Talent Headshot
Albert Loto
zacckyxd@gmail.com
639773652946
PH
About Me
Hi Good Day! My name is Albert Rodriguez Loto from philippines residing in manila. I’m very interested on your opening as Healthcare representative. I think im suitable with this job. I’ve worked as customer service representative for almost 6 years. I was assigned both for inbound and outbound calls. My clients are usually providers and facilities. In my first company as inbound representative for 3 years we provide claim status information, benefits and eligibility of the patient also were checking authorization and referral status also appeals and reconsideration. I became a claim adjustor as well which monitors, investigates and adjust the claim for payment Then in my second company ive work as well in Healthcare Industry (Working in behalf of facilities) as outbound representative or usually called as AR-follow up our task usually involves in calling different payers or insurances to follow-up the outstanding balance of the claim. We used EPIC to check the EOB of every claim and investigate the denial before we called the payers. We create appeals, reconsideration or dispute to get additional payment for the claim
Basic Information
Full Name
Albert Loto
Email Address
zacckyxd@gmail.com
Phone
639773652946
Location
PH
Education
Education Completed
Bachelor Degree
Institution/School
Bulacan State University
Field of Study
Information Technology
Graduation Year
2019
Current Enrollment
Graduated
GPA/Grade
Certifications
Achievements
Work & Experience
Company Name 1
ResultsCx
Job Title
Healthcare representative
Start Date
09/22/2019
End Date
09/22/2022
Job Description
Healthcare Customer Service (Providers) September 2019 - September 2022 d Inbound Customer Service d • answers phone calls regarding provider claims, appeals and disputes • provides information about medical care and benefits • checking authorization, referrals and credentialing status
Company Name 2
TSI
Job Title
Account Specialist
Start Date
09/29/2022
End Date
12/10/2024
Job Description
Transworld System Incorporated Healthcare Account Specialist (Providers) September 2022 – Present Medical Claims Associate • verify health insurance benefits and coverage for patients • follow up with payers regarding claim status and outstanding balances • maintain detailed records of each claim, including correspondence • creates appeals, disputes or reconsideration regarding claims and coding denials
Hourly Charge
Employment Type
Professional Skills
Technical Skills
Creative Skills
Business Skills
Customer Relationship Management (CRM)
Communication