Leopoldina Santillanes
Greenleaf,KS
Summary
A highly professional coding specialist with strong track record in software development. Known for delivering reliable and efficient code while maintaining high standards. Focuses on team collaboration and adaptability to meet evolving project needs. Expertise in programming languages and commitment to quality results.
Knowledgeable insurance coder/posting with solid background in coding and software development. Proven ability to streamline processes and enhance system functionality through precise coding techniques. Demonstrated proficiency in problem-solving and debugging, ensuring seamless project execution.
Overview
10
10
years of professional experience
Work History
Certified Billing and Coder
Washington County Hospital
Washington, KS
08.2015 - 08.2025
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Facilitated knowledge sharing within the team by conducting regular code reviews, training sessions, and workshops on relevant topics.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Generated reports to identify coding trends and discrepancies.
- Maintained accuracy, completeness, and security for medical records and health information.
- Input data into computer programs and filing systems.
- Verified accuracy of patient information in medical records.
Insurance Claims Specialist
Washington County Hospital
Washington, KS
08.2015 - 08.2025
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Maintained compliance with industry regulations and standards by staying current on relevant laws, policies, and best practices for handling insurance claims.
- Enhanced team productivity by introducing automated tools for routine claim processing tasks.
- Generated, posted and attached information to claim files.
- Posted payments to accounts and maintained records.
- Maintained confidentiality of patient finances, records, and health statuses.
- Collected premiums and issued accurate receipts.
Education
East Leyden High School
Franklin Park, IL01.2005
Skills
- HIPAA compliance
- Billing software
- Claim processing
- Claim submission
- Patient confidentiality
- Payment posting
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
Languages
Spanish
Native or Bilingual
Timeline
Certified Billing and Coder
Washington County Hospital
08.2015 - 08.2025
Insurance Claims Specialist
Washington County Hospital
08.2015 - 08.2025
East Leyden High School