1. Lourdes I. Santiago
144-46 176 Street
Jamaica, New York 11434
Cell#:1-212-671-0358
Other#:1-646-236-9044
Please accept this letter and attached resume as my expressed interest in joining your
organization in a position suitable to my qualifications.
As my resume reflects, I have extensive practical experience in the administration and
coordination of an office or an entire department. With this background, I am confident
that I will be a positive asset to your organization.
Should you need additional information or to schedule an interview, please feel free to
contact me.
Thank you for the time and courtesy in reviewing this material. I look forward to your
forthcoming response.
Yours truly,

2. Lourdes I. Santiago

3. LOURDES I. SANTIAGO
OBJECTIVE
To obtain a position in which I make use of my skills for the benefit of the institution and it
clientele
EXPERIENCE
January 01, 2014–January 30, 2015 Bronx-Lebanon Hospital CenterBronx, NY
Medical Eligibility Unit & CAC/Medicaid Expertise Supervisor(Acting Manager)
In charge of reconstruction of unit for processing insurance applications for patients
admitted and outpatient visits to the Emergency Department without medical insurance
thru the Affordable Care Act.
Support and supervise Certified Application Counselors for the Affordable Care Act
(ACA) for New York State of Health insurance.
Assist and participate in all update Affordable Care Act seminars and webinars. Meet
with staff to share new developments and updates including new forms, phone contacts,
improvements and updates to the Marketplace (ACA online web page) to improve the
development and approval.
Review and clear for billing of all insurance applications approved thru the Marketplace
for patients admitted and Emergency room visitors after downloaded by staff. Review
of all Self-Pay admitted in a daily basis for prior admissions, insurances on file, check
thru demographics for Medicaid, Medicare, BC/BS before assign them to the staff to
work. Several times in absent of staff I will take over the admission and do the
application for patient (and family if applicable) thru the Marketplace. Keep records of
quantity and quality of applications approval and denials thru the Marketplace and
review with Director of the Department.
In addition, all the responsibilities below as a Patient Financial Supervisor were included
once the Manager was removed from the department and I took over in full force.
2001–2013 Bronx-Lebanon Hospital Center Bronx, NY
Patient Financial Supervisor
 Monitoring and assisting staff on Medicaid application for in-patient, insurance verification,
downloading and clearance for billing. Review cases prepared by staff before send to the
Medical Assistance Program for Medicaid approval (Code 1)
 Maintain records of employees’ attendance, growth and development. Including employee’s
annual evaluations, records of conferences, union, Labor Relation and Department of Labor
issues, trainings on new system programs and new state and hospital laws and regulations,
annual physicals and any other issue regarding the running of the department.
 Verification and authorizations for in-patient admission and procedures authorizations of
Online insurances, verifications of Managed Care admissions, Medicaid applications,
Electronic medical insurance billing
 Assist Management and Financial Investigator staff for the Admitting Department
 Assist Utilization Management Review, Social Services, Patient Relations Departments

4.  Revision, assignment and log in of Self-Pay admissions. Contact with patients and relatives on
issues regarding the hospital stay.
 Search for localization and information pertaining patients discharged pending financial
clearance. Ex: Patient’s active medical coverage(self, spouse or guardian); correct
demographic, prior hospital visits, address, phone number, place of work
 Assist Social Workers, VNS and Doctors with patients to be transferred to other facilities
regarding medical insurances, placement, families counseling and other needs
 In charge of the department in the absent of the Manager due to vacation, sickness or any
other reason.
1999–2001 Bronx-Lebanon Hospital center Bronx, NY
Emergency Department Managed Care Coordinator
 Review Managed Care encounters to ensure compliance. Contact Managed Care providers for
notification and authorizations on time
 Monitoring and assisting staff for patients follow up and referrals.
 Assist registrars and doctors with medical insurances questions and issues. Assist doctors and
staff with translation to Spanish speaking patients.
 Supervising the Patients follow up appointment Unit for the Call Center
 Monthly reports and statistics
1994–1999 Brookdale University Hospital Brooklyn, NY
Financial Investigator/Account Receivable
 Two years verification, confirmation and clearance of all Ambulatory Surgeries.
 Three years verification and entry of insurance coverage for In-house services and Medicaid
applications for Self-Pay admissions
1992-2013 Roy’s Xquisite Salon New York, NY
New York State Licensed Cosmetologist (Since 1992)
▪ Hair: cutting, coloring, conditioning treatments, straightening, Relaxer.
▪ Nails: manicure/pedicure
1990-1992 Julies Travel and Insurance Broker Brooklyn, NY
Assistant Manager
▪ Airlines booking & ticketing, hotel bookings, tours arrangements.
▪ Cars & homes insurances services
1988-1989 Drullard Bio-Medical Ponce, Puerto Rico
Administrative Assistant
▪ Review of outstanding accounts, send request for payments and clearance of overdue
accounts , take orders for equipment and delegate work orders to staff, payroll,
follow up with hospital, clinics and doctors after equipment set-up
EDUCATION
1992–1994 GERTZ/SUNY Jamaica, NY

5.  Medical Office Assistant/Computer Literacy/Medical Terminology
1991-1992 Midway Paris Beauty School
 New York State Cosmetologist Licensed
1982-1984 Business Automation School New York, NY
 Business Administration/Office Management
1982-1984 Business Automation School New York, NY
▪ Travel Agent
SKILLS MA NA GE D CA RE INSU R A NC E PR OC E DUR E S A ND RE GU LA TIONS, MA NU A L
ME DIC A ID A PPLIC A TIONS THR U MA P (ME DIC A L A SSISTA NC E PR OGR A M), S P A N I S H / E N G L I S H ,
L A S T W O R D , K R O N O S ( P A Y R O L L P R O G R A M ) , P A T C O M , E P A C E S ( M E D I C A I D / H M O ’ S ) , E M E V S ,
O M N I P R O ( M E D I C A R E / H M O ’ S E L I G I B I L I T Y ) , I N T R A N E T , E C L I P S Y S , G A T E W A Y 5 . 5 , O N L I N E
I N S U R A N C E S , N Y S L I C E N S E D C O S M E T O L O G I S T , M I C R O S O F T W O R D S / E X C E L / P O W E R P O I N T ,
A V A I L I T Y , O P T I M U M , I N S U R A N C E S O N L I N E .
L I C E N S E D A S C E R T I F I E D A P P L I C A T I O N C O U N S E L O R ( C A C ) A N D M E D I C A I D E X P E R T I S E
* * R E C O M M E N D A T I O N L E T T E R S U P O N R E Q U E S T * *
L I S 6 2 7 @ J U N O . C O M / L . S A N T @ J U N O . C O M
1 4 4 4 6 1 7 6 S T R E E T P H J A M A I C A N Y 1 1 4 3 4
M A I N C E L L : 1 - 2 1 2 - 6 7 1 - 0 3 5 8
O T H E R C E L L : 6 4 6 - 2 3 6 - 9 0 4 4

6.  Medical Office Assistant/Computer Literacy/Medical Terminology
1991-1992 Midway Paris Beauty School
 New York State Cosmetologist Licensed
1982-1984 Business Automation School New York, NY
 Business Administration/Office Management
1982-1984 Business Automation School New York, NY
▪ Travel Agent
SKILLS MA NA GE D CA RE INSU R A NC E PR OC E DUR E S A ND RE GU LA TIONS, MA NU A L
ME DIC A ID A PPLIC A TIONS THR U MA P (ME DIC A L A SSISTA NC E PR OGR A M), S P A N I S H / E N G L I S H ,
L A S T W O R D , K R O N O S ( P A Y R O L L P R O G R A M ) , P A T C O M , E P A C E S ( M E D I C A I D / H M O ’ S ) , E M E V S ,
O M N I P R O ( M E D I C A R E / H M O ’ S E L I G I B I L I T Y ) , I N T R A N E T , E C L I P S Y S , G A T E W A Y 5 . 5 , O N L I N E
I N S U R A N C E S , N Y S L I C E N S E D C O S M E T O L O G I S T , M I C R O S O F T W O R D S / E X C E L / P O W E R P O I N T ,
A V A I L I T Y , O P T I M U M , I N S U R A N C E S O N L I N E .
L I C E N S E D A S C E R T I F I E D A P P L I C A T I O N C O U N S E L O R ( C A C ) A N D M E D I C A I D E X P E R T I S E
* * R E C O M M E N D A T I O N L E T T E R S U P O N R E Q U E S T * *
L I S 6 2 7 @ J U N O . C O M / L . S A N T @ J U N O . C O M
1 4 4 4 6 1 7 6 S T R E E T P H J A M A I C A N Y 1 1 4 3 4
M A I N C E L L : 1 - 2 1 2 - 6 7 1 - 0 3 5 8
O T H E R C E L L : 6 4 6 - 2 3 6 - 9 0 4 4