ANA A. SANTANA
Victorville,CA
Summary
Experienced healthcare professional specializing in medical reimbursement, billing, and claims processing. Proficient in HCPCS, CPT, and ICD-10 coding, with a strong focus on healthcare revenue cycle management. Committed to maintaining accurate medical and financial records while optimizing billing operations. Bilingual in English and Spanish, with effective communication and customer service abilities.
Overview
2
2
years of post-secondary education
10
10
years of professional experience
Work History
Medical Reimbursement Technician
PRIME HEALTHCARE
10.2026 - Current
- Conducted payer research and prepared claims for third-party insurance carriers, ensuring compliance and maximizing reimbursement potential.
- Verified patient insurance eligibility, benefits, and coverage requirements to facilitate accurate billing.
- 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 to maintain 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 to ensure compliance with managed care requirements.
- Coordinated patient appointments and follow-up visits, optimizing scheduling for efficient patient flow.
- Communicated with insurance providers to obtain and verify coverage information, facilitating timely patient access to services.
- 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
- Coordinated daily administrative and front-office operations to ensure smooth workflow and effective communication.
- Coordinated daily administrative and front-office operations.
- Provided comprehensive administrative support to management and multiple departments, facilitating efficient operations.
- Maintained accurate records, performed data entry, and organized office documentation and inventory for streamlined access.
- Coordinated distribution of mail and information to appropriate personnel.
- Monitored office supplies and submitted purchase orders.
Education
Associate of Applied Science - Certified Billing And Coding Specialist (CBCS)
Mt. San Antonio College
Walnut, CA 03.2010 - 01.2012
Skills
- Medical billing and reimbursement
- Claims processing
- Insurance verification & eligibility
- Revenue cycle
- Payer research
- Medical coding
- Account posting
- Payment collection
- NextGen
- Medical terminology
- Patient records
- Data entry
- Appointment scheduling
- Administrative support
- Customer service
Personal Information
Title: Medical Reimbursement Technician | Medical Billing | Healthcare Administration
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
Associate of Applied Science - Certified Billing And Coding Specialist (CBCS)
Mt. San Antonio College
03.2010 - 01.2012