
  • Code fee tickets and enter charges
  • Posted payments from patients & insurance companies
  • Researched insurance and Medicare denials
  • Answered phone calls regarding billing issues and credit card payments
  • Analyzed and resolved billing issues

Customer Account Representative

HealthForce Partners
01.2007 - 01.2009
  • Provided billing support for 5 occupational medicine clinics
  • Entered charges from clinics & worksite services into Stolas
  • Answered customer phone calls regarding billing inquiries, credit card payments and services provided
  • Sorted mail, posted payments on individual and company accounts
  • Remotely deposited checks and entered totals on Excel spreadsheet
  • Worked aging on past due accounts and researched insurance denials
  • Customer Account Representative working with King County Drug/Alcohol, City of Seattle, Clean Workforce and Labor and Industries

Education

Liberal Arts

Seattle Central
Seattle

Skills

  • Medical Billing
  • Customer Service & Care
  • Data Entry
  • 10-Key Proficiency
  • Compliance
  • 60 wpm
  • Problem Solving & Multi-tasking
  • Proficiency in Excel
  • MS Word
  • Outlook
  • Verbal & Written Communication
  • Allscripts Billing System
  • Data Analysis
  • Epic Billing System
  • Organized and Flexible
  • Adaptable to New Systems
  • Spreadsheet creation
  • Customer relations

Timeline

Administrative Specialist I

King Coung Elections
10.2024 - 11.2024

Insurance Representative II

Central Business Services at Swedish Medical Group
01.2021 - 01.2024

Insurance Biller II

Planned Parenthood of the Great Northwest & Hawaiian Islands
01.2017 - 01.2021

Clinic Patient Accounts Lead

Northwest Hospital & Med Center/U.W. Medicine
01.2014 - 01.2017

Financial Counselor

Swedish Neuroscience Institute
01.2013 - 01.2014

Specialty Billing Lead

Northwest Hospital & Med Center/U.W. Medicine
01.2012 - 01.2013

Medical Billing Specialist

Northwest Hospital & Med Center/U.W. Medicine
01.2011 - 01.2012

Medical Billing Specialist

Urology Northwest
01.2009 - 01.2011

Customer Account Representative

HealthForce Partners
01.2007 - 01.2009

Liberal Arts

Seattle Central

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VANESSA GALLO