Marilu Ramirez
Dos Palos,California
Summary
Professional Authorization Coordinator with extensive experience in managing authorization processes in healthcare. Proven ability to facilitate team collaboration and adapt to changing needs, ensuring efficient workflow and compliance. Strong skills in communication, problem-solving, and data management. Dependable and results-driven, consistently delivering high-quality outcomes.
Overview
22
22
years of professional experience
Work History
Authorization Coordinator
Sutter Memorial Hospital Rural Health Clinic
Los Banos, Ca.
04.2018 - Current
- Secured authorization for imaging,infusion procedure visits, specialty visits.
- Evaluated patient needs, provider availability, and insurance coverage to optimize scheduling.
- Facilitated connections between families and community support services to address non-medical needs.
- Connected families with essential shelters, legal resources, and educational programs to enhance support services.
- Followed up with clients and specialists to inquire about experience and collect reports.
- Directed staff development initiatives through comprehensive training workshops, seminars, and diverse learning opportunities.
- Oversaw maintenance of accurate records for in-progress and completed referrals, ensuring data integrity throughout the process.
Patient Access Team Lead
Sutter Memorial Hospital Rural Health Clinic
Los Banos, CA
11.2010 - 04.2018
- Oversaw patient registration processes, ensuring accuracy and compliance with hospital policies.
- Trained and mentored team members on best practices in patient access operations.
- Implemented workflow improvements, enhancing efficiency in patient intake procedures.
- Collaborated with clinical staff to streamline appointment scheduling and resource allocation.
- Streamlined patient registration process by implementing efficient workflows and reducing wait times.
- Implemented quality control measures to ensure the accuracy of data entry, leading to fewer billing discrepancies.
- Managed staff schedules effectively, balancing workloads while ensuring proper coverage during peak hours, resulting in better patient experiences.
Patient Access Representative
Sutter Memorial Hospital Rural Health Clinic
Los Banos, CA
11.2003 - 11.2010
- Coordinated patient registration and insurance verification processes to ensure accurate data collection.
- Assisted patients with appointment scheduling and inquiries, enhancing overall patient experience.
- Utilized electronic health record systems to maintain up-to-date patient information and streamline workflows.
- Collaborated with clinical teams to address patient needs effectively, improving care coordination efforts.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Education
High School Diploma -
Dos Palos High School
Dos Palos, CA06.1999
Skills
- Multi-line call handling
- ICD-10 insurance coding
- Data organization and maintenance
- Experienced with scheduling tools
- Clinical terminology expertise
- Schedule reminders
- Health insurance verification
- Pre-authorization processing
- Strong verbal communication skills
- Proficient in Meditech and Epic systems
- Prior authorization
- Strong communication skills
- Organizational growth
- Critical thinking
- Effective time management
- Patient confidentiality compliance
- Customer service
- Teamwork and collaboration
- Attention to detail
Languages
Spanish
Professional Working
Timeline
Authorization Coordinator
Sutter Memorial Hospital Rural Health Clinic
04.2018 - Current
Patient Access Team Lead
Sutter Memorial Hospital Rural Health Clinic
11.2010 - 04.2018
Patient Access Representative
Sutter Memorial Hospital Rural Health Clinic
11.2003 - 11.2010
High School Diploma -
Dos Palos High School