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Anderson Marmolejo Gomez

@andersonmarmolejogom

Bilingual healthcare professional specializing in insurance verification, medical billing, and patient account resolution.

United States
Message

What I'm looking for

I seek a patient-focused role in revenue cycle or billing where I can apply insurance verification, collections, and EMR expertise, grow into advanced billing responsibilities, and contribute to a compliant, collaborative team.

I am a bilingual healthcare professional with over five years of hands-on experience in insurance verification, medical collections, CPT/ICD coding, and claim follow-up. I consistently ensure billing accuracy by verifying coverage, pursuing authorizations, and coordinating with providers and payors to secure timely reimbursements.

My background includes working with multiple EMR systems (Allscripts, Phreesia, IDX, E-Clinical, Availity) and managing patient accounts end-to-end—educating patients on financial responsibilities, posting payments, and resolving billing inquiries while maintaining HIPAA compliance.

I bring strong communication, organization, and multitasking skills to every role, and I am committed to compliance, patient service, and safeguarding organizational assets through diligent account resolution and appeals.

Experience

Work history, roles, and key accomplishments

OF
Current

Insurance Verification Specialist

Orthopedics Specialist of South Florida

Jun 2021 - Present (4 years 4 months)

Verified insurance coverage and CPT/ICD codes for procedures, pursued authorizations, and coordinated with providers and payors to secure timely reimbursements while documenting account updates in EMR systems.

DO

Front Desk Receptionist

Dr. Almeida Nephrologist Office

Oct 2018 - Mar 2021 (2 years 5 months)

Scheduled patient procedures and managed front-desk operations including insurance verifications, pre-authorizations, payment posting, and responding to patient and insurer inquiries with HIPAA compliance.

Education

Degrees, certifications, and relevant coursework

RC

Reyes Católicos

High School Diploma, General Secondary Education

Grade: 3.57

Completed High School Diploma with a GPA of 3.57; prepared for professional entry-level roles in healthcare administration.

Tech stack

Software and tools used professionally

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Anderson Marmolejo Gomez - Insurance Verification Specialist - Orthopedics Specialist of South Florida | Himalayas