Summary
Overview
Work History
Education
Skills
Certification
Personal Information
Additional Information - Billing Software
Timeline
Generic

Lillian Santiago

Philadelphia

Summary

Motivated professional with extensive clerical experience, specializing in billing management. Demonstrated ability to maintain accurate billing records, follow up on claims submissions, and resolve issues efficiently. Proven track record of prioritizing tasks to align with organizational objectives. Strong interpersonal and communication skills facilitate effective interactions across diverse levels and backgrounds.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Billing Clerk

The Wedge Recovery Center
Philadelphia
12.2019 - Current
  • Responsible for obtaining billing information by communicating with site staff daily to ensure that all claims for clients are entered into the electronic health records.
  • Preparing weekly reports for site management.
  • Ensuring that the electronic health record has all necessary information required for clean claims submission.
  • Verifying client insurance in PROMISE and documenting findings.
  • Performing other duties and/or responsibilities as assigned by supervisors and/or upper management.
  • Completing required continuing education annually as required by state and CBH regulations.
  • Billing CBH, BHSI, Third party and private insurance companies.
  • Keep an accurate account of claims transmitted via modern, HCFA 1500, ICD 9 coding, ICD 10 coding.
  • Process Authorization Request
  • HIPPA Compliant.

Billing Processor

Sobriety Through Out Patient
Philadelphia
12.2008 - 08.2017
  • Responsible for billing CBH, BHSI, Third Party and Private Insurance companies.
  • Monitored documentations for Therapists notes.
  • Assessments, Discharge, progress notes/treatment plans.
  • Provided assistance to the Project Manager.
  • Resubmitted any and all rejected billable claims.
  • Keep an accurate account of claims transmitted via modem, HCFA 1500 ICD 9 coding, ICD 10 coding.
  • Track clients from assessment to discharge.
  • Medical Terminology
  • Check all clients eligibility/ type of insurance.Properly file away all payment/ reject data and detail reports.
  • Worked Closely with Supervisor.
  • HIPPA compliant.

Data Entry Clerk

SunGard
Philadelphia
11.2007 - 04.2009
  • Enter information from imaged documents
  • Meet and exceed daily standards for records entered, accuracy, customer service and quality
  • Other duties as assigned

Education

Some college -

Community College of Philadelphia
Philadelphia, PA

Skills

  • Customer service
  • Medical billing
  • Data entry
  • ICD-10
  • Microsoft Word
  • Excel
  • Medical coding and billing
  • Clinic Tracker
  • Conflict Management
  • Typing speed and accuracy
  • CPT coding
  • HIPAA
  • ICD-9

Certification

Driver's License

Personal Information

Work Permit: Authorized to work in the US for any employer

Additional Information - Billing Software

  • WEB CARE (Cx360)
  • E-Z Claims
  • Promise
  • Med Data
  • Clinic Tracker
  • Evolv

Timeline

Billing Clerk

The Wedge Recovery Center
12.2019 - Current

Billing Processor

Sobriety Through Out Patient
12.2008 - 08.2017

Data Entry Clerk

SunGard
11.2007 - 04.2009

Some college -

Community College of Philadelphia

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Lillian Santiago