ADA D SANTIAGO
Pearland,TX
Summary
With over 15 years of unwavering dedication to the healthcare industry, I have honed my skills as an Office Administrator and Medical Biller, gaining a deep understanding of the sector.
As an organized and dedicated administrative assistant, I have a proven track record of exceptional customer service in fast-paced environments. I offer keen attention to detail and strong decision-making skills, which should instill confidence in my ability to handle complex tasks. My self-motivated work ethic drives me to manage multiple concurrent tasks effectively in independent or team environments.
Overview
16
16
years of professional experience
Work History
Medical Biller and Coder Self Owner
AJ Professional Services, Corp.
01.2007 - 03.2017
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Developed strategic plans to increase profitability and efficiency.
- Placed strong emphasis on providing excellent customer service, key factor in fostering and maintaining strong relationships with our valued clients.
- Verified patient information and insurance eligibility to ensure accuracy of claims.
- Reviewed medical records, identified diagnosis codes, and assigned appropriate procedure codes according to established coding guidelines.
- Submitted electronic claims for reimbursement and tracked payments received from insurers.
- Proactively maintained accurate billing records, always in compliance with HIPAA regulations, to ensure meticulous attention to detail.
- Performed daily audits of all insurance denials, showcasing my commitment to resolving issues and ensuring smooth operation of billing process.
- With unwavering dedication, I provided customer service support, always ready to respond to inquiries from patients, physicians, and other healthcare providers regarding billing practices.
Medical Biller and Coder
María D. Encarnación Siaca, Internist
06.2005 - 12.2006
- Reviewed medical records and identified diagnosis codes, procedures, services, and supplies for coding.
- Verified accuracy of patient information and insurance data in billing system.
- Submitted claims to insurance companies electronically or by mail.
- When faced with denied claims, I have diligently researched payer requirements and prepared appeals. This demonstrates our team's dedication and persistence in resolving such issues.
- Reconciling accounts receivable is key task that I have undertaken to ensure accuracy of payments received. This contributes to financial stability of our medical facility.
- Committed to accuracy, performed daily audits on all bills submitted, ensuring completeness and correctness in billing process.
- Filed and submitted insurance claims.
Office Administrative Assistant/Medical Billing Executive
José L. Pagán Ortíz, General Surgeon
09.2001 - 07.2005
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Provided clerical support to company employees by copying, faxing, and filing medical and administrative documents.
- Received and processed patient scheduling requests promptly.
- Created and maintained accurate patient appointment records.
- Collaborated with physicians and other healthcare staff to ensure patients were scheduled for appropriate services.
- Verified medical codes for diagnosis, treatments, procedures, and supplies with utmost precision, using universally accepted ICD-9 and ICD-10 coding systems.
- Compiled and processed data for billing purposes utilizing billing software programs.
- My role also involves ensuring completeness of patient files, including necessary signatures and dates, and managing appointment schedules.
- Submitted electronic claims to various insurance carriers.
- Performed daily accounts receivable reconciliation with payment postings on the computer system.
Office Administrative Assistant/Medical Biller and Coder
Aurora Rodríguez Morán, Pediatrician
02.2002 - 06.2003
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures, and supplies using ICD-9 and ICD-10 coding systems.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Tracking and managing patient's vaccinations.
Education
Technical Degree in Medical Billing -
EDIC College
Caguas, PR02.2001
Skills
- Excellent Communication
- Office Technology Proficiency
- Scheduling and Planning
- Knowledge of Medical Terminology
- HIPAA Compliance
- Multi-tasking and Efficiency
- Office Management
- Attention to Detail
- Customer Service
- Demographic Information
Languages
Spanish
English
Timeline
Medical Biller and Coder Self Owner
AJ Professional Services, Corp.
01.2007 - 03.2017
Medical Biller and Coder
María D. Encarnación Siaca, Internist
06.2005 - 12.2006
Office Administrative Assistant/Medical Biller and Coder
Aurora Rodríguez Morán, Pediatrician
02.2002 - 06.2003
Office Administrative Assistant/Medical Billing Executive
José L. Pagán Ortíz, General Surgeon
09.2001 - 07.2005
Technical Degree in Medical Billing -
EDIC College
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