Maribel Ramirez
Union City,NJ
Summary
With a solid background in medical office operations as a Patient Care Associate and experience as a medical Billing Representative in a customer service role, I offer valuable expertise to healthcare settings. Moreover, I have developed and demonstrated strong leadership skills over five years, effectively guiding teams and optimizing operations. By merging my clinical knowledge, customer service acumen, and managerial capabilities, I am well-prepared to make a substantial impact in the healthcare industry.
Overview
14
14
years of professional experience
Work History
MEDICAL BILLING REPRESENTATIVE
Optum Medical Care
02.2022 - 03.2024
- Reviewed EOBs from insurance companies for accuracy
- Identified trends in denials or rejections by payers and took appropriate action
- Processed insurance claims and payments using ICD-10 codes
- Performed accurate data entry of patient information into electronic medical records system
- Utilized strong communication skills to interact with patients, healthcare providers, and insurance companies
- Analyzed patient account activity to identify discrepancies and take corrective action as needed
- Resolved customer inquiries and complaints in a timely manner
- Resolved patient billing issues and communicated with insurance carriers
- Assisted with answering telephone to provide requested billing information
- Contacted and worked with patients to resolve insurance-related billing issues
- Returned checks to customers or retrieved checks returned to customers in error, adjusting accounts and answering inquiries about errors as necessary
- Refunded patient overcharges and credit on their accounts, made sure amount, addresses, and guarantors were correct in system before releasing checks.
PATIENT CARE COORDINATOR
Optum Medical Care
02.2020 - 02.2022
- Ability to maintain confidentiality of the organization, its staff, business partners, and patients
- Provide the patients with information, support, and accommodation, through their experience at our facility.
MEDICAL RECEPTIONIST
Garden State Medical
01.2017 - 01.2020
- Served patients by greeting and helping them, scheduling appointments, and maintaining records and accounts
- Helped patients in distress by responding to their urgencies.
PATIENT FINANCIAL COORDINATOR
Hudsonview Care and Rehab Center
01.2010 - 01.2017
- Provided assistance to patients, clinicians, and staff concerning insurance and account inquiries
- Facilitated patient payments via collection of deposits, setting up payment plans, and processing financial assistance when applicable.
Education
MEDICAL BILLING AND CODING - Medical Insurance Billing
Ashworth College
07.2021
Skills
- FIS Applications
- Microsoft Office, Word, Excel
- Mainframe/Inquiry
- Epic
Socialnetworks
https://Lunide Erase Sylvain, https://N/A, https://www.linkedin.com/in/lisaturner5
Languages
Spanish
Native or Bilingual
Timeline
MEDICAL BILLING REPRESENTATIVE
Optum Medical Care
02.2022 - 03.2024
PATIENT CARE COORDINATOR
Optum Medical Care
02.2020 - 02.2022
MEDICAL RECEPTIONIST
Garden State Medical
01.2017 - 01.2020
PATIENT FINANCIAL COORDINATOR
Hudsonview Care and Rehab Center
01.2010 - 01.2017
MEDICAL BILLING AND CODING - Medical Insurance Billing
Ashworth College