GABRIELA ORDENES SANTIS
Lancaster
Summary
Medical Office Manager/Biller with 40 years of experience and continued interest in medical office management. Recognized by past employers for excellent attention to detail and strict adherence to modern-day medical office standards and safety procedures. Experienced in team environments; can always be depended on to offer vital support to medical office staff in their daily activities. Member of American Academy of Professional Coders since 2000.
Overview
19
19
years of professional experience
Work History
General Office Manager
Hernandez Medical Group
02.2024 - Current
- Credentialing with California-based health plans, including Anthem Blue Cross, Blue Shield, Cigna, and United Healthcare
- Managed PAVE enrollment for Medi-Cal program participation
- Oversaw provider enrollment and maintenance via Availity
- Maintained CAQH updates and NPPES provider information
- Ensured compliance with DEA licenses and Bamboo Health integration
- Contracted and standardized billing practices with all payers and Waystar clearinghouse
- Supervised office operations, ensuring compliance with federal and state regulations
Location/Site Manager for Mental/Behavioral Health Centers
Cedar Psychiatry
11.2020 - 02.2024
- Supervised 7 physicians/providers and 6 staff members
- Conducted Utilization Reviews for specialized care
- Managed billing and ensured compliance with state and federal laws
Billing and Collections Specialist
Neurosurgical Associates
02.2020 - 11.2020
- Conducted Utilization Reviews for surgeries and imaging
Office Manager
David R. Jensen, MD
05.2018 - 02.2020
- Managed daily operations for a Family Practice
- Supervised billing and ensured correct coding
- Scribed utilizing NextGen HER systems
- Supervised 6 employees, managed payroll, and handled banking/deposits
- Ensured compliance with state and federal regulations
Office General Manager
Antelope Valley Urology Medical Group
10.2006 - 05.2018
- Oversaw daily operations, supervising 5 employees
- Coordinated surgical scheduling and handled billing/accounts receivables
- Managed hospital credentialing, insurance contracting, financial reports, and payroll
- Ensured compliance with HIPAA and PACA regulations
Education
HEALTHCARE ADMINISTRATION WITH SCIENCE DEGREE -
BYU-IDAHO
Rexburg, ID04-2026
Certificate of Proficiency - Medical Assistant Front/Back
SOUTHERN CALIFORNIA REGIONAL OCCUPATIONAL CENTER
Torrance, CA01.1982
Skills
- Law & Ethics for the Healthcare Professions
- Credentialing
- Contracting
- ICD-9 coding
- ICD-10 coding
- E&M Coding
- CPT Coding
- Microsoft Word
- Excel
- PowerPoint
- Office equipment
- 10-key by touch
- Typing speed 65 WPM
- PHE observance and compliance in the healthcare office
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
General Office Manager
Hernandez Medical Group
02.2024 - Current
Location/Site Manager for Mental/Behavioral Health Centers
Cedar Psychiatry
11.2020 - 02.2024
Billing and Collections Specialist
Neurosurgical Associates
02.2020 - 11.2020
Office Manager
David R. Jensen, MD
05.2018 - 02.2020
Office General Manager
Antelope Valley Urology Medical Group
10.2006 - 05.2018
Certificate of Proficiency - Medical Assistant Front/Back
SOUTHERN CALIFORNIA REGIONAL OCCUPATIONAL CENTER
HEALTHCARE ADMINISTRATION WITH SCIENCE DEGREE -
BYU-IDAHO
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