I did not grow up dreaming of becoming a Denial Prevention Specialist, BI Analytical, Dashboarding, HMO Claims Auditing, Revenue Cycle Management Professional. But after all these years with a singular focus I have become I feel one of the best in my field. So in a sense I've reached a dream to be one of the best at whatever it is I do. There is much more to do in this field, as an industry we are just now starting to catch up to other cutting edge industries. Long gone are the days of mailing off a claim and waiting for a check in the mail. If you do not know which clearing houses are better than others, or as a Revenue Cycle Specialist you are not involved with 835's, 837's and 277 or are not familiar with loops and segments that drive it all, you might get left behind.Always looking for like minded individuals to bounce ideas, learn new techniques, and just stay in the know. When someone pays and entrusts you to submit supervise/manage 17,000 Lab claims a day you get internal satisfaction knowing you are tops in your field. Maybe just maybe we can go and create another star together!
Aba Billing Services & Consultation
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Rcm Expert And Data Analyst And AuditorAba Billing Services & ConsultationSan Jose, Ca, Us
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Rcm Expert And Data Analyst & AuditorAba Billing Services & Consultation Oct 2019 - PresentSan Jose, CaFireman and Navy Seal of Medical Billing. If you have a problem I have the answer! Been there and done that... Ready to Mentor train lead and pass it on, or just take it myself with a self sustaining solution.
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Billing Systems AnalystNorthern California Retina Vitreous Associates Medical Group Inc Jul 2019 - Oct 2019Mountain View, CaServing world class Retina/Vitreous Physicians maximizing reimbursements on surgery and intravitreal injections via auditing and analyzing reimbursement rates, underpayments and insurance denials. Correlating Cubixx refrigeration and accounting systems to accounts receivables for some of the most cutting edge intravitreal injections available. As a certified clinical trails research facility I am getting a front row seat on how heavy hitters like Genetech, Regeneron, Allergan are getting the next wave of miracle products to market! In the end we are saving and/or prolonging people’s vision and quality of life! I'm so humbled to be one of the mechanics on this rocket ship! -
Billing And Edi ManagerNorth Medical Billing Svc Sep 2016 - May 2019San Jose, CaTop to bottom Revenue Cycle Management Leader and Mentor to 50 plus medical practices in and around the SF Bay Area. Grew my gynecology/oncology chops here! I vote Bay Area Gynecology Oncology, Dr. James Lilja and Dr. Jeff Lin the best Gyn/Onc’s in the country! And Dr. Tom Margolis in Burlingame! These guys are straight up Superstars! Saving ladies lives, God bless you guys! -
Business Office Supervisor / Lead Hmo Claims AuditorVerity Medical Foundation Oct 2013 - Sep 2016San Jose, CaSupervising a large medical billing department. Analyst of medical information as it pertains to billing data within the reimbursement cycle. Mentoring and teaching team members on the ever changing rules and regulations of the medical billing environment. Exploit and harness the tools within ODBC, excel, access, pivot tables, Olap cubes to quickly analyze info not easily visible from standard canned reports. Dashboarding and creating/delivering task engines down stream so the team can attack those aged claims. Also having an affinity to imbed sound, valid, and cogent logic into a pre-editing system as to dynamically comply with CCI rules.
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Medical Billing ManagerHunter Laboratories, Inc (Bio-Reference Laboratories, Inc.) Apr 2006 - Sep 2013Campbell, CaManaged and guided a dynamic medical billing department within the largest privately owned medical diagnostic laboratory in California. Had the privilege to learn, teach and mentor alongside some of the brightest minds in the clinical laboratory field. Honored to bare witness to great ideas that were fostered and brought to fruition. Helped Supervise the submission of ~17,000 claims a day and all the logistics that entails. -
Medical Billing Administrator-OwnerAba Billing Services Sep 1999 - Jun 2004San Jose, CaOwner of small medical billing company specializing in ophthalmology, family practice, radiology.
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Medical Billing ManagerMeridian Medical Group/Strategic Healthcare Systems, Inc. Mar 1996 - Apr 2000San Jose, CaAs son of founding and principal physician of medium size physicians group I was groomed for the position which I am eternally grateful, but inevitably needed to make my own way.
Albert Benavides Skills
Albert Benavides Education Details
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American Academy Of Professional Coders3.0 -
Business Administration And Management, General -
Business/Commerce, General -
General Studies
Frequently Asked Questions about Albert Benavides
What company does Albert Benavides work for?
Albert Benavides works for Aba Billing Services & Consultation
What is Albert Benavides's role at the current company?
Albert Benavides's current role is RCM Expert and Data Analyst and Auditor.
What schools did Albert Benavides attend?
Albert Benavides attended American Academy Of Professional Coders, California State University-Chico, Butte College, West Valley College.
What are some of Albert Benavides's interests?
Albert Benavides has interest in Family, Football, Marketing, Beaches, Boxing, Thinking, Camping, Refurbishing Laptops And Creating, Databases.
What skills is Albert Benavides known for?
Albert Benavides has skills like Medical Billing, Medical Coding, Microsoft Office, Customer Service, Microsoft Excel, Healthcare, Medical Terminology, Medicaid, Idx, Ge Centricity, Data, Microsoft Word.
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