CHRISTIAN MARTINEZ RAMIREZ
Round Lake Beach
Summary
Capable Patient Representative & medical billing specialist dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
13
13
years of professional experience
Work History
Patient Access Representative
Lake County Health Department
11.2024 - Current
- Ensured compliance with all HIPAA regulations regarding patient privacy and confidentiality.
- Registered patients by obtaining necessary and accurate financial and demographic information.
- Provided excellent customer service to patients and their families.
- Verified patient insurance eligibility and entered patient information into system.
- Demonstrated strong organizational skills by accurately entering patient information into the electronic health record system.
- Send messages to the doctor teams
- Request medication refills
- Interpreter for our English-speaking PAC Triage Nurses
- Answered incoming calls, scheduled appointments.
- Responded to inquiries by directing calls to appropriate personnel.
- Offered simple, clear explanations to help clients and families understand hospital policies and procedures.
- Resolved customer complaints using established follow-up procedures.
WIC Patient Health Assistant
Lake County Health Department, US
07.2024 - 11.2024
- Receptionist/ Greeter
- Assists in determination of eligibility for services by screening clients
- Electronically completes client intake
- Explains program services and clients' rights & responsibilities
- Promotes breastfeeding as the preferred infant feeding method to all WIC clients
- Perform anthropometric measurements of height, weight, and head circumference according to procedures
- Performs laboratory duties (hemoglobin tests)
- Accurately performs data entry of program-related data and information in the WIC MIS
- Issues benefits to WIC EBT card according to established procedure
- Maintains clerical and laboratory supplies at assigned workstation
- Completes order form monthly to assure adequate inventory at workstation
- Acts as an alternate for other sites as required
- Performs duties in a prioritized organized and orderly manner to maximize clinic efficiency and productivity
- Maintains orderliness and cleanliness of clinic and work area
- Demonstrates adherence to National Patient Safety Goals
- Develops and maintains a working knowledge of individual Emergency Preparedness roles
- Reports all unusual occurrences that may involve the safety and well-being of the clients and co-workers, directly to the Supervisor, Program/Clinic Coordinator; and/or Safety Officer
Sr. Claims Integrity Specialist
IRhythm Technologies, Inc, US
04.2019 - 01.2024
- Maintained knowledge of policy and procedures and insurance coverage benefit levels, eligibility systems, and verification processes
- Followed all company policies and procedures to deliver quality work.
- Demonstrated timely customer service and cross-functional coordination of account information to promote and maintain positive customer service
- Verified patient insurance, demographics, and that all other registration information are accurate by submitting phone, email, and fax inquiries
- Followed up with customers on unresolved issues
- Filed and maintained patient records in accordance with HIPAA regulations
- Entered patient demographic and insurance data into electronic medical record system
- Resolved billing inquiries and disputes in timely fashion
- Performed completion of claims to payers
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy
- Responded to customer concerns and questions on daily basis
- Remote
- Company Overview: Remote
Ophthalmic Technician
University Eye Specialists
09.2017 - 02.2019
Ophthalmic Technician
Suburban Associates in Ophthalmology
06.2016 - 01.2019
Ophthalmic Technician
Retina Associates
02.2013 - 06.2016
Education
GED -
William Rainey Harper College
05.2014
Skills
- Customer Service
- Patient check-in
- Benefits Verifications
- Registration management
- Patient identity verification
- Insurance company billing
- HIPAA Compliance
- ICD-10 Coding
- Phone and email etiquette
- Multitasking and organization
- Problem-solving
- Healthcare systems navigation
- EMR updating
- Medical billing
- Spanish fluency
- Data entry
Languages
Spanish
Native or Bilingual
Timeline
Patient Access Representative
Lake County Health Department
11.2024 - Current
WIC Patient Health Assistant
Lake County Health Department, US
07.2024 - 11.2024
Sr. Claims Integrity Specialist
IRhythm Technologies, Inc, US
04.2019 - 01.2024
Ophthalmic Technician
University Eye Specialists
09.2017 - 02.2019
Ophthalmic Technician
Suburban Associates in Ophthalmology
06.2016 - 01.2019
Ophthalmic Technician
Retina Associates
02.2013 - 06.2016
GED -
William Rainey Harper College