1. Tiffany Santelle
6152 Ronald ST NW, Canton, OH 44718
330-327-7329
tsantelle01@aol.com
Objective
Seeking a Human Resources position where I can utilize my experience and skills in a team
based environment.
Summary of Skills
 Skilled at working with all level of management and staff
 Certified Medical biller with over 15 years’ experience in working with medical
insurances including: Medicare, Medicaid, Private Insurance, and Contracts
 Two years’ experience in Enrollment and Operations Credentialing
 Two years’ experience as a contracts insurance liaison
 Extensive background in all aspects of the medical billing field
 Outstanding knowledge in using a computer, scanner, printer, telephone, fax and copier.
 Excellent customer service and communication skills for interacting with patients, and
staff.
 Certified in Microsoft Office including Word, PowerPoint, Excel, and Access.
 Skilled in multi-tasking work.
 Optimistic and supportive in a team environment.
 Excellent interpersonal communication skills.
Work Experience
Contract Insurance Liaison ...............................................................January 2014 to present
American Medical Response, Akron, OH
*Under direction of the Contracts Manager, responsible for working independently with
contract providers to obtain AR for clients and contract negotiations.
 Prepare initial and final drafts of various contracts
 Analyze contract needs, terms, and conditions to ensure billing compliance
 Assist in the development for creating, editing, and monitoring business objectives for
each contract
 Prepare and maintain contract record data bases documenting contract performances
Medical Billing Specialist ...................................................................January 2007 to present
American Medical Response, Akron, OH
*Under direction of the Billing Supervisor, responsible for the recovery cost of medical
care through the billing of patients, insurers, third party payers and various medical aid
programs; and perform other work as required.

2.  Obtain insurance information and verify the patients’ health benefits.
 Prepare the patients bill including coding each transport.
 Working in post billing: Obtaining and processing payments and denials information.
 Refiling claims with payers including disputes if needed.
 Maintaining excellent time management at all times.
 Working with all insurance payers including Medicare, Medicaid, Aetna, United
Healthcare, and Anthem BCBS.
Enrollment Specialist,..........................................................................June 2009 to June 2011
American Medical Response, Akron, OH
*Under direction from Senior Management to guarantee compliance with all national
payers. Work with operations to obtain current licensing and maintain a national
database to ensure compliance with all state and local payers.
 Maintain Licensing.
 Submit all required licensing to payers to ensure with all state and local payers.
 Track and maintain all provider numbers.
 Prepare all insurance applications for new and existing provider files.
 Work with providers to submit and status all applicable applications.
 Build a database for payer requirements and forms
 Report pending cash issues.
 Resolve payer policy, provider applications, and miscellaneous enrollment issues.
 Follow up correspondence with Senior Management on A.R. issues and new payer
regulations
Medical Records Specialist,.....................................................January 2006 to January 2007
Trillium Family Solutions, Canton, OH
*Hired to provide a broad range of medical administrative functions, including
maintaining medical records, scheduling patients, billing, completing ROI and QA
reviews
 Ensure the quality of medical records by verifying their completeness, accuracy, and
proper entry into the computer system
 Use computer applications to assemble and analyze patient data for the purpose of
improving patient care and controlling costs
 Scheduling doctors’ appointments
 Worked with quality assurance and HIPPA regulation to help run department more
efficiently while continuing to achieve HIPPA’s highest standards.

3. Education
Current Stark State College Sophomore
Major Human Recourse Management - Graduation Date Fall Semester2016
GPA- 4.0
North Canton, OH
Technical Degree from Penn Foster University: Medical Office Management: Billing and
Coding
Scranton. PA
Knox County Career Center- Certified Phlebotomist
Mt. Vernon, OH
Central Ohio Technical College- STANcertification
Newark,OH
References
 Karen Moser- 330-232-1657
o President and CEO of Peak Performance People Solutions
 Barb Martin- 330-323-4552
o Manager – Finishing Touch Hair Salon
 Brittney Douglass- 330-418-5749
o RNBSN- Aultman Hospital