Professional Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline

Briana Ramos

CCMC Hospital
Azle,TX
2
Languages
1
Certification
12
years of professional experience

Detail-oriented medical receptionist with proven expertise in patient scheduling, insurance verification, and HIPAA compliance. Adept at streamlining front desk processes to enhance patient satisfaction and reduce wait times.

Experienced with patient scheduling, record-keeping, and front desk management. Utilizes strong organizational and communication skills to enhance office efficiency. Track record of maintaining calm and welcoming environment in busy medical setting.

Medical office professional prepared to excel in front desk role. Possesses valuable experience in patient interactions and administrative tasks, ensuring smooth daily operations. Known for teamwork, adaptability, and delivering high-quality service with focus on patient satisfaction.

Experienced with medical coding and billing practices, ensuring accurate patient data and claim submissions. Utilizes ICD-10, CPT, and HCPCS codes to optimize reimbursement processes. Track record of maintaining compliance with healthcare regulations and enhancing revenue cycle management.

Medical coding and billing professional with solid background in managing healthcare claims and ensuring compliance with industry standards. Proven ability to streamline billing processes and resolve discrepancies efficiently. Effective collaborator and adaptable team member, consistently meeting organizational goals and adapting to changing demands. Skilled in ICD-10, CPT, and HCPCS coding and maintaining patient confidentiality.

Work History

Front Desk Medical Receptionist

7 Years 5 Months
CCMC Hospital | 01.2018 - 06.2025
  • Scheduled patient appointments using an an electronic medical records system to optimize clinic workflow.
  • Managed front desk operations, ensuring efficient patient check-in and check-out process.
  • Coordinated communication between medical staff and patients to enhance service delivery and satisfaction.
  • Assisted patients with inquiries, providing information on services and insurance coverage options.
  • Implemented a new filing system that improved accessibility of patient records for staff use.
  • Trained new reception staff on operational procedures and customer service best practices.
  • Developed standard operating procedures for handling patient complaints to improve resolution times.
  • Led initiatives to streamline front desk processes, reducing wait times during peak hours significantly.
  • Checked patient insurance, demographics, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Ensured HIPAA compliance by maintaining strict confidentiality with all patient records and information.
  • Managed a high volume of incoming calls, addressing inquiries, and providing exceptional customer service to patients.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Coordinated appointment reminders for patients via phone calls or email notifications, reducing no-show rate.
  • Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
  • Provided administrative support to medical staff, assisting with various clerical tasks as needed.
  • Used computer programs and registration systems to schedule patients for routine and complex procedures.
  • Reduced errors in medical recordkeeping by meticulously reviewing documentation for accuracy before filing or distributing them.
  • Collaborated with healthcare providers to gather necessary documentation for accurate patient referrals.
  • Educated patients on referral procedures, enhancing their understanding and satisfaction with the process.
  • Led initiatives to integrate technology solutions that automate referral tracking and communication processes.
  • Called insurance companies to get pre-certification and other benefits information on behalf of patients.
  • Collaborated with healthcare providers to ensure accurate and complete referral information, improving patient care coordination.
  • Verified insurance benefits and eligibility for [Type] procedures before referring clients.
  • Built professional relationships with service providers.
  • Obtained prior authorization for [Type] procedures.
  • Ensured continuity of care by regularly updating patient records with recent test results or changes in medical history.
  • Implemented process improvements that enhanced accuracy in billing cycles.
  • Assisted in audit preparation, providing necessary documentation for thorough review of financial activities.
  • Prepared detailed reports on account activity for management review, identifying areas for improvement or concern.
  • Managed high-volume accounts, prioritizing workloads to ensure timely processing of invoices.
  • Collaborated with healthcare providers to resolve discrepancies in patient billing and coding entries.
  • Maintained up-to-date knowledge of industry regulations, ensuring compliance with all coding guidelines.
  • Optimized office organization by maintaining accurate electronic files for easy access to important documentation related to billing processes.
  • Excellent communication skills, both verbal and written.
  • Demonstrated respect, friendliness, and willingness to help wherever needed.

Medical Receptionist

6 Years
Mi Doctor | 01.2013 - 01.2019
  • Trained new reception staff on office protocols, enhancing team efficiency and service quality.
  • Implemented improved patient check-in procedures, reducing wait times and increasing patient satisfaction.
  • Handled billing procedures accurately, ensuring prompt payment from both patients and insurance providers.
  • Organized essential medical documents, streamlining access to vital information for healthcare providers during appointments.
  • Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
  • Improved front office organization by implementing new filing systems and maintaining cleanliness in waiting areas.
  • Enhanced patient experience by maintaining clean, organized reception area.
  • Optimized appointment scheduling to maximize doctor availability.
  • Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Assisted in training new team members on company policies and procedures for handling authorization requests.
  • Enhanced departmental efficiency with thorough knowledge of insurance guidelines and medical terminology.
  • Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
  • Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.

Education

High School Diploma

Brewer High School | Fort Worth | 05-2010

Skills

Patient scheduling
Appointment management
Insurance verification
Patient registration
Prior authorization processing
HIPAA compliance
Medical coding
Appointment scheduling
Microsoft office
Verbal communication
Record keeping
Telephone etiquette
Eligibility procedures
Authorizations
Multitasking
Problem-solving abilities
Excellent communication
Team collaboration
Team building

Accomplishments

  • Achieved CMS Standards by completing Yearly Audits with accuracy and efficiency.

Certification

  • CPC-P - Certified Professional Coder

Languages

English
Native or Bilingual
Spanish
Native or Bilingual

Timeline

Front Desk Medical Receptionist

CCMC Hospital
01.2018 - 06.2025Read More

Medical Receptionist

Mi Doctor
01.2013 - 01.2019Read More

Brewer High School

High School Diploma
Read More
Briana Ramos