NIDIA LANTIGUA
SUPPORT SOLUTIONS OF THE MIDSOUTH LLC
Memphis
2
Languages
28
years of professional experience
Billing professional with a proven track record in financial management and billing accuracy. Known for improving billing procedures and resolving discrepancies efficiently. Reliable team collaborator focused on achieving results and adapting to changing needs, with keen eye for detail and problem-solving skills.
Work History
Financial / Billing Specialist
7 Years- Claim Submission: Processed and submitted high-volume claims for ECF-CHOICES, housing assistance, and behavioral health services, ensuring timely reimbursement.
- Authorization Tracking: Managed the end-to-end billing workflow for Behavior Analysts, proactively tracking and securing prior authorizations to prevent claim denials.
- Authorization Tracking: Managed billing workflow for Behavior Analysts, proactively securing prior authorizations to minimize claim denials.
- Revenue Cycle Support: Followed up on unpaid or rejected claims with third-party payers to ensure maximum reimbursement for social and clinical service
- Revenue Cycle Support: Followed up on unpaid or rejected claims with third-party payers, maximizing reimbursement for social and clinical services.
- Processed and resolved billing discrepancies to ensure accurate invoicing.
- Managed customer inquiries regarding billing issues, enhancing client satisfaction.
Clinical Coordinator Mental Health
9 Years- Work with Human Rights Committee to ensure service recipients' rights are respected. Typing the minutes for restriction(s) and verifying the document is signed and approved by the supported person(s) conservator. Send the approved minutes to the State for information purposes.
- Psychiatric coding and billing - Maintain records accurate and diagnoses on files.
- Entering medical data and uploading documents on EHR for the Nurse Practitioner and social workers
- Helping on credential process for behavior analysts, social workers and other clinicians.
- Check and verify the behavior analysts billing contact notes, to ensure all units approved were billed in the month. Produce an efficiency spreadsheet at the end of the month indicating percent and total number of units billed for the states of Tennessee.
- Work social workers auditing charts and ensure the insurance information is received in a timely manner. Confirm all required data is provided.
- Checked insurance coverage for patient services. Greeting patients and multitasking.
- Submitted reimbursement requests to Medicare, BCBST, Amerigroup, and United Health Care to ensure timely processing.
- Processed insurance claims for private and employer reimbursements to maintain accurate financial records.
- Work with patients to develop self-pay arrangements and payment plans
- Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses
- Processed and followed up on payer denials, consulting with the patient and/or family.
- Post payments in a timely manner
- Research and resolve client billing problems or issues
- Document payment records and issues as they occur
- Translated client interactions and case management services into standardized alphanumeric codes, prepared and submitted claims to payers, and resolved claim denials to secure necessary funding.
Office Manager
2 Years- Managed office operations for statewide case management company.
- Performed data entry, scanning, filing, and encrypting while managing phone calls from clients, case managers, government entities, and other customers.
- Conducted file research, set up files for all admissions, ordered and managed office supplies, and tracked incidents and complaints using SharePoint.
- Changed services for customers and resolved conflicts with tact.
- Performed medical coding for patient records, ensuring accurate documentation.
- Welcomed patients upon arrival, managing multiple tasks efficiently in a busy environment.
HIM Department Clerk
1 Year- Ensured the correct information was gathered on patient records, according to HIPPA regulations and standards.
- Ensured the correct information was gathered on patient records, according to HIPAA regulations and standards.
- Managed customer inquiries daily at the front desk.
- Communicated regularly with families, physicians, and peers to coordinate care.
- Provided Spanish to English translation for patients and nurses, enhancing understanding and care.
Teacher’s Assistant
4 Years- Introduced young children to the Spanish language through music, rhythm and movement, games, puzzles and picture cards.
- Facilitated students' understanding of Spanish through engaging activities focused on greetings, colors, numbers, and vocabulary related to family, body parts, clothing, pets, and farm animals.
- Helped students discover the Spanish culture through books and stories.
- Guided students in exploring Spanish culture using a variety of books and stories to enhance cultural awareness.
- Completed student progress reports for parent-teacher conferences. student progress reports for parent/teacher conferences. Awarded with Employee of the month on several occasions.
Education
Associates Degree - Medical-Office Administration Assistant
- Deans Honor List
- AWARD: Employee of the year (2016) for Support Solutions.
- GPA: 3.057
Skills
Knowledge of billing applications
Billing efficiency for Medicare and major insurers
Insurance eligibility verification
Billing document handling
Familiarity with multiple billing clearinghouses
Effective problem solving
Microsoft Word
Share Point
EHR
Office Ally
Collaborated MD
Tracking System and Excel skills
Office software proficiency
Client support
Build productive relationships
Medicare billing efficiency
Billing clearinghouse knowledge
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Financial / Billing Specialist
SUPPORT SOLUTIONS OF THE MIDSOUTH LLC
08.2019 - CurrentRead More
Clinical Coordinator Mental Health
SUPPORT SOLUTIONS OF TENNEESSE LLC
01.2010 - 01.2019Read More
Office Manager
MEDICAL MANAGEMENT & REHABILITATION SERVICES
01.2008 - 01.2010Read More
HIM Department Clerk
BARTLETT-SAINT FRANCIS
01.2007 - 01.2008Read More
Teacher’s Assistant
KINDERCARE LEARNING CENTER
01.1999 - 01.2003Read More
SOUTHWEST TENNESSEE COMMUNITY COLLEGE
Associates Degree from Medical-Office Administration Assistant
Read More