Ramona John
North Ft Myers,FL
Summary
Accomplished Patient Financial Navigator at Florida Cancer Specialists, adept in insurance verification and financial assistance, streamlined processes for increased approval rates. Demonstrated excellence in customer service and organizational skills, significantly contributing to revenue cycle improvements. Proficient in EMR, Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs.Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
21
21
years of professional experience
Work History
Patient Financial Navigator
Florida Cancer Specialists
2022.04 - Current
- Provide insurance and benefit verification, obtain authorizations, review payer-specific coverage determinations, investigate financial assistance options and are a dedicated point of contact for each patient.
- Contributed to revenue cycle improvements through diligent follow-up on outstanding accounts receivable balances.
- Streamlined the financial assistance application process for patients, resulting in reduced wait times and increased approval rates.
- Conducted thorough assessments of patient eligibility for charity care programs, securing vital financial support for those in need.
- Increased efficiency in the financial clearance process by implementing standardized procedures for collecting required documentation from patients.
- Payment collection, Apply patient for Financial assistance.
Referral Coordinator
Conviva Care Solutions
2012.08 - 2021.07
- Scheduled appointments with specialists on behalf of clients.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
- Maintained a high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers.
- Processed referral requests from patients, doctors and other health care professionals.
Head Medical Assistant
Jacintha Brillante,MD Pediatric
2009.09 - 2010.01
- Trained new medical assistants in clinical tasks, administrative duties, and office protocols to maintain seamless operations.
- Provided patient education on medication administration, self-care strategies, and post-treatment plans to promote optimal recovery.
- Increased patient retention through exceptional customer service and proactive follow-up on appointments or test results.
- Served as the primary point of contact between patients and healthcare providers, fostering positive relationships through clear communication.
- inhouse - heel stick, finger stick and CBC or Hematocrit /Hemoglobin levels, Strep -B throat test and urine dipstick test. Collect culture swab and send it out to the correct laboratory.
- Inventory of vaccines and medical supplies ending of every month.
Clinical Care Coordinator /Medical Case Manager
Frederiksted Health Center
2003.03 - 2009.03
- Served as a liaison between patients, providers, insurers, and community resources to ensure optimal service delivery throughout the continuum of care.
- Reduced hospital readmission rates through effective discharge planning and coordination of post-acute care services.
- Conducted regular audits of clinical processes, identifying areas for improvement and driving continuous quality improvements across the organization.
- Championed patient advocacy, ensuring that the unique needs and preferences of each individual were respected and addressed throughout the care process.
- Facilitated timely access to appropriate healthcare services by assessing patient needs and coordinating referrals to specialists.
- Participated in interdisciplinary conferences, sharing clinical insights and collaborating on strategies for complex case management.
- Promoted patient-centered care by actively involving patients and their families in treatment decisions and goal-setting processes.
Education
Diploma - Medical Billing & Coding
Sandford Brown Institute
Fort Lauderdale, FL03.2012
Diploma - Medical Assistant
Kaiser Career Institute
West Palm Beach, FL10.2000
High School Diploma -
St. Croix Central High School
Kingshill, USVI06.1998
Skills
- Medicare Expertise
- HIPAA Compliance
- Claims Processing
- Insurance Verification
- Customer Service : Strong problem solving, Excellent organizational skills and detail oriented.
- Client Relation aptitude
- Computer skills: trained in basic programming, OKTA, ONCO, Centricity EMR, Outlook, Chameleon
Timeline
Patient Financial Navigator
Florida Cancer Specialists
2022.04 - Current
Referral Coordinator
Conviva Care Solutions
2012.08 - 2021.07
Head Medical Assistant
Jacintha Brillante,MD Pediatric
2009.09 - 2010.01
Clinical Care Coordinator /Medical Case Manager
Frederiksted Health Center
2003.03 - 2009.03
Diploma - Medical Billing & Coding
Sandford Brown Institute
Diploma - Medical Assistant
Kaiser Career Institute
High School Diploma -
St. Croix Central High School
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