Gloria Tree
Flagstaff
Summary
Detail-oriented Medical Billing Specialist with extensive ICD-10 proficiency. Skilled in claims processing, customer service, and resolving billing inquiries. Committed to optimizing billing accuracy and enhancing patient satisfaction.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
North Country Healthcare Inc.
Flagstaff, AZ
08.2025 - Current
- Processed medical claims using electronic billing systems to ensure timely reimbursements.
- Verified patient insurance information to facilitate accurate billing and reduce claim denials.
- Assisted in resolving billing inquiries through effective communication with patients and healthcare providers.
- Maintained accurate patient records and documentation to support compliance with healthcare regulations.
- Managed follow-up processes for denied and rejected claims to ensure resolution.
- Entered payment information from EOB statements to ensure timely and accurate financial records.
Medical Billing Specialist
NACA Inc.
Flagstaff, AZ
09.2024 - 08.2025
- Collaborated with team members to streamline billing processes, enhancing overall operational efficiency.
- Utilized coding software to assign appropriate medical codes for services rendered, ensuring compliance with standards.
- Adapted quickly to changes in billing software and procedures, demonstrating flexibility in a dynamic environment.
- Processed payments from EFT checks, money orders, and cash received from patients and insurance providers.
- Executed invoice generation for money orders and cash deposits, ensuring accuracy and compliance.
- Facilitated phone call management by directing inquiries to appropriate departments. Assisted in coordinating communication efforts to enhance response efficiency.
- Facilitated collection calls to patients. Assisted in establishing payment plans for patients. Supported financial processes to enhance patient satisfaction.
- Processed phone call payments efficiently. Applied payments to patient accounts accurately. Mailed requested receipts promptly.
- Executed printing of requested medical records upon receipt of necessary information.
- Facilitated transfer of medical records from hospital to patient accounts to maintain comprehensive healthcare documentation.
- Facilitated communication between healthcare providers and pharmacies by faxing signed prescriptions.
- Coordinated distribution of medical records to ensure compliance with patient requests and facility requirements.
Medical Billing Specialist
North Country Healthcare
Flagstaff, AZ
02.2022 - 09.2024
- Conducted audits of submitted claims to identify discrepancies and implement corrective actions as needed.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Executed correction of insurance addresses in compliance with commercial insurance guidelines.
- Conducted thorough follow-ups on denied or rejected claims to facilitate timely resolutions.
- Managed adjustments of small balances and write-offs to ensure accurate financial records.
Housekeeper
Hampton Inn Suites
Flagstaff, AZ
12.2020 - 02.2021
- Trained new housekeeping staff on proper cleaning techniques and safety protocols.
- Disinfected and mopped bathrooms to keep facilities sanitary and clean.
- Cleaned and stocked guest rooms by replacing used towels and linens vacuuming floors, making beds, and restocking bathroom items.
- Collaborated with other housekeeping staff to complete tasks efficiently and effectively.
- Vacuumed rugs and carpeted areas in offices, lobbies, and corridors.
- Maintained a spotless environment for guests through diligent daily housekeeping tasks.
- Used chemicals by following safety protocols and procedures to avoid burns and injuries.
- Removed bed sheets and towels from rooms and pre-treated stains to maintain and restore linen condition.
- Slid beds, sofas, and other furniture aside to wipe down baseboards and remove dust and dirt from hard-to-reach areas.
- Ensured all rooms met hotel cleanliness standards by conducting regular inspections and addressing any issues promptly.
Medical Billing Specialist
Hernandez Billing Inc.
Flagstaff, AZ
08.2020 - 11.2020
- Executed patient registration processes by accurately entering new and existing patient information into the system.
- Performed detailed input of procedure and diagnosis codes into electronic claim forms, enhancing the efficiency of claims processing.
- Analyzed claim details and modified necessary elements for compliance and precision.
- Submitting claims and corrected claims
- Reviewed and processed denied insurance claims, identifying reasons for rejection and providing support to resolve issues.
Communicated with insurance companies to clarify claim denials and assist in claim resubmission.
Assisted in maintaining accurate records of claim statuses and resolutions. - Facilitated communication by faxing appeals and medical records to support case management efforts.
Housekeeper
Days Inn
Flagstaff, AZ
06.2019 - 08.2020
- Ensured cleanliness and sanitation of guest rooms and common areas, adhering to hotel standards.
- Managed laundry operations, including sorting, washing, drying, and folding linens efficiently.
- Conducted inspections of rooms post-cleaning to maintain quality assurance and guest satisfaction.
- Collaborated with front desk staff to coordinate timely room turnover for new guests.
- Assisted breakfast service by preparing and organizing food items for guests. Supported housekeeping team by applying cleaning techniques to guest rooms. Collaborated with other housekeepers to maintain cleanliness and order in shared spaces.
- Executed laundry tasks, including sorting, washing, and folding, to deliver pristine garments for clientele.
Housekeeper
Marriott Courtyard
Flagstaff, AZ
04.2019 - 06.2020
- Performed thorough linen removal, bed arrangement, and furniture cleaning to enhance guest comfort and satisfaction.
- Maintained clean and comfortable environments in commercial buildings by vacuuming, cleaning windows, and dusting.
- Hand-dusted and wiped down office furniture, fixtures, and window sills to keep areas clean and comfortable.
- Upheld high standards of sanitation in common areas, contributing to an inviting atmosphere for guests.
- Restocked towels and amenities in bathrooms, bedrooms and kitchen spaces.
- Restocked cleaning storage cabinets, carts and baskets for easy use.
Manager
Burger King
Kayenta, AZ
05.2018 - 03.2020
- Led cross-functional teams to enhance operational efficiency and achieve project milestones.
- Developed and implemented strategic initiatives to optimize resource allocation and reduce costs.
- Mentored junior staff, fostering professional growth and improving team productivity.
- Analyzed performance metrics to identify trends and implement process improvements.
- Managed store openings and assigned cash registers to staff to streamline customer transactions.
- Resolved customer complaints and addressed employee concerns to enhance satisfaction and workplace morale.
- Managed and motivated employees to be productive and engaged in work.
- Accomplished multiple tasks within established timeframes.
- Cross-trained existing employees to maximize team agility and performance.
Education
No Degree - Medical Records Certificate
University of Phoenix
Tempe, AZ09-2020
High School Diploma -
Monument Valley High School
Kayenta, AZ05-2012
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- ICD-10 proficiency
- Medicare and medicaid process
- Bill payment
- Collections management
- [Type] software applications proficiency
- Insurance billing
- Medical billing
- ICD-10
- Insurance claims
- Medical terminology
- Claims review
- Billing and collection procedures
- Insurance claims processing
- Critical thinking
- ICD-10 coding
- Customer service
- Electronic claims
- Teamwork and collaboration
- CMS-1500 billing forms
- Accounts receivable
- Medical claims submission
- Electronic health record software
- Patient collections
- Commercial and private insurance
- Work prioritization
- Knowledgeable in [software]
- Patient account analysis
- Multitasking and organization
- Collection calls
- Claims processing
- [Software] use
- Proficiency in [software]
- Medical record security
- ICD-9
- CPT code modifiers
- Information inputting
- Account follow-up
- Procedure coding
- Reimbursements
- Insurance collections
- Medical billing technology
- Billing codes
- Claim review
- Customer contact
- Customer relations
- Payment collection
- Billing and invoicing
- Microsoft office
- Payment processing
- Correspondence
- Payment transactions
- Customer service support
Certification
Medical Records Certificate
Timeline
Medical Billing Specialist
North Country Healthcare Inc.
08.2025 - Current
Medical Billing Specialist
NACA Inc.
09.2024 - 08.2025
Medical Billing Specialist
North Country Healthcare
02.2022 - 09.2024
Housekeeper
Hampton Inn Suites
12.2020 - 02.2021
Medical Billing Specialist
Hernandez Billing Inc.
08.2020 - 11.2020
Housekeeper
Days Inn
06.2019 - 08.2020
Housekeeper
Marriott Courtyard
04.2019 - 06.2020
Manager
Burger King
05.2018 - 03.2020
No Degree - Medical Records Certificate
University of Phoenix
High School Diploma -
Monument Valley High School