Summary
Overview
Work History
Education
Skills
Timeline
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Karyna Santiago

Boynton Beach,FL

Summary

Reliable and competent Medical Specialist professional with exceptional data entry and customer service skills.

Overview

6
6
years of professional experience

Work History

Medical Billing Specialist

Tonya Martin Inc
08.2018 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Posted and adjusted payments from insurance companies.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Located errors and promptly refiled rejected claims.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Collected payments and applied to patient accounts.
  • Filed and updated patient information and medical records.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Verified insurance of patients to determine eligibility.
  • Posted payments and collections on regular basis.
  • Collaborated with customers to resolve disputes.
  • Used data entry skills to accurately document and input statements.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.

Education

Medical Assistant License - Medical Assisting

Florida Career College
West Palm Beach, FL
07.2019

Skills

  • HIPAA Compliance
  • Payment posting
  • Claim submission
  • Insurance Verification
  • Patient Billing
  • Bill payment
  • Data Entry
  • Medical Billing
  • Medicaid and Medicare Knowledge
  • ICD-10 Coding
  • Customer Service
  • Teamwork and Collaboration
  • Patient Collections

Timeline

Medical Billing Specialist

Tonya Martin Inc
08.2018 - Current

Medical Assistant License - Medical Assisting

Florida Career College
Karyna Santiago