Gustavo Albarran
Norwalk,CA
Overview
12
12
years of professional experience
Work History
Medical Biller- Remote
USCB America
Los Angeles
03.2022 - Current
- Perform various accounts receivable activities for major hospital clientele, Run Medi-cal eligibility twice a month for patients, Bill Medi-cal, Commercial & Medicare accounts in a timely manner, assist with special projects
- Places outbound telephone calls and accurately documents all information pertaining to client's account utilizing PC based applications
- Verify and bill accounts in a professional and consistent manner
- Accurately documents in PC system the proper actions taken on each account.
Data Quality Representative-Medical Biller
Medical Specialty Managers
Orange
01.2020 - 04.2020
- Review accounts in Practice Vision worklist and take action on charges that require correction to ensure a clean claim is submitted to the insurance carrier
- Actions may include but not limited to updating demographics, CPT, Modifier, or DX, accurately post charge batches for clients currently without an interface, request, modify, and follow up on authorization request as needed with insurance carrier, maintain processing timelines established through department service level targets (SLTs)
- Run daily reports to manage workflow to ensure processing timelines are met, effective communication with assigned client contacts regarding issues related to assigned accountabilities, utilize various systems such as Practice Vision, GE Centricity, payer portals, clearing house websites and client's EHR systems.
Billing Associate
Providence Speech and Hearing Center
Orange
08.2015 - 01.2020
- Post all daily payments, charges and adjustments, Scrub claim before sending to insurance company, Run eligibility for Medi-cal patients, Reconcile charges from Chart links to Lytec, Ensure that all activities and communications with patients and/or insurance companies or agencies are properly inputted into the billing system, Invoice insurance/school/hospital for services rendered in a timely manner, assist manager administrative services or billing and collections supervisor with other tasks as assigned, Provide requested information to the billing supervisor or the manager administrative services for audit purposes, Make copies of all no pay EOBs for research and maintain originals in an accessible and organized manner.
Medical Answering Service Operator
The Telephone Secretary
Fullerton
06.2013 - 08.2015
- Responsible for answering the phone, greeting callers, establishing reason for calling, perform other clerical duties as necessary & resolving issue by contacting the appropriate person who can help the customer, Very high call volume.
Externship
Optimal MD Solutions
Whittier
04.2012 - 05.2012
- Processed insurance claims, claims follow up, Re-billing of insurance, checked patient eligibility
- Post patient payments and clarified any billing errors
- Customer service and Extensive daily office duties such as phone handling, data entry, faxing and photocopying etc.
Education
Diploma - Medical and Dental Claims
Franklin Career College
05.2011
High School Diploma -
John Glenn High School
06.2009
Skills
- Typing
- Microsoft Word
- Medical scheduling
- Hospital experience
- Bilingual
- Medical office experience
- Data entry
- Customer service
- Administrative experience
- Medical records
- EMR systems
- Microsoft Excel
- Microsoft Office
- Front desk
- Medical terminology
- Microsoft Outlook
- Clerical experience
- Organizational skills
- ICD-10
Timeline
Medical Biller- Remote
USCB America
03.2022 - Current
Data Quality Representative-Medical Biller
Medical Specialty Managers
01.2020 - 04.2020
Billing Associate
Providence Speech and Hearing Center
08.2015 - 01.2020
Medical Answering Service Operator
The Telephone Secretary
06.2013 - 08.2015
Externship
Optimal MD Solutions
04.2012 - 05.2012
Diploma - Medical and Dental Claims
Franklin Career College
High School Diploma -
John Glenn High School
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