Esea Mhae Santiago
@eseamhaesantiago
Results-driven healthcare insurance specialist with extensive experience.
What I'm looking for
I am a results-driven healthcare insurance specialist with extensive experience in both hospital and provider office settings. My expertise lies in navigating the complexities of healthcare insurance processes, including claims management, denial resolution, and payer negotiations. I have a proven track record of optimizing workflows and enhancing overall efficiency, ensuring seamless operations and maximizing revenue.
In my current role as a Medical Biller at Meadows Healthcare LLC, I perform monthly insurance verifications, prepare surgery cost estimations, and submit claims through various payer portals. My previous experience as a Medical Claims Specialist at KMC MAG Solutions and Med Metrix Inc has equipped me with the skills to manage the end-to-end processing of medical claims while providing exceptional support to healthcare providers and patients. I am committed to delivering exceptional service and driving success in any healthcare environment.
Experience
Work history, roles, and key accomplishments
Medical Biller
Meadows Healthcare LLC
Jan 2025 - Present (7 months)
Perform monthly insurance verification for patients and prepare surgery cost estimations. Submit claims through payer portals (e.g., Waystar) and post payments accurately to patient accounts.
Medical Claims Specialist
KMC MAG Solutions
Jun 2023 - Jan 2025 (1 year 7 months)
Efficiently managed the end-to-end processing of medical claims, ensuring accuracy and compliance with industry standards. Utilized established criteria to determine claim eligibility, leading to timely resolution of payment issues.
Medical Claims Specialist
Med Metrix Inc
Sep 2022 - Apr 2023 (7 months)
Proactively handled comprehensive records and ensured documentation accuracy for insurance claims. Assessed and processed medical claims, making informed decisions on approvals or denials based on set criteria.
Provider Service Center
Sagility Healthcare
Jul 2019 - Sep 2022 (3 years 2 months)
Delivered exceptional assistance to healthcare providers, including doctors, nurse practitioners, and midwives. Managed accurate records, processed claims, and ensured adherence to industry regulations.
Education
Degrees, certifications, and relevant coursework
Quezon City University
Bachelor of Science, Information Technology
Studied Information Technology, gaining foundational knowledge in various IT concepts and applications. Completed coursework relevant to the field, preparing for a career in technology.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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