Maria Immaculada Dizon Santilices

Maria Immaculada D. Santilices 2172 New York St. Villasol Subdivision Brgy. Anunas, Angeles City Philippines Cell phone #-/- Email :-OBJECTIVE To work in an organization that offers growth and stability and to utilize my skills that could contribute to the betterment of the organization. Seeking to achieve an objective in the given role and update my skills and challenges in the new job role. WORKING EXPERIENCE C.R.C.B. Internet Shop AUF Sidegate Clerk- Freelancer- Adela’s Canteen New York St. Villasol Subd. Dishwasher/ Cook- Zarducci’s Cocktail Lounge Don Meliton Avenue. Friendship Cashier/ Manager- Job Description: Cashier • Receives payment and issues receipts. • Files all sales report. • Keeps all statement of accounts. • Prepares invoices. • Prepares cash count sheets/ denomination of daily sales. • Surrenders all cash collections. • Gives regular updates for purchasing, inventory and sales. Manager • Maintains staff by recruiting, selecting, orienting, and training employees; maintaining a safe, secure, and work environment; developing personal growth opportunities. • Accomplishes staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and disciplining employees; developing, coordinating, and enforcing systems, policies, procedures, and productivity standards. • Establishes strategic goals by gathering pertinent business, financial, service, and operations information; identifying and evaluating trends and options; choosing a course of action; defining objectives; evaluating outcomes. • Maintains quality service by enforcing quality and customer service standards; analyzing and resolving quality and customer service problems; identifying trends; recommending system improvements. Sutherland Global Services Clarkfield Pampanga Technical Support for Microsoft Answer Desk- WINDOWS March 2014- April 2015 Job Description: • installing and configuring computer software operating systems and applications; • monitoring and maintaining computer systems and networks; • talking to clients through a series of actions, over the telephone to help set up systems or resolve issues; • troubleshooting system and network problems and diagnosing and solving hardware or software faults; • providing support, including procedural documentation and relevant reports; • following diagrams and written instructions to repair a fault or set up a system; • supporting the roll-out of new applications; • setting up new users' accounts and profiles • responding within agreed time limits to call-outs; • working continuously on a task until completion (or referral to third parties, if appropriate); • prioritizing and managing many open cases at one time; • rapidly establishing a good working relationship with customers • testing and evaluating new technology Convergys SM City Clark, Manuel A. Roxas Hwy, Clark Freeport, Angeles, 2009 Pampanga Customer Service Representative- CRICKET March-September 2016 Job Description: Attracts potential customers by answering product and service questions; suggesting information about other products and services. • Opens customer accounts by recording account information. • Maintains customer records by updating account information. • Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution. • Homebaker- Bakers use their understanding of ingredients and food preparation to craft recipes and create baked goods. They measure and mix raw ingredients, bake and decorate items, and ensure that all raw and finished goods adhere to quality and food safety standards. Skills • • • • • • Ability to read and follow recipes. Baking. Good organizational skills. Must be able to adhere to health and safety regulations. Ability to meet strict deadlines. Creativity in crafting new pastries. PHYSICIANS BILLING SOLUTION Unit 2F-1B Philexcel Business Center 10, Philexcel Business Park, M. Roxas Highway, Clark Freeport Zone, Pampanga OCR / Medical Billing Specialist October 2020-August 2022 Job Description: · · · · Processes billing to patients and third-party insurance companies. Maintains supporting documentation files and current patient addresses. Researches and responds by telephone and / or in writing to patient inquiries regarding billing issues and problems. Monitors submitted claims; follows up on unpaid claims, and initiates dialogue with insurance companies. · · · · · · · Resubmits claims to insurance companies as necessary. May receive and receipt cash items and third-party reimbursements. Posts and reconciles payments to patient ledgers. Balances daily batches and reports. Maintains patient demographic information and data collection systems. Participates in development of organization procedures and update of forms and manuals. Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions. · Answers questions from patients, clerical staff and insurance companies. · Identifies and resolves patient billing complaints. · Evaluates patient’s financial status and establishes budget payment plans. · Follows and reports status of delinquent accounts. · Reviews accounts for possible assignment to collections and makes recommendations to the Billing Team Leader also prepares information for the collection agency. · Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. · Works in conjunction with the reception to ensure clean billing. · Performs miscellaneous job-related duties as assigned. · Participates in educational activities and attends monthly staff meetings. · Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. · Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes. CONNEXT GLOBAL SOLUTIONS Angeles City, Pampanga Medical Billing Specialist 3 Insurance & Eligibility Verification Client: CADE MEDICAL (DME) November 2022- March 2023 Job Description: • Verify all commercial insurance coverage and determine the patient’s responsibility if applicable, electronically and/or by phone as appropriate • Experience verifying for in-network and out-of-network physicians/facilities. • Verify benefits efficiently and accurately • Entry all insurance information clearly and accurately into the medical record system • Make notes in the system pertaining to patient insurance and demographic information • Do follow-ups of patient referrals • Report progress and issues to supervisor • Able to deal with complex/upset patients to explain insurance plans, denials, issues, etc. • Be a problem solver and be able to think outside of the box • Performs other duties as reasonably assigned Medical Credentialing Specialist 3 Client: REHAB HOSPITAL OF THE PACIFIC March 2023 -July2023 Job Description: • • • • • • • • • • • • Assist the Credentialing Mangers with the overall credentialing and contracting process Obtain and verify all required and pertinent credentialing and re-credentialing documentation Assist with group and provider data entry into credentialing software (MD Staff and CAQH) Complete and submit applications for providers to be credentialed and contracted with payors Contact payors via phone and/or email to follow-up on applications to ensure timely completion Maintain and monitor all licenses and certifications in the database to ensure compliance within all markets Ensure all assigned facility and practitioner licenses and certifications are accurate and in good standing at all times Complete all forms and supporting documents required to obtain hospital privileges and/or reappointments for physicians, as necessary Ensure that all processing and reporting deadlines are consistently achieved Responsible in faxing medical documents to referring doctors, PCP and facilities that needs to sign. Calling doctors’ offices to make sure that the documents when thru and making sure that the fax numbers are up to date Keeping Google sheet up to date Making sure that all documents are faxed in a timely manner Medical Billing Specialist 3 - Account Receivable Client: DOUGHERTY LASER VISION July 2023- March 2024 Job Description: · · · · · · · · · · Monitors submitted claims; follows up on unpaid claims, and initiates dialogue with insurance companies. Resubmits claims to insurance companies as necessary. May receive and receipt cash items and third-party reimbursements. Posts and reconciles payments to patient ledgers. Balances daily batches and reports. Maintains patient demographic information and data collection systems. Participates in development of organization procedures and update of forms and manuals. Performs a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions. Answers questions from patients, clerical staff and insurance companies. Identifies and resolves patient billing complaints. · Evaluates patient’s financial status and establishes budget payment plans. · Follows and reports status of delinquent accounts. · Reviews accounts for possible assignment to collections and makes recommendations to the Billing Team Leader also prepares information for the collection agency. · Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers. · Works in conjunction with the reception to ensure clean billing. · Performs miscellaneous job-related duties as assigned. · Participates in educational activities and attends monthly staff meetings. · Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations. · Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes. Medical Billing Specialist ABA (Part-time) April 2024 -Present Job Description: ● Enter data into various locations while maintaining the integrity and accuracy of the data. ● Identify and address concerns before they become problems and propose solutions to concerns. ● Correct and resubmit claims denied for billing errors. ● Review immediate rejections from the clearing house Skills: • Can perform business operations. • Can operate computer programs. (Word, excel, Google sheet) • Can type 35 per minute with 90% accuracy. • Can perform clerical duties. • Can file office records efficiently. • ability to meet strict deadlines •attention to details TOOLS:  Microsoft Apps  Google Suite  Skype  Citrix  Brightree  Akamai  Eyefinity  Revolutions  Compulink Educational Attainment Holy Angel University BSED Library Science and Information Technology (Undergraduate- Mary Help of Christians School Mabiga, Mabalacat, Pampanga- Holy Family Academy Angeles City- PERSONAL INFORMATION Birthday: Birthplace: Age : Height: Weight: Status: Citizenship: November 27, 1982 Angeles City 42 years old 5’8 170 lbs. Single Filipino Maria Immaculada Santilices Applicant