Tania Gonsalves

Leads a patient escalation team to resolve complex billing, insurance, and patient account issues involving denials, rejections, credentialing, and payer disputes. Coaches team members and partners with internal departments, provider offices, and payers to improve reimbursement and reduce aging AR.

Managed insurance follow-up and account resolution, including investigation of denials, rejections, authorization issues, and coverage discrepancies. Submitted appeals and coordinated with payers to maximize reimbursement while maintaining daily client correspondence queues.

Managed warranty claims and customer accounts, including scheduling and order processing. Coordinated communication between homeowners, builders, technicians, and internal departments while verifying order accuracy and customer documentation.

Managed payment posting, insurance follow-up, denials, appeals, refunds, and account reconciliation. Researched payer discrepancies to resolve underpayments and overpayments and assisted patients with billing inquiries and payment plans.

Processed financial transactions and provided member service. Opened new accounts and assisted members with financial products and services.

Verified patient eligibility and authorizations while managing insurance aging reports and outstanding balances. Coordinated reimbursement activities with insurance carriers and maintained accurate billing records to support compliance initiatives.

Completed the Career Step Medical Billing program in December 2019.

Completed AAPC medical terminology training in May 2017.

Graduated from Richmond Hill High School in June 2009.