Yolanda Gibson
Houston,TX
Summary
An Open-minded individual with a flexible approach to work, which enables accommodation of changes Able to work well with a group or on own initiative. Willing to take any assignments, regardless of the challenge. A self-reliant individual with the ability to pick up new ideas and concepts quickly. Enjoys learning new skills and methods of working. Take pride in producing excellent work and can accept constructive criticism. Organized and can work under pressure in a busy environment
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Practice Advisory Group
Houston, TX
07.2021 - Current
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Created and processed claims to third-party payers using specific coding guidelines.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Completed appeals and filed and submitted claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Submitted refund requests for claims paid in error.
Senior Office Assistant
Memorial Hermann Health Plan
Houston, TX
06.2012 - 07.2020
- Implemented office efficiency improvements to streamline task delegation.
- Assisted on special projects, such as HEDIS audits and [Medicare and TDI Audits assignments, by proof reading Medical Authorization Cases, Collecting Medical Records from Providers by staying in compliance
- Managed phone queues and coordinated member outbound calls for Health Risk Assessment (HRA) The health Risks Assessment asked basic questions about members diet, exercise, sleep, health history and lifestyle
Clinical Administrative Coordinator
United HealthCare Services Inc.
Houston, TX
02.2007 - 06.2012
- Collaborated with clinical team members regarding administration and filing for patient referrals and service authorization.
- Mentored new employees on Medical Authorization and [creating cases] and delivered constructive feedback to increase understanding of job duties.
Education
Certificate - Medical Billing And Coding
Richland Junior College
Dallas, TX06.1999
Certificate - HIPAA Compliance Officer
PCIHIPAA
Santa Monica, CA08.2020
Skills
- Database entry
- Billing and coding
- Customer service
- Document editing
- Administrative support
- Problem resolution
- Facets Software
Timeline
Medical Billing Specialist
Practice Advisory Group
07.2021 - Current
Senior Office Assistant
Memorial Hermann Health Plan
06.2012 - 07.2020
Clinical Administrative Coordinator
United HealthCare Services Inc.
02.2007 - 06.2012
Certificate - Medical Billing And Coding
Richland Junior College
Certificate - HIPAA Compliance Officer
PCIHIPAA
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