Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Monica Gonzalez-Fernandez

Watsonville

Summary

Professional with solid background in managing front-office operations in medical setting. Skilled in patient scheduling, administrative tasks, and maintaining confidentiality. Strong focus on team collaboration and flexible in adapting to changing needs. Reliable in ensuring efficient and smooth workflow, fostering welcoming environment for patients.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Medical Biller

Medical RCM Solutions
07.2022 - Current
  • Accurately input and process billing information into medical billing software.
  • Understand and apply medical coding (ICD-10, CPT) for claims submission.
  • Verify insurance eligibility and coordinate benefits with healthcare providers.
  • Submit and track claims to private insurance, Medicare, and Medicaid.
  • Follow up on unpaid or denied claims and process appeals when necessary.
  • Maintain compliance with HIPAA and regulatory billing requirements.
  • Communicate with patients to explain billing processes and resolve disputes.
  • Ensure data accuracy, confidentiality, and timely billing cycle completion.
  • Collected payments and applied to patient accounts.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Adhered to established standards to safeguard patients' health information.
  • Reviewed patient records, identified medical codes, and created invoices for billing purposes.
  • Delivered timely and accurate charge submissions.
  • Posted payments and collections on regular basis.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Filed and updated patient information and medical records.
  • Liaised between patients, insurance companies, and billing office.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Maintained accurate records of customer payments.
  • Utilized various software programs to process customer payments.

Career Center Coordinator

Goodwill/EDD
03.2022 - 09.2022
  • Provided career support services to individuals seeking employment and job training.
  • Guided clients in resume writing, interview preparation, and career exploration.
  • Connected job seekers with available resources and job opportunities in the community.
  • Maintained accurate records of client progress and assisted with program compliance tracking.
  • Collaborated with community partners to enhance service offerings and client outcomes.
  • Gathered and organized materials to support operations.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Organized spaces, materials and catering support for internal and client-focused meetings.
  • Develop training materials, including manuals, presentations, videos, and other resources.
  • Design training programs tailored to different levels of support staff (new hires, ongoing training, advanced skills).
  • Conduct training sessions in person or virtually, ensuring all participants understand the content thoroughly.
  • Evaluate training effectiveness through feedback, assessments, and performance metrics.
  • Update training programs based on feedback, changes in products/services, or support processes.
  • Collaborate with support managers and subject matter experts to identify training needs and goals.
  • Stay updated with industry trends and best practices in support training and customer service.
  • Managed billing processes including charge posting, claims submission, and denial resolution.
  • Ensured timely billing data submission to insurance providers, maximizing reimbursement.
  • Conducted audits and provided support for software utilization, training staff on best practices.
  • Maintained client communication in English and Spanish, delivering superior support.

Medical Office Receptionist

Dr.Marylou Romo Gritzewsky
01.2013 - 02.2022
  • Coordinate and guide staff on a daily basis to maintain efficiency and consistency in patient workflow, while accommodating walk-ins and prioritizing emergency situations.
  • Connect patients with community resources.
  • Support patients with disability insurance forms.
  • Escort 20-30 patients per day to exam rooms, applying time management skills to adhere to daily schedule.
  • Effectively manage relationships between physician and patient.
  • Verify patient medical history and insurance coverage; obtain and record patient vital signs and address patient concerns to relay to physician.
  • Maintain medical records and organize documentation.
  • Maintain patient files and physician documentation efficiently.
  • Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
  • Trained team members on new hotel services and products to support promotional efforts.
  • Developed internal requirements and standards to minimize regulatory risks and liability across programs.
  • Monitored front areas so that questions could be promptly addressed.
  • Conducted ongoing reviews of program financial systems to assess cost control measures.
  • Delegated tasks to administrative support staff to organize and improve office efficiency.
  • Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
  • Organized spaces, materials and catering support for internal and client-focused meetings.
  • Entered data, generated reports, and produced tracking documents.

Certified Medical Assistant

Dr.Marylou Romo-Gritzewsky
01.2013 - 01.2022
  • Gather equipment for and assist physicians in performing necessary procedures.
  • Knowledge of ICD-10-CM, HIPAA, and OSHA regulations.
  • Proficient in EMR software.
  • Perform blood draws and administer injections.
  • Maintain bookkeeping and filing systems.
  • Provide patient education.
  • Perform daily data entry tasks.
  • Successfully administer vaccinations.
  • Promoted office efficiency, coordinating charts, completing insurance forms, and helping patients with diverse needs.
  • Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
  • Communicated clearly and effectively with patients to verify information, determine purpose of visit and record medical history.
  • Assisted with routine checks and diagnostic testing by collecting and processing specimens.
  • Sanitized, restocked, and organized exam rooms and medical equipment.
  • Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
  • Collected and documented patient medical information such as blood pressure and weight.
  • Conducted preliminary patient evaluations measuring weight, temperature and blood pressure.
  • Directed patients to examining rooms and coordinated transportation assistance as necessary.
  • Obtained client medical history, medication information, symptoms, and allergies.
  • Performed medical records management, including filing, organizing and scanning documents.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Implemented care and efficiency improvements to support and enhance office operations.
  • Obtained and documented patient medical history, vital signs and current complaints at intake.
  • Liaised with patients and addressed inquiries, appointment requests and billing questions.

Medical Interpreter

Home Heath
01.2018 - 12.2018
  • Streamlined patient and provider interaction by providing channel of effective communication.
  • Followed ethical codes to protect confidentiality of patient medical information.
  • Translated documents about treatment directions and helped non-English speaking patients fill out medical forms.
  • Interpreted services to families during process of scheduling initial visit and coordination of ongoing treatment.
  • Translated procedural information to facilitate understanding between doctors and patients.
  • Maintained message content, tone, and emotion as closely as possible.
  • Interpreted spoken and written languages other than English and vice versa.
  • Assisted foreign language-speaking clients with inquiries.

Education

Certified Clinical Medical Assistant -

Aptos Adult Education
01.2019

High School Diploma -

Aptos High School
06.2013

Skills

  • Organized
  • Punctual
  • Collaborative
  • Multitasking
  • Database Management
  • Professional
  • Fast Learner
  • Effective Communicator
  • Adaptable
  • Record preparation
  • Front desk operations
  • HIPAA compliance
  • Patient check-in
  • Data entry
  • Patient scheduling
  • Office administration
  • Healthcare experience
  • Customer service background

Certification

  • CMAA - Certified Medical Administrative Assistant

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Medical Biller

Medical RCM Solutions
07.2022 - Current

Career Center Coordinator

Goodwill/EDD
03.2022 - 09.2022

Medical Interpreter

Home Heath
01.2018 - 12.2018

Medical Office Receptionist

Dr.Marylou Romo Gritzewsky
01.2013 - 02.2022

Certified Medical Assistant

Dr.Marylou Romo-Gritzewsky
01.2013 - 01.2022

Certified Clinical Medical Assistant -

Aptos Adult Education

High School Diploma -

Aptos High School
Monica Gonzalez-Fernandez