Lisa Ramirez
Wellspace Health
Olivehurst,CA
12
years of professional experience
Hardworking and passionate job seeker with strong organizational,
detail-oriented, and exceptional communication skills.
Eager to secure a Patient Services Representative position. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Ready to help the team achieve company goals.
Work History
Payment Posting Specialist (Remote)
2 Years 7 Months- Expert in Medicaid, Medicare, and commercial insurance plans.
- Collect EOBS from insurance portals.
- Post payments that come through electronically or by paper check using the EPIC system.
- Correct errors in order to post payments, such as over adjustments and cash-pay credits.
- Answer inbound patient calls regarding account balances and payments. Outbound response to customer concerns and questions on daily basis.
- Utilize insurance portals to verify coverage.
- Update patient demographics and insurance plans as needed.
- Maintained compliance with billing regulations and internal policies for payment postings.
- Collaborated with cross-functional teams to resolve discrepancies and improve workflow efficiency.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
- Researched and resolved billing discrepancies to enable accurate billing.
- Handled account payments and provided information regarding outstanding balances.
- Collaborated with customers to resolve disputes.
- Processed and reconciled payment transactions to ensure accurate financial records.
Patient Services Representative II
10 Months- Provide excellent customer service to anyone at my window. Greet them with a smile and provide options and guidance on what we can do for them.
- Trained in Epic to check in/out patients, take payments, schedule follow-up appointments, and studies.
- Create charts and maintain up to date contact and insurance information.
- Deescalate patients and family members to be able to assist them with their needs.
- Scrub the schedule ahead of time to prevent obstacles to care.
- Discuss care with cardiologists and technicians to provide the best outcome for patients.
- Explain cardiovascular study procedures and what patients should expect.
Patient Services
8 Years 6 Months- Over the course of 9 years, I worked from the front desk to becoming a manager of 23 staff.
- Manage and train a team of 23 (14 Call Center Agents, 6 Registration Coordinators, & 3 Supervisors) by auditing work, and providing coaching/trainings.
- Processed and reconciled payment transactions to ensure accurate financial records.
- Maintain quality care for all patient populations served by provided an excellent customer experience.
- Ability to de-escalate tough situations.
- Registered patients and created profiles, reviewed insurance plans and obtained necessary documents.
- Scheduled and confirmed appointments. Check in patients and collected copays.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Inbound Call Center, assisted patients with making appointments, verifying demographics, taking messages, and verifying insurance coverage.
- Called insurance companies to verify insurance coverage.
- Implements and enforces adherence to system standards, policies, and procedures.
- Collaborates with other department leadership teams to streamline and standardize workflows and procedures, or to achieve set goals.
- Possesses the ability to work in a dynamic, fast-paced environment in an ever-changing field.
Education
High School Diploma
Skills
Proficient in Medi-Cal & Medicare & commercial insurance plans
NextGen and Epic Experience
Excellent Customer Service Experience
Data entry and chart maintenance
Payment Posting and collecting
Expert Call Center Inbound/Outbound calls
Team Management
Multitasking and organization
Expert in Handling Deescalation/Complaints
Detailed and organized
Follows HIPAA procedures
Problem resolution
Timeline
Payment Posting Specialist (Remote)
Wellspace Health
01.2024 - CurrentRead More
Patient Services Representative II
Sutter North, Sutter Health Systems
03.2023 - 01.2024Read More
Patient Services
Sacramento Native American Health Center Inc.
09.2014 - 03.2023Read More
Fremont School For Adults
High School Diploma
Read More