Maria Goro Email & Phone Number

San Diego, Ca, Us

San Diego, Ca, Us

Responsible for overall management of the Billing Quality Assurance and Cash Posting teams. Committed to positive financial and operational performance through analysis and collaboration utilizing a cross functional team to identify and address areas of opportunity.

Spearheaded the development and implementation of a quality audit program to facilitate weekly and monthly quality audit reviews across the Billing department.

Verified insurance eligibility and benefits providing estimates for out-of-pocket expenses and conducted proactive outreach to address patient balances, involving collaboration with patients, sales teams, and physician offices. Managed a high volume of daily calls to resolve billing inquiries, handle sample requests, and completed quality assurance reviews across the Billing Concierge team for inbound phone calls. Additionally, facilitated provider and member appeals, ensuring favorable outcomes through effective communication with payers.

Oversaw a team of 6 employees in the Billing Department functions, including medical coding, charge entry, claims, and reimbursement management.

Lead biller and coder responsible for performing all day to day functions for nine physicians in a multi-specialty clinic.

Responsible for a multitude of tasks including insurance eligibility verification, scheduling patient appointments, referral coordination, inputting patient demographics, collecting and posting patient copayments, answering and directing six incoming phone lines.