CHRIS GAITAN
Lubbock,TX
Summary
To obtain and secure a position that will enable me to utilize over 20 years of experience in accounting. To perform with confidence, my solid verbal and written communication skills. To process all transactions in a precise and timely manner. To be part of a fine team, by improving my skills and working well with others.
Overview
30
30
years of professional experience
1
1
Certification
Work History
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER/REFUND TEAM
2016.07 - Current
- Job duties includes working in a workflow that contains accounts with credit balances
- Researching whether credit balance is created by multiple insurance payments, which includes all commercial insurance and or government payers
- Determine whether too much adjustment has been made, through knowledge of payers' explanation of benefits
- Issue refunds after researching of over payments
- Knowledgeable of websites for all major payers to obtain explanation of benefits
- Manage goal to help keep government accounts current.
Managed Care Lead Specialist
TEXAS TECH PHYSICIANS/NEUROLOGY CLINIC
2015.05 - 2016.07
- Responsible for verifying coverage and benefits on patients' insurance
- Obtain referrals and authorizations when required to see a specialty physician
- Determine patients' deductible and out of pocket charges billed for the visit
- Responsible for contacting patients to make them aware of amount owed at time of visit
- Contact PCPs to obtain insurance referrals and authorizations.
SENIOR MEDICAL BILLING ASSOCIATE
TEXAS TECH HEALTH SCIENCE CENTER
1998.11 - 2015.05
- Refund Clerk: Audit patients' accounts with credit balances
- Responsible for determining if credits were due to over payments by insurance companies or due to a contractual adjustment
- Worked in Workflows, which consists of credit balances, Workflows were divided by Commercial Insurances and Government Payors
- Responsible for creating refund letters to insurance companies and or patients
- Keyed all refunds in batches daily
- Maximum of 40 credits per day was required, to resolve, for patient refunds
- Maximum of 17 refunds per day for insurance and or government credits, to resolve, were met and even exceeded.
PATIENT ACCOUNT REPRESENTATIVE
UNIVERSITY MEDICAL CENTER
1994.07 - 1998.10
- Collected patient insurance information, sent itemized statements upon request
- Reviewed accounts, to bill and correct insurance information
- Answered all questions relating to those accounts
- Knowledgeable of all insurance types to bill and receive payments in a timely manner.
Education
CORONADO HIGH SCHOOL
01.1984
Skills
- Microsoft Office
- Well versed in Computers and Printers/Copiers
- 10 Key by touch
- 40 WPM minimum
- Exceptional oral and written communication
- Fluent in Spanish
- Dependable and Responsible
- Data Entry
- Attention to Detail
References
Bradlee Dansbee, Brother in law, 806-787-0255, David Boas, Brother in law, 806-535-9015, Tiffany Williams, Friend, 806-928-4379, Linda Scott, Former Supervisor/Neurology Clinic, 806-781-5172, Evelyn Silva, Administrator/Neurology Clinic, 806-239-5308, Cori Flores, Supervisor/U. M. C./Patient Accounting, 806-761-0878
Certification
- I have taken and completed basic required courses which included business office procedures
Timeline
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER/REFUND TEAM
2016.07 - Current
Managed Care Lead Specialist
TEXAS TECH PHYSICIANS/NEUROLOGY CLINIC
2015.05 - 2016.07
SENIOR MEDICAL BILLING ASSOCIATE
TEXAS TECH HEALTH SCIENCE CENTER
1998.11 - 2015.05
PATIENT ACCOUNT REPRESENTATIVE
UNIVERSITY MEDICAL CENTER
1994.07 - 1998.10
CORONADO HIGH SCHOOL
- I have taken and completed basic required courses which included business office procedures
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