Mercedes Velazquez-Santiago

ad2of6@r.postjobfree.com 973-***-**** Hillsborough, NJ

SUMMARY

Seasoned professional with 31 years of experience in the medical billing industry, having worked across both the user-facing and IT aspects of the field. Expertise in managing the revenue cycle, handling insurance denials, underpayments, and appeals. Seeking a Medical Biller Coder role, bringing a strong background in database administration, data integration, process automation, and an ability to improve collections processes. WORK EXPERIENCE

eReceivables Inc. (Medical billing company) 777 Passaic Ave., Clifton, NJ Database Administrator Apr 1998 - Aug 2023

• Overhauled database maintenance procedures, enhancing system availability and preventing potential data loss.

• Devised and implemented scripts for streamlined data integration, contributing to improved database designs and data models.

• Enhanced user experience by automating processes, thereby optimizing databases to meet established needs and goals.

Medical Billing Resources, Inc. 600 Bloomfield Ave., Bloomfield, NJ

Medical Biller Sep 1991 - Nov 1997

• Administered the complete revenue cycle, ensuring timely and accurate review of insurance denials, underpayments, and appeals.

• Enhanced the collections process by identifying and analyzing patterns in rejections and denials, leading to more effective resolution of outstanding balances.

• Efficiently liaised with patients to align insurance benefits, addressing issues related to denied claims due to patient information discrepancies.

EDUCATION

Caldwell University

Bachelor's of Science, Business Administration and Computer Information Caldwell, NJ

May 1994

CERTIFICATIONS

AAPC-CPC certification Expected May 2024

SKILLS

Bilingual (English & Spanish) • Microsoft Office Proficient • Database Modification • Database Analysis • Code Debugging • General Medical Billing Knowledge • Data Testing • End-User Training • Compiling Data • Proficient in Foxpro • Strong Knowledge of ICD-10, CPT and HCPCS • Windows & Internet Proficient • Familiar With Ansi 837 and 835 File Layouts