Marlene Ramirez

• Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
• Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
• Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
• Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
• Translator for RN, LVN, CHHA, occupational therapist, physical therapist, and patients.
• Maintain and organize patient medical records with accuracy and confidentiality
• Answer incoming phone calls, assist callers, and direct calls to appropriate staff
• Schedule appointments and provide general office support
• Ensure all documentation is filed correctly and updated in electronic systems

EXPERIENCE

Laser Technician:

• Laser patients (pre and post operative) acute pain management

Front/Back Office:

• Completed clerical duties and tasks for clinic administration.
• COVID-19 screening.
• Used computer programs and registration systems to schedule patients for routine and complex procedures for ten locations. Also Organized paperwork such as charts and reports for office and patient needs.
• Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing also check-in and check-out patients.
• Translator for physicians (English/Spanish.)
• Preparation of patient files for ten locations (Chiropractor/Orthopedic Surgeon.)
• Remained aware of provider schedules and scope of practice on evolving basis to organize and schedule appropriate care.
• Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
• Responded to correspondence from insurance companies, attorney offices, and employers to verify patient's stats.
• Rescheduled and handled cancelled and no-show appointments for patients.
• Obtained payments from patients and scanned identification and insurance cards.
• Answer a high call volume both inbound/outbound.
• Insurance eligibility verification
• File, fax, email, scan, all correspondence also distribute mail.
• Assist with billing, Posting and updating ICD codes.

Referral Coordinator:

• Submit referrals for authorization and follow up on pending referrals for the following: Physical therapy, chiropractic therapy, pain management, neurology, podiatry and pharmacy.

Medical Records:

• Compile medical records for copy service companies, attorney offices, patients and insurance offices.

• High volume customer service.
• Tracked stock using company inventory management software, also helped customers locate products and checked store system for merchandise at other sites.
• Prepared merchandise for sales floor by pricing or tagging.
• Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise.
• Engaged with customers to effectively build rapport and lasting relationships.
• Maintained customer satisfaction while handling product returns quickly and professionally.
• Boosted sales by conferring with customers to evaluate purchase requirements and recommend best-fit company offerings.
• Trained and developed new hires in company processes, product knowledge, customer service and selling techniques.
• Increased sales by offering advice on purchases and promoting additional products.
• Provided positive first impressions to welcome existing, new and potential customers.
• Answered customer questions regarding sizing, accessories and proper care for merchandise.