Vicky Gonzales
South Florida Doctors Group
Miramar
2
Languages
18
years of professional experience
Experienced Medical Biller with 15 years managing the medical claims lifecycle, including claim submission, payment posting, insurance verification, denial resolution, and accounts receivable follow-up. Expertise in Medicare, Medicaid, commercial insurance, and HIPAA compliance. Strong communicator with a proven ability to foster positive relationships with patients, providers, and insurance representatives.
Work History
Medical Billing Specialist
5 Years 10 Months- Processed medical claims and ensured accurate billing.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues.
- Promoted accuracy in coding practices, staying current on ICD-10 changes and industry updates related to medical billing requirements.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Provided exceptional customer service, addressing patient concerns promptly and professionallyly.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reduced claim denials by accurately verifying insurance eligibility and benefits for patients.
- Supported practice growth by effectively managing a high volume of claims without compromising quality.
- Contributed to team success through consistent collaboration and effective communication with colleagues.
- Monitored aging accounts to ensure timely follow-up on outstanding patient balances.
- Posted patient payments by recording cash, checks, and credit card transactions.
- Verified and updated patient demographics and insurance to keep up to date information on the patients.
- Scanned all explanation of benefits from the insurance companies into the patients' records.
Medical Biller
11 Years 10 Months- Processed and submitted medical claims to insurance companies, ensuring compliance with regulations.
- Collaborated with healthcare providers to obtain required information for timely claim processing.
- Trained new staff on billing procedures and software systems to enhance operational efficiency.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Supported office staff during high-volume periods, coordinating tasks to ensure smooth management of daily operations.
- Responded to customer concerns and questions on a daily basis.
- Improved patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
Education
Associate of Applied Science - Medical Office Management
Skills
Insurance verification
ICD-10 proficiency
CPT knowledge
HIPAA compliance
Prior authorization
Accounts receivable
Data entry
Medical terminology
Microsoft Office expertise
Microsoft Excel expertise
Google sheets expertise
E-Clinical works EMR
DME Works EMR
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Medical Billing Specialist
South Florida Doctors Group
10.2020 - CurrentRead More
Medical Biller
The Charles Pharmacy and Surgical
10.2008 - 08.2020Read More
The College of Westchester
Associate of Applied Science from Medical Office Management
Read More