Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Brittanee Santana

Lake Oswego,OR

Summary

Conscientious Insurance coordinator competent in CPT and ICD codes and medical terminology. Diverse knowledge of insurance companies including Medicare, Medicaid, and commercial insurances to collect medical payments, send prior authorizations, follow-up on appeals and denials. With diverse medical work experience and certifications I am always willing to help in other aspects of the clinic when appropriate as well.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Medical Coder/ Medical Assistant/ Shockwave Tech.

Restore PDX
Beaverton, OR
09.2020 - Current

Call Spanish speaking patients, ensure demographics are correct and schedule an appointment or procedure, in addition to relaying any pertinent information.

Abstracting clinical diagnoses, procedure codes and documents other pertinent information obtained from the medical record into the electronic medical records.

Performing edits on procedural documentation before sending it to billing. Doing quarterly audits and communicating any needed improvements to the staff and providers.

Document the physician dictated patient history, physical examination, family, social, and past medical history as well as document procedures, lab results, dictated radiographic impressions made by the supervising physician and any other information pertaining to the patient's encounter.

Create Prior Authorizations, request referrals, monitor appeals and denials.

Follow a detailed plan and treat patients for chronic pain with the use of a extracorporeal shock wave device.


Lead Medical Assistant and Insurance Coordinator

Willamette Pain And Spine
West Linn, OR
03.2018 - 09.2020
  • Implemented efficient improvements to support and enhance office operations. Oriented and trained new staff on proper procedures and policies.
  • Facilitated in medical reimbursement and billing.
  • Re-credentialed providers with contracted insurances
  • Verified patient information, determine purpose of visit, vitals, and record medical history.
  • Clerical duties, such as word processing, prepared charts before visits, and transcribed. Created prior authorizations, and monitored appeals and denials.
  • Monitored CPT, ICD-10, and HCPCS code changes of out patient, surgical and ambulatory services. Performed documentation edits and quarterly audits on patient charts. Communicated with the provider on continued documentation improvements.
  • Communicates pertinent information on appropriate documentation to physicians and staff.Maintains knowledge of requirements for appropriate charge generation.Identifies and codes for all diagnoses documented supported within clinical documentation. Captures unspecified diagnoses used and determine if documentation supports a more specific diagnosis

Caregiver, Special Needs

Mentor Oregon
Lake Oswego, OR
08.2009 - 10.2019
  • Worked to improve and enhance patient’s life through effective and compassionate care. Assisted patient with daily living needs. Performed vital signs, and established enrichment activities for developmentally delayed client.
  • Helped explain the patients benefits and what services and products is available through medicare.

Externship for Medical Assisting

Randall’s Children Urgent Care
Hillsboro, OR
12.2017 - 02.2018
  • Conducted machine safety checks according to facility policy. Conducted telephone triage to patient and family. Collaborated with medical and administrative personnel to educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options.
  • Performed clerical duties.

Massage Therapist and Business Owner

Grounded Flow
Beaverton, OR
06.2015 - 11.2017
  • Developed, optimized and enforced business policies to maintain consistency and high-quality standards. Completed credit verifications and all legal documentation to establish and sustain business. Oversaw business budget planning and administration, accounting functions, and put together realistic budgets based upon costs and fees for effectively operating business. Created marketing advertisements. Maintained inventory of all care products and made sure equipment and selling areas were fully stocked and organized.
  • Booked appointments, answered phones, greeted clients, handled payments and created client service tickets for salon with over. Spoke with clients regarding health history, expectations and services. Maintained clients' treatment records and designed long-term care programs for return customers.
  • Contracted with insurances, monitored the revenue cycle. Requested referrals, created prior authorizations and keep track of appeals and denials for massages.

Education

Certificate - Medical Coding CPC-A

American Academy of Professional Coders
12.2021

Certificate - Medical Assisting

Concorde College
Portland, OR

Certificate - Medical Auditor CPMA

American Academy of Professional Coders
02.2022

Certificate - Practice Management CPPM

American Academy of Professional Coders
04.2022

License - Massage Therapy

Anthem College
Beaverton, OR

Skills

  • Revenue Cycle
  • Prior authorizations, appeals, and denials
  • Sim-Chart, Athena and EPIC EMR experience
  • Training staff on procedures and policies
  • Credentialing
  • Documentation accuracy
  • Spanish
  • Medical Records Management
  • Insurance Knowledge
  • Medical Claims Coding
  • Insurance Claims Analysis
  • Coding Error Resolution
  • Patient data compilation
  • Time Management
  • Chart edits and performing audits

Certification

  • CPC-A - Certified Professional Coder-Apprentice
  • Medical Assistant exp. 01/31/2023
  • Massage Therapy exp. 04/2022
  • Medical Transcriptionist
  • CPR exp. 01/2022
  • Rotary Youth Leadership Awards
  • HIPAA
  • CPMA- Pending
  • CPPM- Pending 04/2022

Timeline

Medical Coder/ Medical Assistant/ Shockwave Tech.

Restore PDX
09.2020 - Current

Lead Medical Assistant and Insurance Coordinator

Willamette Pain And Spine
03.2018 - 09.2020

Externship for Medical Assisting

Randall’s Children Urgent Care
12.2017 - 02.2018

Massage Therapist and Business Owner

Grounded Flow
06.2015 - 11.2017

Caregiver, Special Needs

Mentor Oregon
08.2009 - 10.2019

Certificate - Medical Coding CPC-A

American Academy of Professional Coders

Certificate - Medical Assisting

Concorde College

Certificate - Medical Auditor CPMA

American Academy of Professional Coders

Certificate - Practice Management CPPM

American Academy of Professional Coders

License - Massage Therapy

Anthem College
Brittanee Santana