Amber Ramirez
San Antonio,TX
Summary
Hardworking and passionate job seeker with strong communication skills eager to secure the Client Services Representative position. Ready to help team achieve company goals. Efficient customer service with 7 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Ready to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
11
11
years of professional experience
Work History
Medical Billing Coordinator
TLC Kids Therapy
San Antonio, TX
06.2023 - Current
- The position's main purpose is to ensure billing for patients with commercial and private health insurance companies is completed daily.
- Effectively resolved disputes regarding coverage eligibility or claim denials through professional communication with patients and insurance representatives alike.
- Leveraged strong organizational skills to maintain comprehensive patient accounts, enabling quick access to relevant information during billing inquiries.
- Reduced claim denials and rejections by conducting thorough audits and addressing discrepancies prior to submission.
- Safeguarded sensitive patient data through strict adherence to HIPAA guidelines and implementation of secure record-keeping practices.
- Maintained detailed knowledge of various payer requirements, facilitating smoother interactions between healthcare providers and insurance companies during claims processing efforts.
- Increased revenue collection by diligently following up on outstanding payments and negotiating payment plans with patients when necessary.
- Enhanced patient satisfaction with clear communication of payment expectations, resolving concerns, and providing flexible payment options.
- Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Filed and updated patient information and medical records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Used data entry skills to accurately document and input statements.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
Long Term Substitute Teacher
Compass Rose Journey
03.2023 - 06.2023
- Arrives and leaves on time
- Attend any required training for Compass Rose Substitute Teachers
- Adhere to the curriculum and lesson plans assigned by the classroom teacher
- Follow procedures and achieve lesson goals
- Assign and explain homework
- Oversee students outside of the classroom including in the hallways and cafeteria and for morning or after-school duty
- Comply with all school regulations and policies at all times
- Take attendance and document daily notes
- Ensure classroom and work are kept clean and orderly
- Oversee the normal classroom rhythms and activities
- Compile a report for the teacher upon their return
- Receive feedback from school leaders or other teachers on the campus to help provide the safest and most productive environment for students
- Follows professional practices and regulations consistent with Compass Rose values, practices, and policies in working with students, students' records, parents, and colleagues
- Takes all necessary and reasonable precautions to protect students, equipment, materials, and facilities
- Maintains reasonable rules of conduct that encourage self-discipline and responsibility
- Communicates effectively with parents when needed.
Customer Service Representative/Administrative Assistant
Valley Telephone Cooperative
04.2018 - 03.2023
- Received 'Employee of the Year Award' for 2018
- Maintained a Quality Assurance Review score of 94% and up
- Professionally handle inbound and outbound calls and provide quality service and support in a variety of areas including but not limited to: Billing, New Sales and Technical Support
- Admin Assistant duties include but not limited to: Creating weekly Check Deposit slips for all incoming check payments to the Company and apply to designated customer accounts
- Create Lead Accounts for Web Inquiries by potential and new customers while answering all Service related questions and Scheduling
- Remain Diligent responding to Service Field Technicians, Peers and Management in Google Hangouts for all required Assistance
- Strive to remain ahead in Team tasks such as call handling and successful completion of side projects
- All assigned work tickets regarding Billing, Service package upgrades, Technical support issues, etc; I proficiently complete in a Timely Manner
- Served as a Third-Party call-intake for Multiple Companies including: Com Canada, Coba Systems, and South Texas Internet; Quickly learned all required Extensive Technical Support and Software to resolve customer issues.
Call Center Representative
MMC Group
01.2018 - 04.2018
- Answering incoming calls for SNAP Food Benefits, TANF cash help and Childcare card services, assist with updating information, balance inquiry, transaction history, disputes, mail card replacements, general account information, troubleshooting
Customer Service Representative
KCI Corp.
12.2015 - 04.2017
- Maintained a high-volume workload within a fast-paced environment
- Assisted an average of 500 patients in any given week and consistently met performance benchmarks in all areas (adherence, calls per hour, call quality)
- Multi-tasked systems while providing service and resolving customer issues
- Transferred callers to the appropriate departments; escalated calls to team lead/supervisor as warranted
- Helped train new associates and developed training manuals for existing associates being introduced to new processes.
Cashier
Bill Millers BBQ
01.2013 - 01.2015
- Customer service, money handling, data entry, food preparation, basic cleaning
Education
High school diploma -
Diploma Completion High School
Skills
- Experience with EMR system(s)
- Quality Assurance
- Excellent Communication Skills
- Technical Support
- Help Desk
- Troubleshooting
- LAN
- VPN
- Network Support
- HIPAA Compliance Understanding
- Motivation and Initiative
- Payment Posting Abilities
- CPT Coding Familiarity
- Teamwork and Collaboration
- Customer Service
- Billing and Collection Procedures
- Multitasking and Organization
- Insurance claims processing
- Critical Thinking
- Data Entry
- Insurance Verification
- Work Prioritization
- Insurance Billing
- Commercial and Private Insurance
- Insurance Claims
- Paperwork and documentation
- Customer Contact
- Customer service support
Timeline
Medical Billing Coordinator
TLC Kids Therapy
06.2023 - Current
Long Term Substitute Teacher
Compass Rose Journey
03.2023 - 06.2023
Customer Service Representative/Administrative Assistant
Valley Telephone Cooperative
04.2018 - 03.2023
Call Center Representative
MMC Group
01.2018 - 04.2018
Customer Service Representative
KCI Corp.
12.2015 - 04.2017
Cashier
Bill Millers BBQ
01.2013 - 01.2015
High school diploma -
Diploma Completion High School