Ada D. Santiago Soto
Pearland,TX
Summary
With over 15 years of experience in healthcare administration, I have developed a deep understanding of the industry as an Office Administrator, Medical Biller, and Coder.
Efficient office administrator with a background in managing front office operations, patient scheduling, and record-keeping within healthcare settings. Skilled in maintaining confidentiality of patient information, improving office workflows, and supporting clinical staff with administrative tasks.
Overview
16
16
years of professional experience
Work History
Self Owner
AJ Professional Services, Corp.
Ceiba, Puerto Rico
01.2007 - 03.2017
- Developed strategic plans to increase profitability and efficiency.
- Emphasized superior customer service to foster and maintain strong relationships with existing clients.
- I verified patient information and insurance eligibility to ensure the 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, I maintained accurate billing records, always in compliance with HIPAA regulations.
- Performed daily audits of all insurance denials to ensure proper resolution of issues.
- 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
María D. Encarnación Siaca, Internist
Fajardo, Puerto Rico
10.2003 - 12.2006
- Reviewed medical records and identified diagnosis codes, procedures, services, and supplies for coding.
- I have verified the accuracy of patient information and insurance data in the billing system.
- Submitted claims to insurance companies electronically or by mail.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Reconciled accounts receivable to ensure the accuracy of payments received.
- Performed daily audits on all bills submitted for accuracy and completeness.
- I filed and submitted insurance claims.
Medical Biller and Office Administrator
José L. Pagán Ortíz, Surgeon
Fajardo, Puerto Rico
09.2001 - 08.2005
- I have reviewed patient insurance information to ensure the accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures, and supplies with the utmost precision, using the universally accepted ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- My role also involves ensuring the completeness of patient files, including necessary signatures and dates, and managing the appointment schedule.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Received and processed patient scheduling requests in a timely manner.
- Created and maintained accurate patient appointment records.
- Collaborated with physicians and other healthcare staff to ensure patients were scheduled for the appropriate services.
Medical Biller and Office Administrator
Aurora Rodríguez Morán, Pediatrician
Fajardo, Puerto Rico
01.2002 - 06.2003
- I have reviewed patient insurance information to ensure the accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures, and supplies using the ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Tracking and managing the patient's vaccinations.
Education
Technical Degree - Medical Billing And Secretarial Sciences
EDIC College
Caguas, PR02-2001
Skills
- Excellent Communication Skills
- Knowledge of Office Technology
- Scheduling and Planning Skills
- Knowledge of Medical Terminology
- Quick Learner
- Efficient Multi-Tasking
- Works well under pressure
- Office Management
- HIPAA Compliance
- Data Entry
- Attention to Detail
- Medical Records Maintenance
- Working with minimal supervision
- Patient Scheduling, documentation, and confidentiality
Languages
Spanish
Professional
English
Professional
Timeline
Self Owner
AJ Professional Services, Corp.
01.2007 - 03.2017
Medical Biller
María D. Encarnación Siaca, Internist
10.2003 - 12.2006
Medical Biller and Office Administrator
Aurora Rodríguez Morán, Pediatrician
01.2002 - 06.2003
Medical Biller and Office Administrator
José L. Pagán Ortíz, Surgeon
09.2001 - 08.2005
Technical Degree - Medical Billing And Secretarial Sciences
EDIC College
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