Heather Ramus
Wheatfield,IN
Summary
I am a self-motivated and hard-working professional with a strong willingness to learn and grow. I bring excellent organizational and multitasking skill, thriving in environments that require minimal supervision. A dependable team player, I am always ready to support others and contribute wherever needed.
Overview
18
18
years of professional experience
Work History
Operations Mentor
Innovations In Learning
02.2020 - Current
- Verify insurance eligibility and benefits all services including ABA, Assessment, Outpatient, Speech and all Medicaid MCO’s.
- Submit prior authorizations for Psychological and Neuropsychological Testing
- Review and reconcile client balances, ensuring accuracy in billing and correcting discrepancies
- Work insurance claims, including follow-up on denials, submission of disputes, and processing appeals
- Post EOB’s and ERA’s and reconcile all payments
- Handle secondary and tertiary claim submission
- Conduct discharge audits to confirm all billing is complete and accurate
- Very knowledgeable with Central Reach, Microsoft Office , word, and excel
- Knowledgeable in commercial insurance portals
Special Ed Aide
Kankakee Valley Intermediate School
10.2013 - 02.2020
- I assisted students with learning disabilities.
- I helped in the classroom to make sure students were organized and stay on task.
- If there was work that needs to be completed, I guided the students through the questions and helped in any way I could.
- I assisted in testing to make sure the students were using their time wisely and getting the job done.
- When there was a need and a student was struggling, I guide them in the right direction and help them to make good choices.
Medicaid/Medicare Bookkeper
Care Centers Inc.
10.2007 - 03.2010
- Collected monthly room and board and post to resident accounts
- Toke care of Social Security income and apply it to resident accounts
- Audit accounts for outstanding balances
- Billed insurance companies and checked on outstanding claims
- Called families on outstanding accounts and collect payment
- Sent out monthly statements
- Kept track of census in the nursing home
- Sent out monthly claims to Medicare and Medicaid
- Monthly meetings with nursing home administration and corporate office
- Spoke with family members that may have questions regarding bills
- Sent out all paperwork needed for families to apply for Medicaid and get approved
- Collected all paperwork upon admission of residents to keep in files
Education
High School Diploma -
Crown Point High School
Crown Point, IN06.1998
Timeline
Operations Mentor
Innovations In Learning
02.2020 - Current
Special Ed Aide
Kankakee Valley Intermediate School
10.2013 - 02.2020
Medicaid/Medicare Bookkeper
Care Centers Inc.
10.2007 - 03.2010
High School Diploma -
Crown Point High School
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