Yvonne Gonzales

• Accountable for closing the loop for patient inquiries and reaching out to patients with self-pay balances
• Responsible for providing the highest level and quality while advocating for patients to address out of pocket costs or direct inquiry from insurance
• Responsible for screening of unpaid accounts thoroughly for collections and making sure an accurate number of statements have been sent to the patient
• Responsible for meeting 55 accounts daily
• Responsible for routing insurance information for verification to the registration team for accounts that require insurance billing
• Ensuring emails and patient CRM's are up to date and responded to in a timely manner
• Responsible to screen accounts to make sure that insurance has been applied for billing purposes
• Daily collection of patient payments via credit card and/or checking account
• Responsible for screening accounts of refunds and overpayments by insurance or self pay accounts
• Responsible for having good listening skills and the ability to communicate clearly and effectively

• Responsible for contacting clients via phone or email to ensure receipt of invoice(s)
• Coordinate with project accountants when invoices need to be corrected per client's review/instructions
• Ensure revised invoices are submitted
• Enter follow-up notes in Deltek Vision
• Identify accounts with overdue payments and find solutions to bringing account to a current status
• Maintain a firm grasp on providing excellent client/customer care with a professional attitude
• Maintain daily, weekly, and monthly collection and metric goals
• Weekly review with CFO on status of every invoice

• Contact clients about overdue bills and accounts
• Knowledge of insurance verification for Speech, Physical Therapy, Occupational Therapy, and ABA services
• Identify insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances
• Utilize a combination of electronic health record (EHR) and paper patient records to perform billing duties
• Review insurance payments for accuracy and compliance with contract discounts
• Review denials or partially paid claims and work with the involved parties to resolve the discrepancy, also appeal and dispute
• Manage assigned accounts ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment
• Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment
• Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues
• Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to supervisor
• Prepare reports and forms as directed and in accordance with established policies
• Perform a variety of administrative duties including but not limited to answering phones; faxing and filing of confidential documents; and basic Internet and email utilization

• Collector for outstanding insurance accounts for 5 facilities and billed for one
• Posted for assigned facilities and verified insurance benefits
• Reviewed EOB's and adjusted accounts accordingly
• Billed and resubmitted claims both electronically and on paper form
• Appealed and negotiated disputed claims
• Maintained good customer relations by handling incoming/outgoing calls
• Maintained Aging Report for accurate account status
• Responsible for keeping all log forms up to date

• Collector for both private pay and insurance accounts
• Identified past due and unpaid status accounts
• Assigned accounts to external collection agencies accordingly
• Followed up with claim status, underpayments and denials
• Maintained regular Aging Reports for accurate and precise account status
• Negotiated settlements to resolve unpaid balances by offering physician-approved discounts
• Processed refund requests for security deposits and accounts in a credit status
• Applied adjustments, payment postings and input charges to accounts
• Distributed monthly billing statements
• Verified benefits and eligibility for intake area/department

• Biller and collector Orthopedic Specialists for both private pay and insurance accounts
• Followed up with claim status, underpayments, denials, appeals, electronic billings, claim edits and rejections, aged inventory and web-payer status
• Reviewed Medicare RA for patient and/or secondary insurance responsibility
• Identified automatic crossover claim payers to the secondary payer
• Identified payer and system issues, trends, changes and challenges to management to streamline claim processing
• Tackled delinquent accounts receivable and maintained Aging Reports for numerous providers
• Participated in projects to resolve 2 / 3 year old aged inventory
• Handled calls from patients regarding billing issues, payments and other concerns
• Verified eligibility, benefits and authorizations for insurance companies which included HMO's, PPO's, Indemnity and Medicare
• Maintained correspondence for billing and EOB reviews/audits
• Reviewed account balances for proper contractual adjustments, payment posting, recoups, offset credit balances and refunds

●Responsible for following up with patients to collect their outstanding debts owed to hospital after insurance finalized.
●Responsible for contacting patients and plan a course of action to recover outstanding payments.
●Set a payment deadline and assist patients with a payment plan to eventually resolve debt owed.
●Screened patients for financial assistance and charity based on their income and documents provided.
●Knowledgeable with reading credit reports.
●Responsible for screening accounts for collections
●Familiar with working on a predictive dialer.