1. Michelle Gomez
15025 SW 57th Terrace
Miami, Florida 33193
Michie217@yahoo.com
C- (305) 305-5297
W- (305) 532-0065 X2039
Objective: Seeking a challenging position that offers vast opportunities, which will allow me to use my expertise
and skills while increasing my knowledge
Professional Experience
7/10 TO PRESENT BILLING AND COLLECTIONS MANAGER
Miami Spine Specialists
MOUNT SINAI HOSPITAL
4308 Alton Road Suite 830
Miami Beach, FL 33140
 Assist in problem solving by working closely with Director of Practice,
Physicians and Office Administrators
 Oversee and manage billing/collections, front desk and check out
employees
 Analyze aged receivable monthly reports to detect and resolve problems
recommending the course of action for staff to follow
 Use of CPT and ICD-9 and ICD 10 codes, extensive knowledge of
Insurance’s (Medicare, Medicaid, HMO’s and Commercial Insurance)
 Generate monthly A/R and statistical reports
 Work closely with Scheduling and review patient ledger, demographics,
verify insurance and obtain authorization for upcoming surgeries for
proper submission of claims
 Assist Front Desk with issues such as collecting co-pays, co- insurance
and deductibles on patient arrival
 Work closely with Attorneys in effort to receive proper payments on
Worker’s Compensation lawsuits and claims
 Delegate routine duties to staff in order to have additional time for
administrative issues and special projects
 Follow-up of patient accounts with insurance companies in an effort
to resolve outstanding balances
 Review Explanation of Benefits for reason of denial and reprocess claim
with proper diagnosis, modifiers, place of service, etc
 Submit appeals with letter of medical necessity, medical records and claim
form to insurance companies for denial of payment on Surgeries
 Responsible for resubmission of insurance 1500 claim forms when claim
is not on file as well as patient statements with outstanding balances
 Extensive use of Electronic claims submission
 Record billing status of payments, credit write-offs and denials
11/09 TO 7/10 COLLECTIONS MANAGER (Promotion)

2. Department of Medicine Patient Account Services
UNIVERSITY OF MIAMI/JACKSON MEMORIAL HOSPITAL
1500 NW 12th Avenue/Room #1007
Miami, FL 33136
 Responsible for supervising 35+ in Payment posting, Refund and
Collection staff
 Focus on maximizing revenue while billing in accordance to the applicable
laws, rules and regulations
 Monthly Audits on hospital and clinic workfiles to monitor productivity
and quality of work from billing/collection staff
 Analyze account receivable monthly reports to detect and resolve
problems recommending the course of action for staff to follow
 Monitoring, processing and balancing all activities related to manual and
electronic remittance postings
 Resolve any issues related to insurance companies such as non-payment,
recoupments, etc
 Ensure completion of balances by staff and their monthly logs for
reconciliation
 Sign off and approve all transfers, interest, refund request and other
pertinent documents
 Research suspense account data for status and refund request
 Implementation and support of policies and procedures
 Training and supporting of staff members
 Conduct research for Medical Finance FRS/IDX system on a day to day
basis
 Identify any issues that might affect departments’ cash flow and assist in
the reconciliation of FRS/IDX billing system
 Assist in problem solving by working closely with Division
Administrators
 Responsible for processing payments for Kidney Acquisition Fund, Front
Desk, IDRs and other special programs
 Delegate routine duties to staff in order to have additional time for
administrative issues and special projects
 Assist in selection, hiring, promoting and termination of employees as well
as annual performance appraisals
 Responsible for time approval, leave request, payroll and ensure coverage
at all times
3/07 TO 11/09 PAYMENT POSTING SUPERVISOR
Department of Medicine Patient Account Services
UNIVERSITY OF MIAMI/JACKSON MEMORIAL HOSPITAL
1150 NW 12th Avenue/Room #1007
Miami, FL 33136
 Responsible for supervising payment posting staff
 Monitoring, processing and balancing all activities related to manual and
electronic remittance postings
 Resolve any issues related to insurance companies such as non-payment,
recoupments, etc

3.  Ensure completion of balances by staff and their monthly logs for
reconciliation
 Sign off and approve all transfers, interest, refund request and other
pertinent documents received by payment posters
 Research suspense account data for status and refund request
 Implementation and support of policies and procedures
 Training and supporting of staff members
 Conduct research for Med Finance FRS/IDX system on a day to day basis
 Identify any issues that might affect departments’ cash flow and assist in
the reconciliation of FRS/IDX billing system
 Assist in problem solving by working closely with Division
Administrators
 Responsible for processing payments for Kidney Acquisition Fund, Front
Desk, IDRs and other special programs
 Assist Refund and Collection staff on a daily basis to ensure Department
productivity is maximized
 Audit and analyze Collection workfiles to ensure proper protocol and
procedures are in place
 Delegate routine duties to staff in order to have additional time for
administrative issues and special projects
 Assist in selection, hiring, promoting and termination of employees as well
as annual performance appraisals
 Responsible for approval of timesheets, leave request, payroll and
ensuring coverage at all times
4/05 TO 3/07 OFFICE MANAGER
3MJ GROUP CORPORATION
15025 SW 57th Terrace
Miami, Florida 33193
 Responsible for supervising support staff
 General contact with equipment and supply companies to process orders
 Negotiate contracts and draw up proposals for potential clients
 Organize travel arrangements, office functions and meetings
 Prepare monthly reports, financial statements as well as
profit and loss statements
 Responsible for making daily deposits, paying bills, reconciling and
maintaining accounts on QuickBooks Pro
 Prepare, review and track credit card statements, invoices and timesheets
 Maintain office related files and records
3/00 TO 4/05 BILLING MANAGER
JOHN M. CASSEL, MD & EDUARDO G. BARROSO, MD
C & B MANAGEMENT SERVICES

4. PLASTIC SURGERY
8950 N. Kendall Drive Suite 100
Miami, Florida 33176
 Responsible for collecting monies from patients prior to surgery
 General contact with insurance companies to obtain authorization for
surgical procedures
 Negotiate surgery proposals with insurance companies and obtain letter of
agreement for proper payment
 Responsible for submission of insurance 1500 claim forms
and patient statements
 Record billing status of payments, credit write-offs and denials
 Follow-up of patient accounts with insurance companies in an effort to
resolve outstanding balances
 Generate monthly A/R and statistical reports
 Use of CPT and ICD-9 codes, extensive knowledge of Insurance’s
(Medicare, HMO’s and Commercial Insurance)
 Responsible for keeping track of office bank account on quickbooks pro,
cut checks for monthly bills and make bank deposits as necessary
4/99 TO 3/00 BILLING MANAGER
SOUTHEAST MEDICAL FINANCIAL SERVICES
7400 N. Kendall Drive Suite 405
Miami, Florida 33156
 Entering of patient demographic information and
Procedures using FMS and MIMS billing system
 Responsible for submission of insurance 1500 claim forms
and patient statements
 Record billing status of payments, credit write-offs and denials
 Follow-up of patient accounts with insurance companies in an effort to
resolve outstanding balances
 Generate monthly A/R and statistical reports
 Use of CPT and ICD-9 codes, extensive knowledge of Insurance’s
(Medicare, Medicaid, HMO’s and Commercial Insurance)
 Extensive use of Electronic clams submission
8/94 TO 4/99 SENIOR PATIENT ACCOUNT COORDINATOR
Dept. of Pediatrics/Division of Pediatric Critical Care Medicine
UNIVERSITY OF MIAMI/JACKSON MEMORIAL HOSPITAL
1600 NW 10th Avenue - East Tower/Room #6006
Miami, Florida 33136
 Entering of data elements in multiple databases using

5. Paradox 40, IDX, PBS and Medisoft billing system
 Correlate the necessary documentation to Bill State and government for
Medicaid/Medicare, insurance, patients and attorneys
 Responsible for following up on the collection for outstanding accounts
receivable in accordance with hospital’s financial policy
 Communicate with third party payers as to reason for non-payment of
claims
 Assist in maintaining financial records and transcribing
them in preparation for managerial reports
 General contact with insurance companies, attorneys,
Physicians and staff personnel
7/88 to 8/94 PATIENT ACCOUNT COORDINATOR
Dept. Of Pediatrics/Neonatology
UNIVERSITY OF MIAMI /JACKSON MEMORIAL HOSPITAL
1600 NW 10th Avenue - East Tower/Room# 5005
Miami, Florida 33136
 Review charts for collections of medical data and
billing for the Intensive Care Unit
 Prepare and submit vouchers to the comptroller’s office and Hospital
Billing Department for collection process
 Entering of data elements in multiple databases using
Paradox 40 and PBS system
 Follow-up on disposition of Patient Accounts (record
payments or denials)
 Responsible for Monthly Statistical Reports
 Distributes work assignments to co-workers
 Assistant to Financial Manager
 Answered telephone
 Other office and clerical duties as required
EDUCATION:
COLLEGE: Undergraduate - Business Administration
Miami-Dade College
Graduate - Clerical Studies
SER-IBM Business Institute

6. Paradox 40, IDX, PBS and Medisoft billing system
 Correlate the necessary documentation to Bill State and government for
Medicaid/Medicare, insurance, patients and attorneys
 Responsible for following up on the collection for outstanding accounts
receivable in accordance with hospital’s financial policy
 Communicate with third party payers as to reason for non-payment of
claims
 Assist in maintaining financial records and transcribing
them in preparation for managerial reports
 General contact with insurance companies, attorneys,
Physicians and staff personnel
7/88 to 8/94 PATIENT ACCOUNT COORDINATOR
Dept. Of Pediatrics/Neonatology
UNIVERSITY OF MIAMI /JACKSON MEMORIAL HOSPITAL
1600 NW 10th Avenue - East Tower/Room# 5005
Miami, Florida 33136
 Review charts for collections of medical data and
billing for the Intensive Care Unit
 Prepare and submit vouchers to the comptroller’s office and Hospital
Billing Department for collection process
 Entering of data elements in multiple databases using
Paradox 40 and PBS system
 Follow-up on disposition of Patient Accounts (record
payments or denials)
 Responsible for Monthly Statistical Reports
 Distributes work assignments to co-workers
 Assistant to Financial Manager
 Answered telephone
 Other office and clerical duties as required
EDUCATION:
COLLEGE: Undergraduate - Business Administration
Miami-Dade College
Graduate - Clerical Studies
SER-IBM Business Institute