NATIVIDAD RAMIREZ

• Processed and posted payments to patient accounts with accuracy and efficiency.
• Reconciled discrepancies in payment records, ensuring alignment with financial reports.
• Managed daily payment batches using advanced healthcare billing software for streamlined operations.
• Managed large volumes of data efficiently and with great care on daily basis.
• Supported audits by providing detailed records of all posted payments and adjustments upon request.
• Processed payments that had been received from insurance companies and Medicare.
• Consistently maintained high levels of productivity, exceeding departmental goals each month.
• Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines.
• Collaborated with billing team to resolve outstanding invoices and improve cash flow.
• Reviewed accounts on monthly basis to assess aging and pursue collection of funds.

• Managed patient billing inquiries, resolving discrepancies efficiently to enhance customer satisfaction.
• Processed insurance claims accurately, ensuring compliance with regulations and company policies.
• Reviewed and corrected billing errors, improving accuracy of accounts receivable reports.
• Analyzed billing trends to identify areas for process improvement and cost reduction strategies.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Ensured timely payments from insurance providers through submission of accurate and complete claims.
• Reduced claim denials by meticulously reviewing patient insurance information and coding practices.

• Verify drug coverage
• provide authorization and appeal submission information.
• verifying authorization approval or denial.
• providing patients current responsibilities and accumulations.  

• Facilitated successful internal and external audits through sound and thorough documentation.
• Researched and resolved accounts payable discrepancies.
• Composed effective accounting reports summarizing accounts payable data.
• Researched and resolved billing and invoice problems.
• Balanced batch summary reports for verification and approval.
• Call Insurance's to discuss reasons for denials and appeal if necessary.
• Summit Medical Records to Insurance to reprocess claims.

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• Managed various general office duties such as answering multiple telephone lines, completing insurance forms and mailing monthly invoice statements to patients.
• Verified patients’ eligibility and claims status with insurance agencies.
• Prepared patient charts, pre-admissions and consent forms as necessary.
• Adeptly managed a multi-line phone system and pleasantly greeted all patients.
• Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
• Professionally and courteously verified appointment times with patients.
• Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
• Obtain Authorizations from Insurances for Procedures

• Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
• Professionally and courteously verified appointment times with patients.
• Adeptly managed a multi-line phone system and pleasantly greeted all patients.
• Prepared patient charts accurately and neatly for the clinic.
• Diligently filed and followed up on third party claims.
• Prepared patient charts, pre-admissions and consent forms as necessary.
• Precisely evaluated and verified benefits and eligibility.
• Identified and resolved patient billing and payment issues.
• Evaluated patients' financial status and established appropriate payment plans.
• Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
• Updated patient financial information to guarantee accuracy.
• Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.

• Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
• Professionally and courteously verified appointment times with patients.
• Adeptly managed a multi-line phone system and pleasantly greeted all patients.
• Verified patients' eligibility and claims status with insurance agencies.
• Prepared patient charts accurately and neatly for the clinic.
• Prepared patient charts, pre-admissions and consent forms as necessary.
• Researched questions and concerns from providers and provided detailed responses.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
• Resourcefully used various coding books, procedure manuals and on-line encoders.
• Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
• Accurately posted and sent out all medical claims.
• Responded to correspondence from insurance companies.
• Posted and adjusted payments from insurance companies.
• Identified and resolved patient billing and payment issues.
• Evaluated patients' financial status and established appropriate payment plans.
• Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
• Updated patient financial information to guarantee accuracy.
• Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
• Compiled and tracked outstanding balances owed to medical facilities.