Rene W. Santiago
Salcoatitan,Sonsonate
Summary
Detail-oriented professional with expertise in data entry and claims processing. Proven ability to verify information and resolve discrepancies efficiently, ensuring accurate medical billing and compliance. - Mountain bike lover, with discipline and a good attitude.
Overview
13
13
years of professional experience
1
1
Certification
2
2
Languages
Work History
Insurance Data Entry Clerk
Suite 401 Medical Office
Los Angeles, CA (Remote)
05.2024 - Current
- Verify eligibility details to ensure claims are processed correctly and submitted within the required time limit.
- Maintained up-to-date patient information to ensure seamless data retrieval and reporting.
- Collaborated with medical staff to clarify information discrepancies in patient records.
- Executed data entry tasks efficiently, minimizing processing time for insurance claims.
Medical Billing Specialist
Pacific Medical Data Solutions
Greenwood Village, CO (Remote)
03.2019 - 05.2024
- Examined patient's insurance coverage, deductibles, insurance carrier payments, and remaining balances not covered under policy when applicable.
- Reviewed patient accounts for discrepancies and resolved issues efficiently.
- Communicated with insurance providers to resolve denied claims and resubmit.
- Processed medical claims to ensure accurate billing and timely filing.
Compliance Analyst
Xoom, by PayPal
San Francisco, CA (Remote)
01.2014 - 12.2018
- Analyzed regulatory compliance risks and developed mitigation strategies to ensure adherence to industry standards.
- Monitored adherence to industry regulations, ensuring timely reporting of any discrepancies or violations.
- Reviewed audit and monitoring reports related to consumer and client activities.
- Assisted investigation and risk management teams with fraud investigations and risk identification.
Education
Industrial Engineering -
Universidad Nacional De El Salvador
San Salvador, El SalvadorEnglish And Technology Certification -
Programa Empresarial Superate
Sonsonate, El Salvador2010
High School Diploma -
Colegio San Francisco De Asis
Sonsonate, El Salvador2010
Skills
- Accuracy and attention to detail
- Data entry proficiency
- Document management
- Information verification
- Workflow management
- Claims processing experience
- Insurance terminology
Certification
- Microsoft Office Specialist (MOS) Word
- Microsoft Office Specialist (MOS) Excel
- TOEIC (Test of English for International Communication)
- Certificate of HIPAA WorkForce Proficiency
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Insurance Data Entry Clerk
Suite 401 Medical Office
05.2024 - Current
Medical Billing Specialist
Pacific Medical Data Solutions
03.2019 - 05.2024
Compliance Analyst
Xoom, by PayPal
01.2014 - 12.2018
Industrial Engineering -
Universidad Nacional De El Salvador
English And Technology Certification -
Programa Empresarial Superate
High School Diploma -
Colegio San Francisco De Asis