Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Allen Karimazondo

Little Elm,TX

Summary

An innovative, enterprising, dynamic, mentally resourceful, and visionary staff capable of working under pressure with minimum supervision. Always keeping track of progress and can meet strict deadlines. A solid energetic self-starter with a good reputation for high productivity, good communication skills, and time management. I can handle any crisis within my jurisdiction. I am willing to take advice from co-workers to improve myself. Willing to work with others at any time and willing to take other members' opinions with any judgment. Highly motivated, with exceptional analytical ability seeking a position in a goal-oriented environment where I can effectively utilize my skills.

Overview

8
8
years of professional experience

Work History

Medical Biller

Tri Health
04.2024 - Current
  • We verify the insurance of patients to determine eligibility.
  • I talk with insurance providers to resolve denied claims and resubmitted them.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Manage appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • I file and update patient information and medical records.
  • Ensured timely payments from insurance providers through the submission of accurate and complete claims.
  • Collect payments and applied them to patient accounts.
  • Posted payments and collections regularly.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
  • Liaised between patients, insurance companies, and billing office.
  • Accurately entered patient demographic and billing information in the billing system to enable tracking history and maintain accurate records.
  • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
  • Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
  • Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
  • Established strong relationships with insurance representatives, facilitating prompt resolution of billing issues.
  • Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
  • Trained new team members in medical billing software, increasing efficiency within the department.
  • Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.
  • Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
  • Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Evaluated current coding practices and provided recommendations for improvements which led to increased efficiency.
  • Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.

Lead Support II

Vistra Corp
04.2022 - 01.2024
  • Responded to customer inquiries and provided technical assistance over the phone and in person
  • Diagnosed and troubleshot hardware, software, and network issues
  • Researched and identified solutions to technical problems
  • Configured hardware, devices, and software to set up workstations for employees
  • Monitored system performance to identify potential issues
  • Helped streamline repair processes and update procedures to support action consistency
  • Adhered to company policies and scripts to consistently achieve call-time and quality standards
  • Responded to customer calls and emails to answer questions about products and services
  • Achieved high satisfaction rating through proactive one-call resolutions of customer issues
  • Learned and maintained an in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions
  • Attended telephone skills and program information training sessions to boost aptitude
  • Processed debit and credit card and electronic check payments
  • Educated customers on company systems, form completion, and access to services
  • Boosted customer service satisfaction ratings through consistent quality control.

Loan Processor/ Jr Underwriter

Capital One Home Loans
05.2019 - 03.2022
  • Generated, prepared, and ensured the accuracy of initial loan disclosure packages
  • Corresponded with 3rd party vendors to follow up on outstanding loan product orders, ensuring minimal turnaround time
  • Government case number management (orders, transfers, cancellations, etc.)
  • Evaluated and completed requests for loan data changes per company policy
  • Accessed information dealing with fraud and credit, assets, etc
  • Reviewed all documents, works loan up, and submitted file to Underwriting
  • Submitted approved loan application to closing or initiates action on canceled/rejected loans
  • Clear loan conditions as stipulated by company-approved guidelines and procedures
  • Organize closings with broker and closing agent
  • Analyze information in the loan origination system for accuracy.

Tech Support Level I

Kalkomey Enterprise
11.2018 - 04.2019
  • Troubleshoot and diagnose problems to accurately resolve a wide range of technical issues
  • Trained users on how to operate components and systems
  • Explained technical information in clear terms to non-technical individuals to promote better understanding
  • Responded to support requests from end-users and patiently walked individuals through basic troubleshooting tasks
  • Monitored systems in operation and quickly troubleshot errors
  • Configured hardware, devices, and software to set up workstations for employees
  • Explained technical information in clear terms to promote better understanding for non-technical users
  • Responded to telephone, email, and in-person inquiries regarding [Item] operation, use and repair
  • Completed inventory counts and organized supplies
  • Rolled out software updates and applied server patches to thwart threats from penetrating networks
  • Analyzed issues to identify troubleshooting methods needed for quick remediation
  • Assisted with updating technical support best practices for use by the team
  • Provided Tier 1 IT support to non-technical internal users through desk-side support services
  • Provided basic end-user troubleshooting and desktop support.

Srs Ops Production Vault

Apple One
06.2016 - 10.2018
  • Carefully review all documents and reports for completeness and accuracy
  • Scanned, filed, and transmitted various documents and adhered to digital filing procedures
  • Monitored due dates and deadlines and worked to submit all documents on time or early
  • Checked accuracy and completeness of documents to identify deficiencies and recommend corrective actions
  • Maintained document archive and file server of approved documents and drawings to provide easy traceability and retrievability
  • Coordinated document exchange between departments, contractors, suppliers, and customers
  • Proofread filenames, titles, and submittal details to streamline submittal and avoid rejection
  • Enforced the use of standardized forms and templates to achieve uniformity of communications across departments and functions
  • Checked blueprints and drawings for accuracy and completeness
  • Maintained organized and efficient document flows by using excellent planning and multitasking skills
  • Assisted with inbound and outbound document processes, document sorting, logging, and work order creation
  • Worked with internal staff to process documents and sent them for closing
  • Converted documents from one application to another
  • Transmitted documents, organized revisions, and tracked changes
  • Established, improved, and reinforced document management systems to handle current and expected requirements
  • Contributed ideas and suggestions in team meetings and delivered updates on deadlines, and designs.

Education

GED -

Plano West Senior High School
Plano, TX
09.2013

Skills

  • A team-oriented and flexible character with the ability to handle responsibility and maintain confidentiality
  • Good Leadership skills, Attention to Detail, Customer Service, Exceptional Communication Skills, Training and Development, Time Management, Strong Work Ethic, data entry, Analytical, and Problem-solving
  • Proficient in Microsoft Office (Excel, Word, PowerPoint, Access), MS Project, Service link, Lexis Nexis, Fraud Guard, PowerPoint, SharePoint, HIPAA, Visio, Process/Model Tools Encompass, Epic, Mortgage Cadence, and loan/lending
  • An individual who can multitask and has good interpersonal skills and telephone (inbound and outbound) communication skillsInsurance Claims

References

REFERENCES UPON REQUEST.

Timeline

Medical Biller

Tri Health
04.2024 - Current

Lead Support II

Vistra Corp
04.2022 - 01.2024

Loan Processor/ Jr Underwriter

Capital One Home Loans
05.2019 - 03.2022

Tech Support Level I

Kalkomey Enterprise
11.2018 - 04.2019

Srs Ops Production Vault

Apple One
06.2016 - 10.2018

GED -

Plano West Senior High School

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Allen Karimazondo