Angel Ramos
Irving,TX
Summary
Enthusiastic Payment Poster experienced with reporting batch totals and identifying incomplete payments. Consistently observes data confidentiality and privacy rules in workflows and promotes dynamic communication skills. Achieves high levels of accuracy in data entry and account management.
Overview
17
17
years of professional experience
Work History
Payment Poster Specialist
Beacon Oral Specialist
08.2024 - 09.2024
- Identify account open balance responsibility
- Reviewed payers EOB for claim processing accuracy
- Reviewed payers received correspondence to assign to proper revenue cycle department
- Update patient’s file demographics when needed
Payment Poster Specialist
BGSF Staffing
02.2024 - 05.2024
- Posting manual and electronic payments to patient account via EMR systems (Epic)
- Reconciliations, month-end procedures, verify information from payer portals
- Ensure patient demographics & date of service are accurate
- Working from non-post payment report provided by leadership team
- Post, contractual adjustments, post COB payment and adjustment, etc
- Meet all deadlines
Payment Poster
HRDM – Texas Pain Physicians
10.2023 - 02.2024
- Efficiently retrieved and reviewed payment posting reports, ensuring accurate entry of payment and contractual adjustments
- Utilized payer websites to search for and retrieve missing EFT, ERA, demonstrating exceptional mindfulness and critical thinking skills
Claim Resolution Specialist
Donovan & Watkins – BGSF
03.2023 - 06.2023
- Reviewed denied & rejected claims for accuracy
- Appeal denied & rejected claims with payers
- Verify billed charges
- Reviewed claim for accuracy and timeliness
- Submit requested information to payers
- Claims follow up with payers via telephone, email, portal communication
- Search for missing payments
- Provider leadership team with any trends that may impact billing process
Special Project Team Lead Credit & Refunds Department
Medasource Staffing
06.2022 - 08.2022
- Lead a team of ten credit balance associates, providing outgoing training and support
- Prepared daily productivity reports for client leadership, displaying strong organizational and time management skills
AR Billing Specialist
Retina Center of Texas
08.2021 - 08.2022
- Reviewed ophthalmology claims for accuracy and timeliness, appealing denied or rejected claims to insurance carries
- Identified trends preventing clean claims, demonstrating exceptional problem solving and analytical skills
Account Resolution Specialist
Teladoc Health
04.2021 - 06.2021
- Reviewed claims and explanation of benefits for accuracy, ensuring timely filing and resolution of claims
Patient Financial Associate III
CHRISTUS Health
09.2016 - 03.2021
- Reviewed patient invoices and explanation of benefits for accuracy, appealing denied or rejected claims to insurance companies
- Identified trends preventing clean claims, demonstrating exceptional problem solving and analytical skills
- Supervised a team of seven analysts, identifying trends that created unnecessary credit balances on patient accounts
- Conducted ongoing training for associates, improving team performance and accuracy
Bilingual Customer Service Associate
K-Force
05.2016 - 09.2016
- Reconciled Bank deposit CD’s and assisted patients in understanding billing and collections procedures, displaying effective bilingual communications skills
Team Lead Overpayment Department
Parallon
06.2015 - 02.2016
- Co-supervise a team of twelve analysts, identifying trends and providing ongoing training to enhance team performance
- Reviewed and approved adjustments and refund requests, demonstrating strong decision making and leadership skills
Medical Collector
Schumacher Group
03.2015 - 05.2015
- Reviewed out-of-network claims for accuracy and timeliness, appealing denied or rejected claims to BCBS plans
Credit Balance Analyst/ Refund Analyst
GAFFEY Health
09.2014 - 03.2015
- Reviewed refund request for timeliness and accuracy, prepared refund request packages according to client guidelines
Credit Balance Refund Analyst & Payment Poster
TriNet / Amerita – Central Line Infusion
05.2013 - 06.2014
- Input commercial and government payer’s payments into patient invoices, ensuring accurate posting of contractual adjustments
Credit Balance Supervisor
MedSynergies
01.2012 - 03.2013
- Supervised a team of fourteen analysts, identifying trends and providing ongoing training to enhance team performance and accuracy in credit balance management
Credit Balance Refund Specialist
MedSynergies
12.2010 - 12.2011
- Reviewed refund request for timeliness and accuracy, prepared refund request packages according to client guidelines
AR Reimbursement Analyst
Medsynergies
09.2010 - 12.2010
- Reviewed patient invoices and explanation of benefits for accuracy, appealing denied or rejected claims to insurance companies
- Identified trends preventing clean claims, demonstrating exceptional problem solving and analytical skills
Reimbursement Specialist
Tri Net / Amerita - Central Line Infusion
08.2009 - 08.2010
- Reviewed patient invoices and explanation of benefits for accuracy, appealing denied or rejected claims to insurance companies
- Identified trends preventing clean claims, demonstrating exceptional problem solving and analytical skills
Reimbursement Specialist
AmerisourceBergen - US Bioservices
06.2007 - 07.2009
- Reviewed patient invoices and explanation of benefits for accuracy, appealing denied or rejected claims to insurance companies
- Identified trends preventing clean claims, demonstrating exceptional problem solving and analytical skills
Education
GED -
Houston Community College
Houston, TXSkills
Effective communication skills
HIPAA Compliance
Accurate data entry
Insurance Verification
Payment posting
Claims Processing
Microsoft Excel
Accurate payment posting
Quality Control
Microsoft Office
Time Management
Multitasking Abilities
Languages
Spanish
Native or Bilingual
Timeline
Payment Poster Specialist
Beacon Oral Specialist
08.2024 - 09.2024
Payment Poster Specialist
BGSF Staffing
02.2024 - 05.2024
Payment Poster
HRDM – Texas Pain Physicians
10.2023 - 02.2024
Claim Resolution Specialist
Donovan & Watkins – BGSF
03.2023 - 06.2023
Special Project Team Lead Credit & Refunds Department
Medasource Staffing
06.2022 - 08.2022
AR Billing Specialist
Retina Center of Texas
08.2021 - 08.2022
Account Resolution Specialist
Teladoc Health
04.2021 - 06.2021
Patient Financial Associate III
CHRISTUS Health
09.2016 - 03.2021
Bilingual Customer Service Associate
K-Force
05.2016 - 09.2016
Team Lead Overpayment Department
Parallon
06.2015 - 02.2016
Medical Collector
Schumacher Group
03.2015 - 05.2015
Credit Balance Analyst/ Refund Analyst
GAFFEY Health
09.2014 - 03.2015
Credit Balance Refund Analyst & Payment Poster
TriNet / Amerita – Central Line Infusion
05.2013 - 06.2014
Credit Balance Supervisor
MedSynergies
01.2012 - 03.2013
Credit Balance Refund Specialist
MedSynergies
12.2010 - 12.2011
AR Reimbursement Analyst
Medsynergies
09.2010 - 12.2010
Reimbursement Specialist
Tri Net / Amerita - Central Line Infusion
08.2009 - 08.2010
Reimbursement Specialist
AmerisourceBergen - US Bioservices
06.2007 - 07.2009
GED -
Houston Community College
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