Catherine G.
Mid-Level Medical Billing and Claims Specialist
Open to offersNew to PlatformPortfolios
About
Catherine V. G. is a veteran in healthcare administration with over 25 years of industry experience, excelling in roles such as a Patient Benefit Officer at Angeles Medical Center, Inc. She is proficient in medical billing and claims processing, having managed end-to-end claims preparation, validation, and submission using systems like Hospital Information Management System and Microsoft Excel. Catherine effectively coordinated daily administrative operations, liaising efficiently between physicians, nurses, and billing teams. She demonstrated expertise in using EMR/EHR systems to review documentation and resolve discrepancies, thereby enhancing processing efficiency. Her skills extend to preparing operational reports and tracking KPIs, essential for data-driven decision-making. Throughout her career, Catherine has maintained strict confidentiality of patient records and has been committed to upholding data privacy standards. Her foundational knowledge stems from an Associate in Computer Programming from Systems Technology Institute, paired with continuous professional development through numerous specialized seminars and training. Catherine is open to remote opportunities where she can leverage her comprehensive skill set in healthcare administration and customer support.
Experience
Patient Benefit Staff
Angeles Medical Center, Inc. · 2000 — 2012Processed patient registrations, updated memberships, and managed insurance benefit claims with precise attention to detail. Verified necessary documents for compliance and clearly explained benefits, eligibility, and claims procedures to clients. Carried out essential administrative tasks, including managing records, filing, and data entry, while consistently delivering courteous service through phone, email, and face-to-face communications.Pharmacy Assistant
St. Anthony Pharmacy · 1999 — 2000Supported the preparation and dispensing of prescriptions while ensuring patient confidentiality. Managed inventory effectively by monitoring expiration dates and maintaining accurate stock records. Provided courteous customer service and addressed product inquiries, maintaining a responsive approach.Patient Benefit Officer
Angeles Medical Center, Inc.Managed the full process of claims preparation, validation, and submission utilizing Hospital Information Management System/HIMS, Microsoft Excel, and claims portal/ClaimsAssure, ensuring compliance with hospital and government regulations. Coordinated daily administrative operations and maintained communication among physicians, nurses, and billing teams via Local Area Networking/LAN to ensure workflow efficiency. Reviewed and resolved documentation discrepancies through electronic medical records EMR/EHR systems, Microsoft Excel, and document management tools to enhance turnaround time. Prepared operational reports and monitored key performance indicators (KPI) using Microsoft Excel, providing data support for decision-making. Handled numerous inquiries across telephone, email, and in-person channels while delivering professional client service. Conducted staff training on updated procedures, claims processes, and documentation standards with Microsoft PowerPoint, Microsoft Word, and internal hospital systems. Ensured confidentiality of patient records by utilizing EMR/EHR systems, secure hospital databases, Microsoft Office, and document management systems, adhering to data privacy and information security protocols.
Skills & Expertise
Education
- Associate in Computer ProgrammingSystems Technology Institute · 1997 — 1999
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