Alan Castaneda
West Jordan,UT
Summary
Dependable caseworker with a recent background in invoice assessment and Medical Record review. Hard-working and committed to accuracy, with strong organizational skills.
Overview
11
11
years of professional experience
Work History
Billing Specialist
Elite Medical Staffing
07.2022 - 04.2025
- Strengthened client relationships through effective communication regarding billing issues and payroll concerns.
- Reviewed and processed around 500 timecards for employees weekly and verified accuracy of information.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Uploaded weekly profit reports to Sage and updated new and existing client profiles.
- Reconciled payroll discrepancies and responded to inquiries from our employees.
Medicaid Specialist
Medicaid Done Right
03.2021 - 07.2022
- Navigated a high caseload of Medicaid applications for Nursing Home residents.
- Performed welcome calls to residents and family members in order to determine eligibility.
- Coordinated with local representatives to obtain documents from residents and institutions such as bank statements, POA documents, life insurance verifications, funeral preneed paperwork, etc.
- Attended phone interviews with state caseworkers to review the resident's application and work hand in hand with state guidelines to get the case approved.
Provider Invoice Agent
Cotiviti Inc
11.2018 - 03.2021
- Received invoices from many different insurance providers and notated every account with up-to-date information.
- Followed client agreements from each provider to see if the invoice would be paid or if it would be disputed.
- Interacted with many providers, attorneys, and sometimes patients on a variety of topics including payment, complaints, and Hitech requests.
- Submitted invoices requiring payment and at times disbursed amounts via credit card.
Medical Records Clerk
Cotiviti Inc
09.2015 - 11.2018
- Uploaded records to our system that had been received through USBs or CDs.
- Filtered incoming packages to varying suites and sorted and scanned paper records.
- Used adobe to download records, correct any mistakes, and split documents. Also, sent out CDs through Fed Ex and UPS and handled packages that were received in error.
- Worked with a three-day turnaround time and correspond with attorneys and patients on urgent requests.
Item Processor
Discover
10.2014 - 09.2015
- Strengthened client relationships through effective communication regarding billing issues and payroll concerns.
- Reviewed and processed around 500 timecards for employees weekly and verified accuracy of information.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Uploaded weekly profit reports to Sage and updated new and existing client profiles.
- Reconciled payroll discrepancies and responded to inquiries from our employees.
Education
Associate Degree - General Studies
Salt Lake Community College
Salt Lake City, UT06.2015
High School Diploma -
Granger High School
West Valley City, UT06.2011
Timeline
Billing Specialist
Elite Medical Staffing
07.2022 - 04.2025
Medicaid Specialist
Medicaid Done Right
03.2021 - 07.2022
Provider Invoice Agent
Cotiviti Inc
11.2018 - 03.2021
Medical Records Clerk
Cotiviti Inc
09.2015 - 11.2018
Item Processor
Discover
10.2014 - 09.2015
Associate Degree - General Studies
Salt Lake Community College
High School Diploma -
Granger High School