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Gabriela
Contacto
Competencias
Experiencia demostrada en Customer Relationship Management (CRM) Systems.
Experiencia demostrada en Telemedicine Platform.
Experiencia demostrada en Electronic Health Records (EHR).
Experiencia demostrada en Hippa Regulations.
Experiencia demostrada en Appointment Scheduling Software.
Educación
Idiomas
Resumen
Perfil profesional
Experiencia
Billing Coordinator
Support the revenue cycle process by working closely with providers to review and validate session documentation, ensuring accuracy in service dates, schedules, place of service, treatment goals, and clinical records prior to claim submission.. Use CentralReach, JiveTel, and SlickText to coordinate communication, manage documentation workflows, and support daily billing operations.. Collaborate directly with providers and families as a Spanish-English interpreter during sessions.. Prepare weekly billing reports using Excel to monitor operational performance and identify areas for improvement.. Contribute to onboarding and training new team members by developing training materials and process documentation through Microsoft Teams and Google documents.
Bilingual Appointment Setter
Acted as the primary point of contact for patients seeking mental health services, facilitating access to care through patient intake, appointment scheduling, and coordination with providers.. Managed patient communications and follow-ups through Genesys calls and text messaging, scheduled appointments using Zocdoc, and maintained accurate patient information and documentation within eClinicalWorks (eCW).. Provided compassionate support throughout onboarding, addressed patient questions and concerns, and handled sensitive information in compliance with HIPAA regulations.
Tier 2 Support Specialist
Supported members with complex banking-related requests, including account verification, profile updates, and case resolution.. Handled highly sensitive financial and personal information, including identity verification and confidential documentation, while ensuring compliance with security protocols and data privacy standards.. Used detailed case management and clear written communication to help members navigate account-related concerns and achieve timely resolutions.
Ensemble RCM Specialist- Insurance Billing
Managed the full billing cycle, including eligibility verification, claims submission, payment posting, accounts receivable follow-up, and denial management.. Worked with commercial and government insurance carriers, ensuring compliance with HIPAA regulations, payer requirements, and billing guidelines.. Reviewed claims and supporting documentation to ensure accuracy before submission.. Prepared billing performance reports in Excel and maintained accurate patient records through Epic.