Summary
Overview
Work History
Education
Skills
Timeline
Generic

Gustavo Zapata

Miramar,Fl

Summary

To obtain a position where I can expand my experience and able to move beyond in the company utilizing my interpersonal skills and my ability to learn quickly and further escalate within a successful business in information systems technology.

Overview

16
16
years of professional experience

Work History

Billing Representative

  • Schedule their appointment as confirmed, checked-in and pass on the appointment information to the physician’s medical assistant
  • Enter, detailed box fields of patient insurance information as patient’s policy number and payor information type and insurance company into the practice management system
  • Review and perform patient’s insurance eligibility verification and pre certification of services
  • If precertification needed, call the insurance for immediate processing
  • Enter manually claims for services rendered at the medical site but not recorded in the electronic charting system, and verify the amount date of service, type of service, location of the procedure, ICD-9/ICD-10 and CPT codes for the procedures
  • Review and create each of the automated claims generated into the practice management software as well as uploading the claims batch into a medical claims clearinghouse
  • Perform electronic auto payment posting of the medical insurance payors who submitted their Electronic
  • Remittance Advice through a medical clearinghouse.

Billing Administrator

NOVA Point of Sale
02.2016 - Current
  • Review and resolve customer’s inquiries about adjustments, credits and refunds for their monthly subscription depending on the three different plans for the software
  • Call customer to inform them about resolution on their previous requests brought to Billing Department and submit their revised requests over to Sales department for further review
  • Perform billing audits for all customers yearly to identify overcharges and undercharges
  • Perform a report of the third party subscriptions that were affiliate with using the software for merchant services.

Billing Representative/Front Agent Lead, Front Agent Lead

Portilla Medical Group,LLC
07.2013 - 01.2016
  • Welcome patient in a professional manner, as well as interview incoming patients to obtain demographic information as well as insurance or financial information
  • Explain all policies regarding services, co-payments, charges, deductibles, out-of pocket charges, insurance billing, and payment of account
  • Print and generate informed consent for each of the new patient, also secure all signatures necessary for treatments, release of medical information, assignment of insurance benefits, and payment of services from legally responsible parties
  • Obtain copies of necessary identification and insurance cards, and scan the informed consent and the cards into an emr system.

Software Specialist/Software On- site Trainer

Premier Doctors Solution a Sevocity and DuxWare VAR
03.2010 - 07.2013
  • Sale computer system software for medical charting and also for medical claims submission to physicians’ offices and arrange all the signed agreements for the contracting department
  • Physically train each member of the staff including but not limited to Front Desk clerk, Medical Assistant and Nurses of the medical office
  • Provide phone customer support in the hours that the customers will need phone assistance while in the middle of their busy practice
  • Download and configure the ASP quick start logo application on each computer at each of the stations of the office and make sure they were all opening and functioning for a normal operation.

Front Desk Rep/Guest Logistics Trainer

Carnival Cruise Lines
11.2007 - 03.2010
  • Check in passengers in the computer systems after checking their travel documents and deliver room key to each of the passenger checked in
  • Sign up their onboard cash account for purchases on the ship and deliver the money collected during the whole day of embarkation to the Guest Services Manager form the ship.

Application Support Engineer

Allvue Systems Formerly Known As AltaReturn
04.2019 - Current


* Assisting clients via email with Support questions, troubleshooting level I support issues with Microsoft applications such as CRM, NAV (Fund Accounting application), Reporting and Investor Portal, and Sharepoint support as well as Power BI Data Connections and ETL issues with SSIS jobs in Microsoft Server Management Studio.

* Creating internal requests for Consulting team for billable consulting and professional services work that comes through support but is to be addressed by Product and Engineering team.

* Performing Report deployment for Standard reports, via Sharepoint, troubleshooting reporting issues and performing formatting and parameters for reports customization SME in Reporting for Allvue application.
* Power BI training to provide to clients.
*Preparing and reviewing report customization scope technical documentation and assisting other team members on how to document and escalate the support issues to the BI team, and being an approver of the Consultations sent to our internal team after proper review.

Education

Bachelor of Science - Computer Information Technology

Miami Dade College
Miami, FL
05.2022

Associate of Science - Computer And Information Sciences

Miami Dade College
Miami, FL
05.2020

High School Diploma -

Miami Dade College
Miami, Fl
2003

Skills

  • SKILLS AND QUALIFICATIONS
  • Microsoft SQL Server
  • Jira
  • SharePoint Server
  • Microsoft Report Builder
  • Microsoft Power BI
  • Practice Management Software experience as well as Electronic Medical Record and medical clearinghouses
  • Excellent organizational and personal skills

Timeline

Application Support Engineer

Allvue Systems Formerly Known As AltaReturn
04.2019 - Current

Billing Administrator

NOVA Point of Sale
02.2016 - Current

Billing Representative/Front Agent Lead, Front Agent Lead

Portilla Medical Group,LLC
07.2013 - 01.2016

Software Specialist/Software On- site Trainer

Premier Doctors Solution a Sevocity and DuxWare VAR
03.2010 - 07.2013

Front Desk Rep/Guest Logistics Trainer

Carnival Cruise Lines
11.2007 - 03.2010

Billing Representative

Bachelor of Science - Computer Information Technology

Miami Dade College

Associate of Science - Computer And Information Sciences

Miami Dade College

High School Diploma -

Miami Dade College
Gustavo Zapata