STEFANY PANTOJA SANTIAGO
Admiral Staffing Agency- Bronxcare Contract Assignment
East Rutherford,NJ
15
years of professional experience
Results-driven Senior Financial Associate with 10 years in healthcare finance focused on billing accuracy, charge-audit recovery, and aged-account resolution. Manages appeals, claims follow-up, and payment posting to enhance revenue and minimize denials while ensuring compliance with coding standards. Aims to leverage financial controls and reporting skills to optimize cash flow and audit readiness.
Skills
Epic
Excel
Epremis
Health Logic
OnBase
Charge Audits
Claims Follow-Up
Appeals
Payment Posting
Account Resolution
Billing Compliance
Documentation Review
Data Analysis
Project Management
Communication
Organization
Problem-Solving
Management
Attention to detail
Flexibility
Critical thinking
Team Collaboration
Analytical Thinking
Conflict Resolution
Troubleshooting and resolution
Claims processing
Account coordination
Work History
Account Coordinator
4 Months- Coordinated patient account activities, ensuring accurate billing records and timely follow-up on outstanding balances.
- Monitored delinquent accounts, initiating collection follow-up and payment arrangements within policy guidelines.
- Collaborated with clinical, billing, and insurance teams to streamline account resolution workflows.
- Prepared accurate and timely reports on account activity for management review, enabling informed decision making..
- Streamlined the billing process for increased efficiency with thorough review of insurance claims and accurate data entry.
- Conducted regular audits of patient accounts for accuracy, identifying areas for improvement or correction as necessary.
- Expedited claims processing by accurately submitting electronic claims within established timeframes consistently.
- Analyzed monthly reports to identify patterns in denials and areas for improvement in billing processes.
- Clerical Maintenance of the Charge Description Master for adds, deletes and other changes.
- Identify charges from reports that have excessive charges, review with the Director to either force bill or send to department for corrections.
- Work with Ancillary Department to reconcile their master
SENIOR FINANCIAL ASSOCIATE
9 Years 8 Months- Conducted charge audits to identify and correct billing errors, resulting in measurable reductions in claim denials.
- Reviewed medical charges to ensure coding accuracy and regulatory compliance, improving invoice integrity and reimbursement potential.
- Prepared and submitted appeals for denied claims to recover reimbursement from insurers, yielding measurable results in account recovery.
- Followed up on unpaid and denied claims to accelerate account resolution and support timely payment recovery.
- Reviewed patient records to confirm services were documented appropriately before billing to reduce billing disputes and support compliance.
- Posted payments and updated patient accounts to ensure accuracy of financial records and facilitate monthly reconciliations.
- Verified charge codes and system charges and issued corrected bills to restore billing accuracy and recover revenue.
- Reviewed high-dollar and aged accounts to expedite reimbursement from third parties and enhance cash flow.
- Prepared clear, grammatically correct correspondence for account and claim follow-up to support successful dispute resolution.
- Coordinated with collection agencies to resolve open account issues and achieve account closure, streamlining receivables management.
- Used Epic, Epremis, Health Logic, and OnBase to manage billing, account review, and follow-up activities, increasing operational efficiency.
- Reviewed complex patient charts in Epic to validate charge accuracy and identify documentation gaps.
- Reconciled accounts, investigated discrepancies, and resolved ledger issues to maintain financial accuracy.
- Analyzed financial data, identified trends, and supported management decisions with clear reporting.
ELIGIBILITY SPECIALIST
1 Year 3 Months- Determined applicant eligibility for Charity Care and Medicaid through structured interviews and document review, improving decision accuracy and case consistency.
- Reviewed new and redetermination applications for completeness and missing documents, enhancing processing efficiency and ensuring regulatory compliance.
- Prepared and mailed status and missing-information letters to applicants, facilitating timely communication and increasing follow-up engagement.
- Entered applicant data into Healthquest and Corcis, maintaining accurate case records to support audit readiness and continuity of care.
- Completed follow-up calls and provided application status updates, increasing applicant satisfaction and reducing repeat inquiries.
ADMINISTRATIVE ASSISTANT / CUSTOMER SERVICE REPRESENTATIVE / DATA ENTRY
3 Years 11 Months- Processed as many as 100 daily tire and supply orders with accurate data entry to support timely fulfillment.
- Processed daily invoicing batches in ERP, reducing billing errors and delayed payments.
- Produced gross profit and sales analysis reports to guide operational decisions and optimize pricing strategies.
- Established strong customer relationships through timely communication and effective issue resolution.
- Processed daily invoicing batches in ERP, ensuring accurate billing and timely payments.
- Built strong customer relationships through prompt communication and issue resolution.
- Answered high-volume inbound calls across multiple lines, resolved account issues, and scheduled follow-ups.
- Trained new hires on order entry and phone procedures to shorten onboarding and reduce errors.
- Maintained detailed shipping and receiving logs to improve inventory traceability and vendor claim support.
- Prepared weekly sales and margin reports for managers to guide ordering and pricing choices.
- Produced gross profit and sales analysis reports to inform operational decisions and pricing.
Education
BACHELOR'S DEGREE - Criminal Justice and Psychology
Personal Information
Title: Senior financial analyst
Timeline
Account Coordinator
Admiral Staffing Agency- Bronxcare Contract Assignment
2026.06 - CurrentRead More
SENIOR FINANCIAL ASSOCIATE
NYU Langone Hospitals
2016.09 - 2026.05Read More
ELIGIBILITY SPECIALIST
University Hospital
2015.06 - 2016.09Read More
ADMINISTRATIVE ASSISTANT / CUSTOMER SERVICE REPRESENTATIVE / DATA ENTRY
Pinebrook
2011.07 - 2015.06Read More
Rutgers University-New Brunswick
BACHELOR'S DEGREE from Criminal Justice and Psychology
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