Jadaleth Silva-Ramirez
New Brunswick
Summary
Dedicated professional with over 10 years of customer service experience, demonstrating strong organizational and planning skills. Committed to contributing to team success and enhancing operational efficiency.
Overview
12
12
years of professional experience
Work History
Claims Administrative Support Specialist
Progressive Insurance
Iselin
05.2023 - Current
- I communicated with healthcare facilities to supply Progressive insurance details to secure medical bills and records.
- Reported new auto claims to other insurance carriers promptly.
- Entered treatment pre-authorizations to facilitate timely processing.
- Drafted and revised progressive letters for client correspondence.
- Helped train new employees on Progressive letters, and efficiently entering precertifications.
- Handled provider line calls and emails to assist with billing and precertification inquires.
- Assisted Fast track team as needed with tasks including completing initial review templates, evaluating the UDF screen for accurate listing of deductible/copays, assessment of UM/UIM and CV Subro features, learning MCR Review, and completion of action items while requiring increased one-on-one guidance from leadership due to limited autonomy
Patient Registration Representative
Princeton Medical Group
Princeton
07.2021 - 05.2023
- Welcomed and greeted patients and visitors
- Verified patient demographics and insurance eligibility using Clearwave.
- Scheduled appointments for over 30 physicians, including phlebotomy and injection procedures in EPM.
- Assisted in patient check-in and check-out processes, collecting copays and balances due.
- Confirmed insurance referrals prior to patient appointments.
- Entered billing information and coding accurately.
- Generated daily reports in Nextgen at day’s end.
Intake Coordinator
Make-A-Wish NJ
Monroe
05.2019 - 06.2021
- Completed initial referral intake paperwork for all potential wish children.
- Updated demographic and medical information in Intake Medical Eligibility (IME) Salesforce.
- Sent Make-A-Wish medical forms to Medical team via email or fax.
- Maintained strong relationships with physicians, social workers, and child life specialists.
- Collaborated with families throughout referral process to enhance experiences for wish children.
- Imported qualified wish children into Raiser's Edge system using Import-O-Matics.
- Assisted Medical Outreach Director in generating Salesforce (IME) reports and dashboards.
Infusion Registrar
Saint Peter's University Hospital
New Brunswick
09.2016 - 05.2019
- Collaborated with nursing staff to optimize workflow efficiency.
- Facilitated accurate appointment scheduling with multiple physician offices using Paragon Systems.
- Managed collection and scanning of insurance and identification cards.
- Maintained professionalism while answering incoming phone calls.
- Ensured precise billing entries to support financial accuracy.
Business Office Representative
Princeton Medical Group
Princeton
03.2013 - 09.2016
- Resolved billing inquiries by answering patient calls and providing accurate information.
- Communicated with insurance representatives to address pending and past claim issues.
- Released and tracked invoices daily to maintain financial accuracy.
Education
Bachelor's Degree -
Rutgers State University
New Brunswick05-2012
High School Diploma -
New Brunswick Health Sciences Tech High School
New Brunswick, NJ06-2007
Skills
- Claims processing
- Medical terminology
- Team collaboration
- Attention to detail
- Customer service
Timeline
Claims Administrative Support Specialist
Progressive Insurance
05.2023 - Current
Patient Registration Representative
Princeton Medical Group
07.2021 - 05.2023
Intake Coordinator
Make-A-Wish NJ
05.2019 - 06.2021
Infusion Registrar
Saint Peter's University Hospital
09.2016 - 05.2019
Business Office Representative
Princeton Medical Group
03.2013 - 09.2016
Bachelor's Degree -
Rutgers State University
High School Diploma -
New Brunswick Health Sciences Tech High School
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