Laura Ramby
Land O' Lakes,FL
Summary
An energetic, hardworking, detailed professional with more than 10 years Medical Billing, 5 years Payer Enrollment, Credentialing & Contracting experience. Looking for an opportunity to use my current skills and expand my knowledge to new skills.
Overview
21
21
years of professional experience
Work History
Credentialing Coordinator
United Vein & Vascular Centers
07.2022 - Current
- Adding providers to Group Payer Contracts including Medicaid & Medicare (FL, AZ, CO, IL, GA)
- Assisting in Research of opening new clinics in TX, NJ, & NY.
- Assisting Providers with Privileges in Hospitals, IPAs/CINs.
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Maintain all provider and insurance files for accuracy and update discrepancies.
- Oversaw operations of certification and credentialing programs.
Credentialing Specialist
LoCicero Medical Group
12.2021 - Current
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Maintain & Update Provider and Insurances data for For PCPs, Specialist, including Behavior Health, Podiatry and Audiology as well as many others.
- Assist providers in obtaining privileges at 8 different Hospitals in the Tampa Bay Area
- Assist providers in getting credentialed with many Skilled Nursing Facilities.
Credentialing / Medical Records Specialist
Ginger Heath
12.2021 - Current
- Credentialing & Payer enrollment for Physical & Occupational Therapy Providers
- Scoping out and Contracting new insurance plans, including Workcomp
- Upkeep of all provider and insurance files.
- Complete all Medical Records Request
- Assist in Billing issues as they arise.
- Update EFT accounts.
Billing Manager
Ginger Health
09.2011 - 12.2021
- Oversee the billing department and clinic operations, supervising front end staff
- Submit billing OT/PT/ Driving claims for Medicare, Medicaid, Commercial insurances, work comp, auto and other insurances for all 4 offices
- Post Payments
- Resolve any claims issues, appeals
- Explain to patient's their benefits and obtain authorizations as required
- Obtain authorizations and file appeals when needed, apply payments and Accounts Receivable and appeals
- With emphasis on customer service.
- Refund patients
- Set up multiple billing programs (Waystar, Theraoffice, and DragonApps)
Exceptional Student Education (ESE) Aide
HCPS-Tampa Palms
08.2010 - 06.2011
- Assist in the development of preschool children with autism
- Get the lessons ready for each day.
Program Coordinator
New Tampa YMCA
01.2003 - 10.2009
- Develop and execute leadership programs for kids aged pre-school through teens
- Develop & uphold a $20,000 budget for programs
- Build relationships and increase satisfaction so programs continue to grow session after session
- Work as a team to meet our fundraising goal of $147,000 to help under-privileged families grow in spirit, mind & body.
Education
M.S. in Public Administration -
Troy University
Orlando, FLB.S. in Psychology -
University of Central Florida
Orlando, FL Skills
- knowledgeable in Word / Excel / Powerpoint / Outlook / Slack / Gmail / Instant Message / Teams
- Re-credentialing processes
- Provider onboarding & enrollment
- Effective verbal & written skills
- Billing (10 years)
- Collections (10 years)
- Claims (10 years)
- Accounts Receivable (10 years)
- Medical Terminology
- Insurance Verification
- Medical Billing
- Medical Records
- EMR Systems
- CPT knowledge and coding in Therapy
- Autism Experience
- Fundraising
- ICD-10
- Medical Scheduling
- Clerical Experience
- Medical Office Experience
- Data Entry
- HIPAA Compliant
Timeline
Credentialing Coordinator
United Vein & Vascular Centers
07.2022 - Current
Credentialing Specialist
LoCicero Medical Group
12.2021 - Current
Credentialing / Medical Records Specialist
Ginger Heath
12.2021 - Current
Billing Manager
Ginger Health
09.2011 - 12.2021
Exceptional Student Education (ESE) Aide
HCPS-Tampa Palms
08.2010 - 06.2011
Program Coordinator
New Tampa YMCA
01.2003 - 10.2009
M.S. in Public Administration -
Troy University
B.S. in Psychology -
University of Central Florida
Similar Profiles
AMANDA SZYBINSKIAMANDA SZYBINSKI
Registered Nurse, Endovascular at United Vein & Vascular CentersRegistered Nurse, Endovascular at United Vein & Vascular Centers
Lisa MarinoLisa Marino
EDI Specialist at United Vein & Vascular CentersEDI Specialist at United Vein & Vascular Centers
Agnieszka FlynnAgnieszka Flynn
Patient Service Coordinator I at United Vein Centers And Vascular CentersPatient Service Coordinator I at United Vein Centers And Vascular Centers
Kendra SwaugerKendra Swauger
Sales Assistant at Bay Food BrokerageSales Assistant at Bay Food Brokerage
Shanice GibsonShanice Gibson
Customer Experience Associate at ConcentrixCustomer Experience Associate at Concentrix