Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
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Kristena Ramirez

Saginaw,MI

Summary

I am a detail oriented and focused medical professional with 8 years of experience in the field of PMD/DME/P&O, both in an office setting and remotely, with a superior skill set in both a team-based and independent capacities.

Overview

13
13
years of professional experience

Work History

Funding Specialist

National Seating And Mobility
10.2021 - Current
  • Verify insurance benefits for PMD and DME.
  • Applied proper coding and pricing for each item in accordance with PDAC.
  • Procurement of all required medical documentation, as needed, from all providers, therapists, and, medical facilities.
  • Submission of all authorizations for all orders, as well as following up on the determination of those authorizations for all insurances.
  • Contacted clients to advise and collect of any out of pocket costs for each order.
  • Completed the final review of all information, documents, and insurance verifications before delivery of equipment.

Customer Service Representative

Wright And Filippis
09.2016 - 10.2021
  • Appointment scheduling
  • Insurance verification for DME/P&O
  • Updated account information to maintain customer records.
  • Participated in team meetings and training sessions to stay informed about product updates and changes.
  • Provided primary customer support to internal and external customers.


Server

Harvey's Grill And Bar
10.2010 - 02.2021
  • Served food and beverages promptly with focused attention to customer needs.
  • Worked with POS system to place orders, manage bills, and handle complimentary items.
  • Cultivated warm relationships with regular customers.
  • Maintained clean and organized dining areas to uphold restaurant hygiene standards.
  • Used slow periods to restock supplies, ice, trays, and delivery bags.
  • Utilized communication practices with kitchen staff to deliver customer meals in timely manner.
  • Carried out complete opening, closing and shift change duties to keep restaurant working efficiently and teams ready to meet customer needs.

Education

Certification - Pharmaceutical Technician

Delta College
Bay City, MI
01.2015

High School Diploma -

Carrollton High School
Saginaw, MI
06.2006

Skills

  • Electronic Medical Records software
  • Medical terminology
  • Insurance verification
  • Appointment scheduling and management
  • HIPPA Compliance
  • Medical coding
  • Familiarity with Microsoft Word and Microsoft Excel
  • Multi-tasking
  • Time management

Accomplishments

  • Awarded the "STAR" Award from Wright and Filippis in July of 2020
  • Awarded the "Shining Star" Award from National Seating and Mobility in July of 2022
  • Awarded the "Hearts in Action" Award from National Seating and Mobility in November of 2022

Timeline

Funding Specialist

National Seating And Mobility
10.2021 - Current

Customer Service Representative

Wright And Filippis
09.2016 - 10.2021

Server

Harvey's Grill And Bar
10.2010 - 02.2021

Certification - Pharmaceutical Technician

Delta College

High School Diploma -

Carrollton High School
Kristena Ramirez