Esea Mhae SantiagoES
Open to opportunities

Esea Mhae Santiago

@eseamhaesantiago

Results-driven healthcare insurance specialist with extensive experience.

Philippines
Message

What I'm looking for

I am looking for a role that allows me to leverage my expertise in healthcare insurance while providing opportunities for professional growth and development.

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

ML
Current

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.

KS

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.

MI

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.

SH

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

QU

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

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Esea Mhae Santiago - Medical Biller - Meadows Healthcare LLC | Himalayas