DENISE LANTIGUA
Albany,GA
Summary
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Tech-savvy innovator with hands-on experience in emerging technologies and passion for continuous improvement. Skilled in identifying opportunities for technological enhancements and implementing effective solutions. Adept at leveraging new tools and methods to solve problems and enhance productivity. Excels in adapting to fast-paced environments and driving technological advancements.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Patient Support Specialist
Albany Area Primary Healthcare
02.2021 - 05.2025
- Provided insurance, billing, and benefit support to patients via phone and electronic systems.
- Verified eligibility, benefits, and authorization requirements prior to services.
- Assisted with claim-related inquiries, benefit explanations, and billing resolutions.
- Documented all interactions accurately within electronic health record and claims systems.
- Collaborated with clinical and administrative teams to resolve insurance and benefit issues.
Customer Service Representative
Enterprise Holdings Inc., Rent-A-Car
04.2018 - 02.2021
- Resolved customer inquiries and issues through effective communication and problem-solving techniques.
- Managed rental transactions, ensuring accuracy in billing and documentation processes.
- Trained new team members on customer service protocols and company policies.
- Enhanced customer satisfaction by implementing feedback mechanisms and follow-up strategies.
- Streamlined vehicle rental processes, contributing to increased operational efficiency.
Office Operator
Destiny Transportation / Patient Inc
03.2013 - 01.2018
- Coordinated patient scheduling processes while managing insurance data and billing records across various systems to support healthcare operations.
- Maintained accurate documentation to support claims and reimbursement processes.
- Assisted patients with billing questions, coverage clarification, and issue escalation.
- Ensured accuracy and confidentiality of patient and insurance information.
- Trained new operators on best practices, enhancing team capability and safety awareness.
- Coordinated schedules for timely deliveries, optimizing routes to enhance efficiency.
Education
High School Diploma -
Southwest Georgia Institute of Education
Albany, GABachelor of Arts - Health Services Administration Management
American InterContinental University
Atlanta, GA06.2025
Skills
- Healthcare Claims & Benefits Administration
- Claim Review, Adjudication & Resolution
- Benefit Interpretation & Plan Provisions
- EOB & COB Analysis
- Appeals, Adjustments & Corrections
- HIPAA & Regulatory Compliance
- Eligibility & Coverage Verification
- Provider & Member Support
- Remote Case Management
- CRM, Claims & Billing Systems
- Data Accuracy & Documentation
- Bilingual Communication (English/Spanish)
Certification
- Bachelor of Healthcare Management Specialization – Health Services Administration
- Microsoft Word Certification
LANGUAGES
Spanish: Native / Bilingual
Timeline
Patient Support Specialist
Albany Area Primary Healthcare
02.2021 - 05.2025
Customer Service Representative
Enterprise Holdings Inc., Rent-A-Car
04.2018 - 02.2021
Office Operator
Destiny Transportation / Patient Inc
03.2013 - 01.2018
Bachelor of Arts - Health Services Administration Management
American InterContinental University
High School Diploma -
Southwest Georgia Institute of Education