Summary
Overview
Work History
Education
Skills
Timeline
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Darlene Ramirez

Burbank,Illinois

Summary

Driven by results, I enhanced RML Specialty Hospital's financial performance through strategic collection processes and revenue cycle optimization, achieving significant improvements in cash flow management. My expertise in medical billing and strong leadership skills fostered teamwork, streamlined operations, and ensured compliance with healthcare regulations, markedly elevating collection efficiency and staff competencies. Proactive with strong background inpatient Financial Services Supervisor financial analysis, budgeting and forecasting. Develops and implements financial plans and delivers strategic financial advice. Proactive Patient Financial Services Supervisor with strong background in financial analysis, budgeting and forecasting. Develops and implements financial plans and delivers strategic financial advice.

Overview

9
9
years of professional experience

Work History

Patient Financial Services Supervisor

RML Specialty Hospital
04.2018 - Current
  • Collaborated with other departments to resolve account discrepancies and improve overall cash flow management.
  • Enhanced collection efficiency by implementing strategic collection processes and procedures.
  • Analyzed aging reports regularly to identify trends in overdue balances and develop targeted strategies for addressing specific issues.
  • Streamlined workflow for better team productivity through effective task delegation and supervision.
  • Resolved escalated collection cases by working closely with provider relations providing necessary documentation support during litigation processes.
  • Identified and discussed with management opportunities for improvements to procedures and internal controls.
  • Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
  • Kept high average of performance evaluations.
  • Implemented regular audits of department processes to maintain accuracy and compliance with all applicable laws and regulations.
  • Improved overall revenue collection by collaborating with insurance companies to negotiate fair reimbursement rates.
  • Developed staff competencies by providing ongoing training in billing and collections
  • Improved overall financial reporting by streamlining control processes and reporting structures.
  • Promoted a positive work environment by fostering open communication and teamwork among staff members.
  • Reduced outstanding receivables by diligently following up on oustadning hospital claims

Account Resolution Specialist II

RML Specialty Hospital
03.2015 - 03.2018
  • Completed in-depth research to investigate claims and resolve problems.
  • Billing and Collections for various payors
  • Managed a portfolio of high-value accounts, ensuring prompt collection of outstanding balances.
  • Streamlined account resolution processes, leading to increased efficiency and reduced turnaround times.
  • Provided exceptional customer service, handling inquiries and resolving issues in a professional manner.
  • Used skip tracing and other techniques to locate debtors.
  • Generated and distributed monthly customer statements.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Submit payment disputes

Education

Genral Courses -

Harold Washington College
Chicago, IL
08.1996

High School Diploma -

Jones High School
Chicago, IL
05.1994

Skills

  • Healthcare Regulations Compliance
  • Staff Training and Development
  • Patient account management
  • Insurance Verification
  • Medical Billing Expertise
  • Performance metrics analysis
  • Revenue Cycle Optimization
  • Customer Service
  • HIPAA Compliance
  • Verbal and written communication
  • Data entry proficiency
  • Medical billing knowledge
  • Payment Collection
  • Teamwork and Collaboration
  • Excellent Communication
  • Organizational Skills
  • Financial analysis and reporting
  • Data Analysis
  • Employee Training Oversight

Timeline

Patient Financial Services Supervisor

RML Specialty Hospital
04.2018 - Current

Account Resolution Specialist II

RML Specialty Hospital
03.2015 - 03.2018

Genral Courses -

Harold Washington College

High School Diploma -

Jones High School

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Darlene Ramirez