Vanessa Gonzalez
Team Trainer at Professional Medical Services- Claim this Profile
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Spanish -
Topline Score
Bio
Credentials
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Certified Medical Billing/Coding Specialist
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Experience
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Professional Medical Services
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Team Trainer
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Sep 2016 - Present
As a Team Trainer, I am required to follow up with my team and respond to any questions or concerns they may have. As a Team Lead I require a one on one with each member of my team to help or discuss any issues they may have with our system, efficiency, or any general questions that may need to be addressed at the monthly meetings. As a Team Trainer, I am required to follow up with my team and respond to any questions or concerns they may have. As a Team Lead I require a one on one with each member of my team to help or discuss any issues they may have with our system, efficiency, or any general questions that may need to be addressed at the monthly meetings.
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Claim Analyst
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Mar 2016 - Jun 2016
In the position as a Claims Analyst, I’m required to do extensive audit and review for each claim. After my audit is complete any claims that require further review will be sent back to a Claims Representative who will continue the auditing process until the claim has been resolved. In addition to the Claim Analyst, I work on coding issues by verifying what is the appropriate modifier, HCPCS codes, or CPT codes that are required to process the claim.
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Claims Representative
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Sep 2015 - Mar 2016
As a claims representative, my position required of me to call insurances to follow up on claim status. This was a process needed verify if the patient was eligible for the date of service on the claim. If I required additional information regarding patient’s letters will be sent to them directly. In addition to my role, I volunteered to assist with Spanish-speaking calls.
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Texas Health Care P.L.L.C
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United States
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Medical Practices
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Medical Billing Specialist
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Oct 2014 - Oct 2015
At Texas Health Care, P.L.L.C I process over 200 claims per day. I would communicate with Insurance representative and find a solution to solve insurance denial. I would process payments, refund patients, and Insurances. At Texas Health Care, P.L.L.C I process over 200 claims per day. I would communicate with Insurance representative and find a solution to solve insurance denial. I would process payments, refund patients, and Insurances.
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Billing Specialist
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Aug 2014 - Oct 2014
At North Texas Cardiovascular Associates, I would post payments, verify eligibility, check claim status, appeal claims, correct claims, refund insurances, refund patients. At North Texas Cardiovascular Associates, I would post payments, verify eligibility, check claim status, appeal claims, correct claims, refund insurances, refund patients.
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Brownsville Community Health Clinic
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Medical Billing Specialist
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May 2012 - Jul 2014
At Brownsville Community Health Clinic, I worked for an FQHC facility that would assist patient's that did not have medical insurance coverage. Also, I would appeal claims, verify claim status, post payments, and verify eligibility. At Brownsville Community Health Clinic, I worked for an FQHC facility that would assist patient's that did not have medical insurance coverage. Also, I would appeal claims, verify claim status, post payments, and verify eligibility.
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Education
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2012 - 2012
Southern Careers Institute-Brownsville
Certificate, Medical Billing and Coding Specialist -
2001 - 2005
James Pace High School
High School Diploma
Community
