Elizabeth Ramirez
Springfield,MA
Summary
Dedicated professional with a strong background in medical billing and coding. Known for enhancing billing accuracy and streamlining claim submissions, ready to leverage expertise to support efficient revenue cycle management.
Overview
26
26
years of professional experience
Work History
Medical Biller and Coder
Western MA Wound Care
10.2025 - Current
- Managed billing processes for wound care services, ensuring accuracy and compliance with regulations.
- Processed insurance claims using advanced medical coding systems, improving turnaround time for reimbursements.
- Conducted audits of billing records to identify discrepancies and implemented corrective measures to enhance accuracy.
- Developed streamlined workflows to optimize claim submission processes, reducing delays in revenue collection.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Food Service Assistant
Sodexo
02.2017 - 10.2025
- Assisted in food preparation and presentation, ensuring high standards of quality and safety.
- Maintained cleanliness and organization of service areas, adhering to health regulations.
- Supported team in executing daily operations efficiently and effectively.
- Implemented process improvements that enhanced service speed and customer satisfaction ratings.
- Provided exceptional customer service, addressing concerns or issues promptly to maintain loyalty and satisfaction.
General Manager
Bally Total Fitness Corporation
01.2000 - 12.2016
- Directed operations enhancing service quality and customer satisfaction.
- Cultivated strong relationships with clients, vendors, and partners to ensure long-term success and loyalty.
- Monitored financial performance, set budgets and controlled expenses to provide financial stability and long-term organizational growth.
- Provided thoughtful guidance to personnel in navigating and resolving snags in productivity.
- Implemented strategic initiatives to drive membership growth and retention rates.
- Oversaw budget management, ensuring effective allocation of resources for maximum impact.
- Developed training programs for staff, fostering professional growth and operational excellence.
Education
No Degree - Medical Coding And Billing
DeVry University
Springfield, MA04-2024
Skills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- Patient account management
- Medical coding expertise
- Diagnostic coding
- Appeals processing
Languages
Spanish
Native or Bilingual
Timeline
Medical Biller and Coder
Western MA Wound Care
10.2025 - Current
Food Service Assistant
Sodexo
02.2017 - 10.2025
General Manager
Bally Total Fitness Corporation
01.2000 - 12.2016
No Degree - Medical Coding And Billing
DeVry University