Meleni Ramirez
Sylmar,CA
Summary
Empathetic Healthcare Coordinator serving patients by providing access to high-quality care. Tailors assistance in accordance with each patient's specific needs and requirements. Escalates issues of increased complexity to resolve urgent patient concerns. Follows-up with patients to identify growth opportunities.
Overview
8
8
years of professional experience
2018
2018
years of post-secondary education
Work History
Specialty Healthcare Coordinator
Pacific Dental Services
Northridge, California
06.2021 - Current
- Coordinated healthcare appointments to enhance patient access and streamline scheduling processes.
- Facilitated communication between patients and providers to ensure accurate understanding of care plans.
- Implemented patient education initiatives to improve health literacy and promote self-management.
- Maintained comprehensive medical records to support quality patient care and compliance standards.
- Monitored insurance verification processes to ensure timely approval of patient services.
- Collaborated with interdisciplinary teams to develop integrated care plans tailored to patient needs.
- Streamlined appointment scheduling efficiency, reducing wait times for patients.
- Developed and maintained strong relationships with patients to foster trust and encourage adherence to treatment.
- Educated patients on insurance benefits and options to enhance understanding of coverage.
- Prepared reports summarizing progress made on each task within given timelines.
- Provided support during software upgrades by analyzing impacts on existing configurations.
- Responded promptly to all customer inquiries regarding availability or schedule changes.
- Maintained up-to-date records of staff availability, absences, holidays, vacations.
- Communicated effectively with team members to ensure they are aware of their shifts and any changes that may occur.
- Sent out frequent telephone or email reminders of scheduled meetings to participants.
- Developed strategies for improving efficiency within the scheduling process.
- Set and confirmed customer appointments.
- Provided reminder calls to clients prior to scheduled visits.
- Scheduled appointments for clients, customers, and other visitors.
COVID-19 Tester
The Hot Clinic
Encino, California
11.2020 - 06.2021
- Conducted patient screenings to assess eligibility for COVID-19 testing based on health questionnaires.
- Assisted healthcare professionals in maintaining cleanliness and sanitation protocols at testing sites.
- Registered patients in the testing system for efficient data management and tracking.
- Educated patients on COVID-19 precautions and the importance of testing.
- Coordinated with team members to streamline sample collection processes.
- Maintained accurate records of test results and patient interactions for reporting purposes.
- Trained new staff on testing protocols and patient interaction techniques.
- Managed the disposal of hazardous materials following safety guidelines.
- Collaborated with health department officials to report testing data and trends.
- Performed routine maintenance on testing equipment to ensure operational efficiency.
- Conducted follow-up calls to inform patients of their test results and next steps.
- Collected and prepared nasal-pharyngeal samples for PCR testing of COVID-19 in accordance with standard methods and processes.
- Performed COVID-19 testing on individuals who met the criteria for testing according to CDC guidelines.
- Explained reason for testing and process involved to each client.
- Set up screening stations to take temperatures and check individuals for COVID-19 symptoms.
- Monitored inventory levels of supplies needed for testing such as swabs, reagents, gloves, masks, ensuring adequate stock at all times.
- Ensured proper handling and disposal of potentially contaminated materials in accordance with health regulations.
- Provided education about COVID-19 prevention, transmission, and safety measures.
- Maintained accurate records of test results and other relevant information in electronic health records system.
- Adhered to HIPAA regulations when handling confidential patient information.
- Maintained cleanliness of testing booth and testing materials to comply with CDC guidelines.
- Oversaw client flow through COVID-19 collection station.
- Scheduled COVID-19 testing prior to medical procedures and surgeries.
- Performed data entry into electronic medical records systems.
- Worked outdoors in extreme cold or heat to screen incoming visitors for COVID-19 symptoms.
- Documented data in designated system to present to client upon request.
Medical Billing Assistant
Pacgenomics
Agoura Hills, California
03.2018 - 01.2020
- Processed patient accounts and maintained accurate billing records.
- Coordinated with healthcare providers to ensure correct billing information.
- Reviewed billing codes for accuracy and compliance with regulations.
- Monitored billing cycles to ensure timely claim submissions.
- Performed audits on billing entries to maintain quality control.
- Updated patient information in electronic health record systems.
- Collaborated with insurance companies to resolve claim issues.
- Evaluated billing processes for areas of improvement and efficiency.
- Maintained confidentiality of patient records in compliance with HIPAA.
- Facilitated communication between patients and insurance representatives.
- Ensured compliance with insurance policies and billing regulations.
- Prepared reports on billing trends and claim status for management.
- Performed follow-up on unpaid or rejected claims with insurance providers.
- Verified insurance coverage and eligibility for medical services rendered.
- Entered data into electronic billing system.
- Assisted patients in understanding the details of their billings and payments.
- Submitted appeals to insurance companies when necessary.
- Maintained accurate records of claims processing in compliance with HIPAA regulations.
- Investigated denials from insurance carriers and resubmitted claims as needed.
- Reconciled account balances when necessary due to incorrect payments or rejections from payers.
- Worked closely with other departments such as clinical staff, administrative staff, and finance department personnel to resolve any issues related to billing.
- Conducted audits on all medical bills for accuracy before submitting them for payment.
- Prepared reports on billing activities for management review.
- Utilized various software programs such as Microsoft Office Suite, Electronic Medical Records, and Practice Management Systems.
- Applied HIPAA privacy and security regulations while handling patient information.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Handled billing, waivers and claims for private and commercial clients.
- Coordinated communications between patients, billing personnel and insurance carriers.
Education
Sylmar High School
Sylmar, CASkills
- Medical records management
- Insurance verification
- Billing compliance
- Health education
- Patient coordination
- Claims processing
- Time management
- Healthcare management
- Multitasking
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Specialty Healthcare Coordinator
Pacific Dental Services
06.2021 - Current
COVID-19 Tester
The Hot Clinic
11.2020 - 06.2021
Medical Billing Assistant
Pacgenomics
03.2018 - 01.2020
Sylmar High School