VERONICA GUILLOU
Tulsa,OK
Summary
Accomplished medical professional with over 28 years of experience in insurance verification, referrals, hospital precertifications, diagnostic imaging, and surgeries, complemented by expertise in payment collection and posting. Detail-oriented and highly organized, consistently demonstrating a self-motivated approach to managing multiple priorities while maintaining a positive attitude. Recognized for dependability and a proactive willingness to embrace additional responsibilities to achieve team objectives. Committed to delivering exceptional service and contributing to the overall success of healthcare operations.
Overview
29
29
years of professional experience
Work History
Surgery Precertification
Advanced Orthopedics of Oklahoma
11.2024 - Current
- Duties include surgery pre-certifications and referrals, updating insurance accordingly, scheduling P2P calls, denials and appeals.
Immunizations Clerk
Tulsa Health Department
10.2023 - 08.2024
- Duties include registering clients in EMR, data entry, and verify insurances.
Sr. Insurance Verifier
Houston Methodist West Hospital
07.2022 - 07.2023
- Duties include insurance verification and pre-certifications for inpatient and observation. Submit pre-certification requests via online payors, fax and telephone.
Business Office
Spring Branch Community Health Center
01.2022 - 06.2022
- Duties include insurance verification and data entry.
Insurance Verification Specialist/Pre-Certification
Dr. Vikram S. Jayanty
09.2018 - 12.2021
- Duties include insurance verification, pre-certifications, referrals, and claim status.
Patient Affairs Coordinator II
Houston Methodist Primary Care Group
08.2014 - 11.2017
- Duties include checking in patients; answering phones; insurance verification; scheduling appointments; collecting and posting monies.
Insurance Verification / Medical Assistant
David T. Nemoto, MD - Gastroenterology
12.2010 - 07.2014
- Duties include checking in patients, scheduling appointments, insurance verification for procedures, collecting, and posting money.
Patient Representative
CCS Medical
07.2009 - 09.2010
- Duties include customer service, data entry, new patient enrollment and processing wound care supply orders.
Anthem BCBS UM Intake II, Billing and Enrollment
Kelly Services
06.2009 - 06.2009
- Duties include handling incoming calls from doctors and facilities requesting authorizations for procedures, processing payments and customer service.
Insurance Verification Specialist
Sugar Land OB/GYN
02.2004 - 04.2009
- Duties include insurance verification, filing charts, collecting monies, referrals, and data entry.
Insurance Verification
David T. Nemoto, MD - Gastroenterology
08.1997 - 07.2003
- Duties include checking in patients; answering phones; scheduling appointments; insurance verification for procedures. Collecting money and filing charts.
Education
Medical Assistant -
Texas School of Business
01.2002
Art History Major -
Houston Community College-Stafford
01.1999
Art History Major - undefined
University of Houston-Downtown
01.1995
Skills
- Bilingual
- Data entry
- ECW
- Athena
- Phocis
- Surgimate
- EPIC
- Microsoft Windows
- Typing speed 55 wpm
- 10 key by-touch
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Dependable and responsible
Timeline
Surgery Precertification
Advanced Orthopedics of Oklahoma
11.2024 - Current
Immunizations Clerk
Tulsa Health Department
10.2023 - 08.2024
Sr. Insurance Verifier
Houston Methodist West Hospital
07.2022 - 07.2023
Business Office
Spring Branch Community Health Center
01.2022 - 06.2022
Insurance Verification Specialist/Pre-Certification
Dr. Vikram S. Jayanty
09.2018 - 12.2021
Patient Affairs Coordinator II
Houston Methodist Primary Care Group
08.2014 - 11.2017
Insurance Verification / Medical Assistant
David T. Nemoto, MD - Gastroenterology
12.2010 - 07.2014
Patient Representative
CCS Medical
07.2009 - 09.2010
Anthem BCBS UM Intake II, Billing and Enrollment
Kelly Services
06.2009 - 06.2009
Insurance Verification Specialist
Sugar Land OB/GYN
02.2004 - 04.2009
Insurance Verification
David T. Nemoto, MD - Gastroenterology
08.1997 - 07.2003
Art History Major - undefined
University of Houston-Downtown
Medical Assistant -
Texas School of Business
Art History Major -
Houston Community College-Stafford