ANA A. SANTANA
Victorville,CA
Summary
Detail-oriented healthcare professional specializing in medical reimbursement, billing, and claims processing. Expertise in HCPCS, CPT, and ICD-10 coding, with a focus on healthcare revenue cycle management. Skilled in maintaining accurate medical and financial records while optimizing billing operations. Bilingual in English and Spanish, enhancing communication and customer service.
Overview
10
10
years of professional experience
Work History
Medical Reimbursement Technician
PRIME HEALTHCARE
10.2026 - Current
- Verified patient insurance eligibility, benefits, and coverage requirements to ensure accurate billing and reduce claim rejections.
- Conducted payer research and prepared claims for third-party insurance carriers, ensuring compliance and optimizing reimbursement outcomes.
- Review and edit claims for accuracy, completeness, and proper reimbursement.
- Process medical reimbursements and post payments and adjustments to accounts.
- Researched claim discrepancies and resolved reimbursement issues promptly, sustaining consistent revenue flow.
- Perform medical coding using HCPCS, CPT, and ICD-10.
- Maintain accurate medical and financial records in accordance with healthcare procedures.
Patient Services & Insurance Coordinator
NATIONAL VISION
Rancho Cucamonga, CA
01.2019 - 01.2024
- Verified patient insurance eligibility and benefits, ensuring compliance with managed care requirements and minimizing claim denials.
- Coordinated patient appointments and follow-up visits, enhancing scheduling efficiency and improving patient experience.
- Communicated with insurance providers to obtain and verify coverage information, ensuring timely access to services for patients.
- Maintained accurate patient records and prepared files for scheduled appointments.
- Acted as a bilingual liaison for patients, facilitating communication in English and Spanish.
- Managed incoming calls, patient inquiries, correspondence, and daily front-office operations.
Administrative Coordinator
MERCEDES-BENZ OF WEST COVINA Envision Motors
01.2017 - 01.2022
- Provided comprehensive administrative support to management and multiple departments, facilitating efficient operations.
- Coordinated daily administrative and front-office operations, supporting efficient communication and workflow.
- Coordinated daily administrative and front-office operations.
- Maintained accurate records, performed data entry, and organized office documentation and inventory for quick access.
- Managed daily mail distribution and information sharing among staff members.
- Tracked inventory levels of office supplies and placed orders to maintain adequate stock.
Education
Medical Billing And Coding (CPC)
Chaffey College
Rancho Cucamonga, CASkills
- Medical billing
- Claims processing
- Insurance verification
- Payer research
- Medical coding
- Revenue cycle
- Payment collection
- Account posting
- Patient records
- Healthcare software
- Data entry
- Appointment scheduling
- Medical office management
- Medical terminology
- Patient communication
Personal Information
PROFESSIONAL SUMMARY
Title: Medical Reimbursement Technician | Medical Billing | Healthcare Administration
Timeline
Medical Reimbursement Technician
PRIME HEALTHCARE
10.2026 - Current
Patient Services & Insurance Coordinator
NATIONAL VISION
01.2019 - 01.2024
Administrative Coordinator
MERCEDES-BENZ OF WEST COVINA Envision Motors
01.2017 - 01.2022
Medical Billing And Coding (CPC)
Chaffey College