Nancy Gabriel Email & Phone Number

• Perform diversified duties to support and in support of performance improvement within assigned Southcoast Health Network Provider Practices. Identify opportunities for performance improvement within numerous quality measures. • Develope, impliment and track progress of action plans. • Provide support to practices within scope of position and meeting all quality and efficiency goals. • Maintain collaborative team relationships with peers and colleauges to achieve… Show more • Perform diversified duties to support and in support of performance improvement within assigned Southcoast Health Network Provider Practices. Identify opportunities for performance improvement within numerous quality measures. • Develope, impliment and track progress of action plans. • Provide support to practices within scope of position and meeting all quality and efficiency goals. • Maintain collaborative team relationships with peers and colleauges to achieve performance goals and to help foster a positive work environment. Show less

Fairhaven, Massachusetts, United States

•Submit and obtain prior authorizations from various insurance companies and products for patient’s surgeries and procedures, including Medicare & Medicaid•Planning and Prioritizing, Data Management•Communicate with doctors office’s, hospitals, and insurance companies•Answer patients calls, collect copays and co-insurance

Lakeville, Massachusetts, United States

·Accounts receivable, process claims, work rejections and appeals for Medicaid and third party payers·Performed eligibility verification with Medicaid, Medicare and third party payers·Audited reports and rejections·Edited and submitted account billing in accordance with client contract or payer guidelines ·Ensured all invoices are submitted accurately and timely per policy guidelines·Responded to verbal & written client or responsible party inquiries regarding account… Show more ·Accounts receivable, process claims, work rejections and appeals for Medicaid and third party payers·Performed eligibility verification with Medicaid, Medicare and third party payers·Audited reports and rejections·Edited and submitted account billing in accordance with client contract or payer guidelines ·Ensured all invoices are submitted accurately and timely per policy guidelines·Responded to verbal & written client or responsible party inquiries regarding account status·Resolved account discrepancies and prepare adjustments and refunds for approval as necessary·Payment posting Show less

Bridgewater, Massachusetts, United States

•Administrative support to the Health Service Administrator and Mental Health Director•Scheduled psychiatry appointments for 600+ inmates and five psychiatrists of 100% of scheduling compliance within f/u time frame and maintained appointment calendar •Reported statistics for psychiatry appointments•Tracked all inmate copays and generate monthly report to HSA and SuperIntendent•ROI (Release of Information) in compliance with Mass General Laws and HIPAA regulatory… Show more •Administrative support to the Health Service Administrator and Mental Health Director•Scheduled psychiatry appointments for 600+ inmates and five psychiatrists of 100% of scheduling compliance within f/u time frame and maintained appointment calendar •Reported statistics for psychiatry appointments•Tracked all inmate copays and generate monthly report to HSA and SuperIntendent•ROI (Release of Information) in compliance with Mass General Laws and HIPAA regulatory guidelines•Tracked all training hours including mandatory, annual PREA and Suicide Prevention training •Documented minutes for weekly staff meetings Show less

Wareham, Massachusetts, United States

•Accounts receivable, processed claims, worked rejections and appeals for various insurance payers•Insurance Verification, Provider Verification and Administrative support•Provider Enrollment, credentialing and assessments

South Dartmouth, Massachusetts, United States

•Processed accounts payable, payroll and sales tax using Quickbooks, monthly and quarterly reporting to Mass DOR and the IRS. HR, monitored sick, vacation and scheduling•Inventory ordering and control. Performed all aspects of running a business, administrative office work and customers service. Daily deposits to the bank, including large amounts of cash, checks and credit card •Managed all local licensing and permits for food handlers, ABCC (Alcohol and Beverage Control Commission)… Show more •Processed accounts payable, payroll and sales tax using Quickbooks, monthly and quarterly reporting to Mass DOR and the IRS. HR, monitored sick, vacation and scheduling•Inventory ordering and control. Performed all aspects of running a business, administrative office work and customers service. Daily deposits to the bank, including large amounts of cash, checks and credit card •Managed all local licensing and permits for food handlers, ABCC (Alcohol and Beverage Control Commission) and other town and state licensing, managed property maintenance and repairs•Knowledge and understanding of laws, regulations and policies, supervising, hiring and training Show less

Wareham, Massachusetts, United States

•Organized and set up patient account and records for new office•Accounts receivable, processed claims, worked rejections and appeals for various insurance payers•Insurance Verification, Provider Verification and Administrative support•Provider Enrollment, credentialing and assessments

Central Falls, Rhode Island, United States

•Processed accounts payable, payroll and sales tax using Quickbooks, monthly and quarterly reporting to Mass DOR and the IRS. HR, monitored sick time and scheduling•Inventory ordering and control. Performed all aspects of running a business, administrative office work and customers service. Daily deposits to the bank, including large amounts of cash, checks and credit card balances.•Managed all local licensing and permits for food handlers, WIC and Food Stamp programs, other town and… Show more •Processed accounts payable, payroll and sales tax using Quickbooks, monthly and quarterly reporting to Mass DOR and the IRS. HR, monitored sick time and scheduling•Inventory ordering and control. Performed all aspects of running a business, administrative office work and customers service. Daily deposits to the bank, including large amounts of cash, checks and credit card balances.•Managed all local licensing and permits for food handlers, WIC and Food Stamp programs, other town and state licensing. Managed property maintenance and appointments for repairs •Supervising, hiring and training Show less

Wareham, Massachusetts, United States

•Administrative support to charge nurse and nursing staff, processed all physician orders •Coordinated communication between physicians, ambulance services and Med flight•Prepared documents for transfers and admissions•Greeted and directed visitors•Created and assembled medical records and documents for admissions•ROI and correspondence of requested medical information

Quincy, Massachusetts, United States

•Complete knowledge and understanding of various health insurance policies, contracted / credentialed providers, benefits and guidelines•Training, knowledge and understanding of claims, denials and authorizations •Reconciled calls from providers and members.

Wareham, Massachusetts, United States

•Medical coding for various Radiology Accounts using CPT and ICD-9-CM

Associates In Science, Health Information

Cosmetology/Cosmetologist, General