Customer Service Insurance
Resume:
Leticia Santiago
CHICAGO IL *****
*****************@*****.***
Objective: Seeking to obtain general office position where I can utilize and expand my present skills. I am also seeking were there are excellent benefit and opportunity for advancement.
SKILLS:
* Bilingual - Able to conduct business in both English/Spanish
* Customer service/ Maintain a positive and professional attitude with customers
* Microsoft Word / Excel
* Posting charges and payments (Electronic remittances & lockbox batches)
* Filing/Data Entry/registration.
* Lss/Meditech/nextgen/Medaxxis/Latitude/Epic/Misys/Axium/ Dentrix software (dental Software)Windx
* Patient past due account follow up and collections
* Insurance follow up/collections; appeals, electronic denials, sending out clean claims
* Online Tools Research Patient precertification and insurance verification
* UB04/UB92/2360/1500-medical claim forms. EOB review and resolution
* Ecare/Nebo/NDAS/Doral RESEARCH FOR INSURANCE BENIFITS
* Call center (to process credit cards)
* Print claim form for patients
* Dental assist the Drs.
* Billing Medicaid, HMO, PPO, Worker Compensation,
* Answering billing phone calls
EXPERIENCE:
8/2011- Present Proffesional Medical Corp.
Biller and Coder
• Follow all Start of Day procedures
• Maintain a high level of customer service at all times
• Work as part of a team with emphasis on communication
• Create insurance claims and submit pre-authorizations to insurance companies on a timely basis.
* Enter charges and procedure into the database code and bill.
6/2009-06/2011. Staffing Team UIC College of Dentistry Chicago il
Receptionist and Medical Biller
• Follow all Start of Day procedures
• Maintain a high level of customer service at all times
• Work as part of a team with emphasis on communication
• Schedule patient appointments in accordance with monthly and daily patient goals
• Answer phones and confirm appointments
• Greet and check in patients
• Accurately verify dental benefits
• Maintain detailed patient records in a fast-paced environment
• Collect payments, co-payments and deductibles
• Create insurance claims and submit pre-authorizations to insurance companies on a timely basis
• Pull patient charts for future appointments when necessary
• Maintain a clean and professional office environment
• Assist with presenting and/or explaining treatment plans
• Follow all end of day procedures
3/2009-06/2009 Clear concept consulting Addison IL
Hospital and Physician Medical Biller
* Posting payment-posting pt payments,insurance payments
* Data entry- correcting pt informations, insurance information
* use word excel
* call center/to process credit cards payments
* Customer service
* Calling insurance
* Billing pt statements
* Billing insurances/ 1500
* bookeeping
03/2008-12/2008 Medix Staffing agentcy
For company: MC kenson, Medical Resources Inc.
Medical biller Collector
* Biller/follow up- I bill commercial, workmen comp
* UB 04, UB 92, 2360,1500
* Customer Service-call pt
* payable and receivable- Verifying payments from ins.
* POSTING PAYMENT- INSURANCES Payments AND PT PAYMENT
* INSURANCE- CALLING INSURANCE FOR PRE-CERT AND AUTHORIZATIONS
* AR WORK-ADJUSTING ACCOUNTS AND FOLLOW UP
6/2005-10/2007 Norwegian American Hospital Chicago, IL
PATIENTS ACCOUNT SERVICES
* Biller/follow up- I bill commercial, workmen comp, government
insurance and patients
* Customer service- Answer phone, call patients
* Data entry- add patients charges, send patients to collection, change
patients Information.
* NDAS - check statues on claim, eligibility, and others
* HCFA 1500,2360 UB94, UB92- about 50- to -80 claim a day
* LSS/Meditech
* Batches- check on payment and adjustment. Post payment and adjustment
* Bill statement - send to patients
EDUCATION:
Pedro Albizu Campos H.S Chicago, IL.
* General Diploma
* Wright College Chicago, IL.
* Communications for Health Care
Reference: Upon Request
Contact this candidate