Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Esmeralda Morales Ramos

San Antonio,TX

Summary

Hardworking and passionate job seeker with strong organizational skills eager to learned a new position. Ready to help team achieve company goals.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Lung Financial Coordinator / Case Manager

Methodist Health Care
06.2021 - Current
  • Completed journal entries, reconciliations, and account analysis to prepare quarterly financial documents and general account management.
  • Explained insurance benefits, fees and procedures to patients.
  • Contacted insurance carriers to discuss policies and individual patient benefits.
  • Submitted claims to insurance companies on same day as patient treatment.
  • Answered questions over phone and in-person regarding billing, scheduling and treatment.
  • Maintained a high level of confidentiality when handling sensitive financial information and employee records.

Senior Patient Access Representative III

Christus Health
01.2019 - 05.2021
  • Trained new Patient Access Representatives, contributing to a more skilled and efficient team.
  • Improved patient satisfaction by providing timely and accurate appointment scheduling.
  • Assisted patients in understanding their financial responsibilities, promoting transparency and trust between the facility and its clientele.
  • Reduced insurance claim denials by diligently verifying patients'' insurance coverage and eligibility.
  • Coordinated pre-authorization requests with insurers efficiently reducing medical claim denials.
  • Stayed calm under pressure to and successfully dealt with difficult situations.

Patient Access Team Lead / Supervisor

Methodist Hospital
01.1998 - 09.2019
  • Streamlined patient registration process by implementing efficient workflows and reducing wait times.
  • Served as liaison between the Patient Access team and other departments, fostering positive relationships and effective communication.
  • Developed training materials for new hires, resulting in reduced onboarding time and improved employee performance.
  • Improved patient satisfaction scores by providing exceptional customer service and addressing concerns promptly.
  • Managed a team of Patient Access Specialists, ensuring proper training and adherence to policies and procedures.
  • Increased accuracy of patient demographic information by implementing a system for regular updates and validation.
  • Reduced errors in insurance verification by implementing thorough checks on coverage details and eligibility.
  • Managed staff schedules effectively, balancing workloads while ensuring proper coverage during peak hours, resulting in better patient experiences.
  • Providing excellent customer service by promptly answering patient inquiries.

Education

Bachelor of Arts - Business Administration

Wayland
San Antonio
08.2021

Associate of Arts -

San Antonio College
San Antonio, TX
05.2019

High School Diploma -

Fox Technical High School
San Antonio, TX
06.1991

Skills

Medical Records Management

Office Management

Inventory Management

Report and Documentation preparation

Team building and Supervision

Staff Development

Training Polices and Procedure manuals

Medical coding

Expense Reduction

Cash reconciliation

Payroll and Bookkeeping

Microsoft Office Programs

Data Entry

Certification

The National Association of Healthcare Access Management October 2020 to October 2022.

Languages

Spanish
Full Professional

Timeline

Lung Financial Coordinator / Case Manager

Methodist Health Care
06.2021 - Current

Senior Patient Access Representative III

Christus Health
01.2019 - 05.2021

Patient Access Team Lead / Supervisor

Methodist Hospital
01.1998 - 09.2019

Bachelor of Arts - Business Administration

Wayland

Associate of Arts -

San Antonio College

High School Diploma -

Fox Technical High School
Esmeralda Morales Ramos