Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Aris Santiago

Lawrence,MA

Summary

Skilled Billing Representative well-versed in billing practices, account monitoring and collections. Builds rapport with customers, solving diverse problems and obtain payments.

Overview

27
27
years of professional experience

Work History

Patient Accounts Billing Representative

Greater Lawrence Family Health Center
01.2006 - Current

• Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service.

• Prepares claim data according to department and payer regulations in order to produce a “clean” claim.

• Prepares, reviews and transmits claims timely to payers, works EDI rejections.

• Posts charges, payments and denials in practice management system accurately.

• Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor.

• Works with payer representative to research and resolve denials issues and obtain payer policy knowledge as necessary.

• Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction.

• Processes insurance and patient refunds as necessary.

• Answers patient and department calls. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate.

• Scans/files all relevant documentation.

• Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch.

• Maintain the utmost patient confidentiality, billing and HIPPA compliance at all times when accessing any data in the Practice Management and or EMR systems.

• Other duties, assignments or projects assigned by the Supervisor or Patient Accounts Director within the scope of the position.

• Become knowledgeable about the GLFHC Improvement plan and the model for improvement endorsed by the organization.

• On a regular basis participate in ongoing quality improvement activities related to individual, team, and organizational performance improvement.

• Travel between sites may be required.

• Performs all and any additional duties as assigned.

  • Self-motivated, with a strong sense of personal responsibility.
  • Worked effectively in fast-paced environments.
  • Skilled at working independently and collaboratively in a team environment.
  • Proven ability to learn quickly and adapt to new situations.
  • Excellent communication skills, both verbal and written.
  • Worked well in a team setting, providing support and guidance.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Organized and detail-oriented with a strong work ethic.

Bus Monitor

North Reading Transportation
01.2005 - 01.2006
  • Worked with transporting disabled children
  • Ensuring children safety during transportation helping them with seatbelts and also keeping attendance.
  • Assisted driver in monitoring and managing student behaviors to promote safety.
  • Collaborated with school staff to develop personalized plans for students requiring additional assistance during transportation.
  • Partnered with bus drivers to create a welcoming environment for students entering the vehicle each morning.
  • Contributed to the development of effective emergency evacuation procedures, prioritizing student safety in crisis situations.
  • Conducted thorough inspections of the bus before and after each route, identifying potential safety hazards or maintenance needs.
  • Detailed factors such as weather, incidents, and aid rendered in daily reports to management.
  • Increased accessibility for wheelchair users by operating specialized equipment when needed, facilitating smooth boarding processes for all passengers.
  • Secured special seats and restraint devices used by students.
  • Managed emergency bus evacuations with appropriate use of emergency door.
  • Kept student personal and medical information in strictest confidence.

Receptionist / Chiropractic Assistant

Heritage Park Chiropractic, Inc.
01.2000 - 01.2002
  • Worked the front desk at pending patient’s schedules, made referral for patients and acquired medical records
  • Also used the practice management system to generate reports for the office.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Kept reception area clean and neat to give visitors positive first impression.

Receptionist

H&R Block
01.1998 - 01.2002
  • Duties included answering telephone calls, greeting customers, distributing checks, processing mail, and performed general clerical duties as required
  • Also I did data entry for tax information.
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Answered phone promptly and directed incoming calls to correct offices.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Resolved customer problems and complaints.
  • Streamlined front desk operations for increased efficiency by effectively managing phone calls, emails, and walk-in clients.
  • Responded to inquiries from callers seeking information.
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
  • Corresponded with clients through email, telephone, or postal mail.
  • Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
  • Handled sensitive information with discretion while maintaining strict confidentiality standards.

Education

Medical billing -

LARE Training Center
Massachusetts
01.2006

Office Assistant Program -

LARE Training Center
Lawrence MA
01.2006

Skills

  • Customer relations skills
  • Microsoft Office
  • Data entry experience
  • Technical knowledge
  • Collections background
  • Account Monitoring
  • Data entry expertise
  • Account Management
  • Medical billing and coding
  • Staff education and training
  • EMR / EHR
  • Account reviews
  • HIPAA Compliance
  • Billing systems and software

Languages

English
Professional Working
Spanish
Full Professional

Timeline

Patient Accounts Billing Representative

Greater Lawrence Family Health Center
01.2006 - Current

Bus Monitor

North Reading Transportation
01.2005 - 01.2006

Receptionist / Chiropractic Assistant

Heritage Park Chiropractic, Inc.
01.2000 - 01.2002

Receptionist

H&R Block
01.1998 - 01.2002

Medical billing -

LARE Training Center

Office Assistant Program -

LARE Training Center
Aris Santiago