Amanda Ramos
Summary
Experienced Referral Coordinator with 10+ years in the medical industry. Proficient in medical terminology, insurance processes, ICD-9, and CPT codes. Successfully coordinates referrals and facilitates communication between healthcare providers and patients. Detail-oriented and consistently delivers accurate and timely results, prioritizing patient satisfaction.
Overview
15
15
years of professional experience
Work History
Quality Care/Lead Referral Coordinator
ASAS Health-McAllen, TX
10.2015 - 11.2023
- Provided exceptional customer service to patients, addressing inquiries or concerns regarding their referrals in a timely manner.
- Obtained referral and outpatient authorizations prior to scheduling the patients referral.
- Implemented quality control measures to ensure the accuracy of referrals processed by the team, resulting in fewer errors and improved overall performance.
- Served as a subject matter expert on insurance requirements for various providers'' networks, supporting the team''s ability to make informed decisions during the referral process.
- Collaborated with healthcare providers to establish strong working relationships, promoting seamless referral coordination.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Responded to inquiries from callers seeking information.
- Handled complaints and questions, and re-directed calls to other team members.
Medical Receptionist
Agustin Mego MD-Mission, TX
08.2014 - 12.2014
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic, and health history to keep information current.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
- Managed multi-line phone system and pleasantly greeted patients.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Transcribed phone messages and relayed to appropriate personnel.
Admissions Representative
South Texas Health System-McAllen, TX
02.2009 - 07.2012
- I registered patients seeking care through the emergency room
- I was responsible for verifying benefits and collecting on copays and deductibles
- I also worked outpatient registration and registered patients who were having inpatient or outpatient surgery, MRIs, CT scans, mammograms
- I would verify if authorization was needed and contacted the referring doctors office to obtain authorization before patient was scheduled for their exam or surgery.
Education
Associate of Science - Respiratory Therapy
South Texas College
Mcallen, TX05.2027
High school diploma -
Mission High School
Mission, TX05.2008
Skills
- Organizational abilities
- HIPAA Regulations
- Patient Scheduling
- EMR Experience: Practice Partner, Athena, Elation, Cerner
- Medical Terminology
- Insurance Verification
- Medical terminology knowledge
- Insurance Authorizations
- Patient Referral
- Scheduling Tests and Procedures
- Patient Eligibility Requirements
- Patient Health Information Access
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Quality Care/Lead Referral Coordinator
ASAS Health-McAllen, TX
10.2015 - 11.2023
Medical Receptionist
Agustin Mego MD-Mission, TX
08.2014 - 12.2014
Admissions Representative
South Texas Health System-McAllen, TX
02.2009 - 07.2012
Associate of Science - Respiratory Therapy
South Texas College
High school diploma -
Mission High School