Cassandra Ramos
Lehigh Acres,FL
Summary
Committed and results-oriented professional willing to go above and beyond to contribute to team objectives. Highly skilled in Medical Front Office procedures, insurance verification and obtaining prior authorizations.
Overview
10
10
years of professional experience
Work History
Accounts Receivable
Centrix Vascular
Lehigh Acres, FL
11.2023 - Current
- Prepared financial reports related to accounts receivable activity.
- Maintained records of all billing activities in a timely manner.
- Verified accuracy of account information and processed adjustments as needed.
- Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
- Reviewed patient accounts for accuracy and completeness, and submitted claims to insurance companies.
- Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers on denied claims as necessary.
- Tracked aging reports of unpaid claims and took corrective action when necessary.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
Authorization and Insurance Verification Manager
Haiken Dermatology
Fort Myers, FL
02.2016 - 10.2023
- Collaborated with internal staff members such as Billing Specialists, Medical Coders to resolve any discrepancies in patients' insurance information.
- Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Developed a working knowledge of insurance plans.
Front Office Receptionist
Elmquist Eye Group
Fort Myers, FL
12.2014 - 02.2016
- Assisted with administrative tasks such as filing documents, photocopying, faxing.
- Greeted customers and visitors in a professional manner.
- Provided excellent customer service to all guests.
- Created reports using Microsoft Office Suite applications.
- Maintained confidentiality of patient information at all times.
- Processed payments for services rendered accurately and efficiently.
- Entered new client data into database systems accurately.
- Answered phone calls, transferred calls, took messages, and provided information to callers.
- Managed incoming and outgoing mail, including sorting, distributing, and maintaining records of correspondence.
- Responsible for opening and closing the office on time each day.
- Scheduled appointments for patients and recorded all client data into the system.
Education
Certificate - Medical Office
L.E.E. Medical Office Skills Program
Fort Myers, FL11-2013
High School Diploma -
Riverdale High School
Fort Myers, FL05-2010
Skills
- Medical terminology understanding
- Medical billing software
- Payment posting
- Insurance Verification
- HIPAA Compliance
- Analytical Problem Solving
- Multitasking and Organization
- Commercial and Private Insurance
- Records Management
- Data Entry
- Information inputting
- Customer Service
- Work Prioritization
- Patient Collections
Timeline
Accounts Receivable
Centrix Vascular
11.2023 - Current
Authorization and Insurance Verification Manager
Haiken Dermatology
02.2016 - 10.2023
Front Office Receptionist
Elmquist Eye Group
12.2014 - 02.2016
Certificate - Medical Office
L.E.E. Medical Office Skills Program
High School Diploma -
Riverdale High School
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