Mary Ramos
Marysville
Overview
14
14
years of professional experience
Work History
Refund/Credit Specialist/Patient Account Representative/Medical Biller
Fred Hutchinson Cancer Center
01.2024 - 10.2024
- Review credits daily
- Process refunds to patients, process letters from Insurances requesting a refund
- Access to payer websites to pull EOB backup for refunds/ Apply AR Codes
- Work closely with AP Dept
- Maintain & work spreadsheets as needed
- Maintain relationship with insurance vendors/ clients, for clear concise communication on refunds
- Submit any disputes or invalid deductions/adjustment/ credits on accounts
- Assist in auditing and any special projects as needed
Patient Account Representative
Overlake Hospital Medical Center
03.2020 - 10.2021
- Follow up on accounting activity to correct payment per insurance contract
- Make any adjustment and post any payments, verify if referral/auth is needed, and obtain
- Take member calls and research accounts
- Bill claims/resubmit corrected claim when needed
- Follow up on all commercial plans/Medicare/Medicaid
- Bill all MVA/Crime Victims/Work Comp, work all AR for timely re-billing
Patient Account Representative
Skagit Regional Health
08.2019 - 11.2019
- Assist patient/families with billing, payments, and questions
- Accurately receive patient payments on a timely basis in accordance with cash handling policy
- Assist private pay patients with financial guidance on procedures requiring a deposit or financial assistance
- Work on outstanding accounts/private pay receivables
- Work unapplied co-pay report, as necessary
- Educate families on external financial resources
- Establish patient financial payment arrangements in accordance with practice guidelines
Billing Specialist
Seattle Cancer Care Alliance
10.2016 - 06.2019
- Work claim edits in EMR/ Epic, bill Claims electronically through Epremis software, hold any claims that require authorization
- Worked both commercial/ Government claims
- Familiar with One HealthPort/ProviderOne/Ability/Noridian/Availity/Cigna/ and other generic Health Care Portals
- Bill Medicare claims/ CWF-Ability
Patient Act Rep/Intake Coordinator
Mosaic Children Rehabilitation Services
08.2015 - 12.2015
- Post payments on accounts, balance batches, prepare and mail bank deposits, set up payment plans, register and schedule new intakes, verify insurance benefits for SLP, OT, PT, services
- Obtain authorization if needed
- Work AR Spread sheet, follow up on denied or unpaid claims help cover front desk and answer phones
- Counsel patients
Patient Financial Counselor
Kennewick General Hospital
07.2012 - 06.2014
- Follows hospital and department collection policies & procedures, interviews & counsel patients
- Concerning their bill, liaison to the hospital collection agencies and other outsourcing agencies
- Establishes payment plans, gather income verification for charity applications
- As a financial Counselor I worked in the ER Entrance, performed general medical office procedures, including greeting patients, answering phones, entering patient demographics, return patient phone calls by end of the day
- Maintain patient account confidentially
- Prior experience in hospital & Physician Professional billing
- Experience with public speaking-explaining billing charges
Patient Account Representative
Lovelace Hospital Central Billing Office
11.2010 - 06.2012
- Billed HB/PB on UB-04 /HCFA 1500 claim form
- Billed electronic claims through Epremis software, research & update insurance payers
- Mailed some paper claims to appropriate payers
- Work failed claims report, Corrected claim Errors and resubmitted claims
- Worked special billing projects assigned
- Worked and Managed Work queues assigned
Education
GED -
State Board Community & Technical College
Olympia, WA02-1997
Skills
- Effective communication
- Telephone and email etiquette
- Documentation review
- Cash flow analysis
- Authorizations
- Teamwork and collaboration
- Problem-solving
- Time management
- Reliability
- Active listening
- Task prioritization
- Adaptability and flexibility
- Customer relationship management
Languages
Spanish
Full Professional
Timeline
Refund/Credit Specialist/Patient Account Representative/Medical Biller
Fred Hutchinson Cancer Center
01.2024 - 10.2024
Patient Account Representative
Overlake Hospital Medical Center
03.2020 - 10.2021
Patient Account Representative
Skagit Regional Health
08.2019 - 11.2019
Billing Specialist
Seattle Cancer Care Alliance
10.2016 - 06.2019
Patient Act Rep/Intake Coordinator
Mosaic Children Rehabilitation Services
08.2015 - 12.2015
Patient Financial Counselor
Kennewick General Hospital
07.2012 - 06.2014
Patient Account Representative
Lovelace Hospital Central Billing Office
11.2010 - 06.2012
GED -
State Board Community & Technical College
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