Reyna Ramos

To work in a human services-oriented business in which my past skills of customer service, discharge coordinator, billing and claims specialist and health insurance knowledge will match and or exceed the current quality of this company. I believe that I am a great candidate and asset to any team. Committed and compassionate Respiratory Therapist with experience in both pediatric and adult care settings. Skilled in conducting respiratory assessments, managing ventilators, and providing emergency respiratory care efficiently. Strengths include strong analytical abilities to evaluate patient needs, develop appropriate treatment plans, and adapt interventions based on patient responses. Contributed to improving patient outcomes through diligent application of advanced respiratory techniques and collaborative healthcare team engagement.

• 11/22/24, RES295, Approved Medical Daily Log, Lovelace, Danielle Montoya, Intubation, 3
• 11/15/24, RES295, Preceptor, LOVELACE WOMENS HOSPITAL, Jennifer Wall, Capillary Sampling, 5
• 11/15/24, RES295, Preceptor, LOVELACE WOMENS HOSPITAL, Jennifer Wall, Monitoring of Neonatal Nasal CPAP, 5
• 11/08/24, RES295, Approved Daily Log, LOVELACE WOMENS HOSPITAL, Jennifer Wall, Monitoring of Neonatal Nasal CPAP, 5
• 11/08/24, RES295, Approved Daily Log, LOVELACE WOMENS HOSPITAL, Jennifer Wall, Monitoring Neonatal Mechanical Ventilation, 5
• 08/28/24, RES290, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Nasotracheal Suctioning, 3
• 08/28/24, RES290, Approved Daily Log, Lovelace Medical Center, Olivia Banuelos, Ventilator Set Up, 4
• 08/28/24, RES290, Approved Daily Log, Lovelace Medical Center, Olivia Banuelos, Tracheostomy and Stoma Care, 4
• 08/26/24, RES290, Approved Daily Log, Lovelace Medical Center, Olivia Banuelos, Documentation and Goals Assessment, 4
• 08/19/24, RES290, Approved Daily Log, Lovelace Medical Center, Olivia Banuelos, Arterial Line Monitoring, 4
• 08/19/24, RES290, Approved Daily Log, Lovelace Medical Center, Olivia Banuelos, Advanced Ventilation Modes, 4
• 08/19/24, RES290, Approved Daily Log, Lovelace Medical Center, Olivia Banuelos, Spontaneous Breathing Trial, 4
• 07/26/24, RES290, Approved Daily Log, Lovelace Medical Center, Danielle Montoya, Bronchoscopy Assisting, 3
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Chest Percussion and Postural Drainage, 3
• 04/22/24, RES190, Approved Daily Log, Hospital Albuquerque, (ECGS)
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Isolation Procedures, 3
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Pulse Oximeter Monitoring, 3
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Incentive Spirometry, 3
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Flutter Valve Therapy/Vibratory PEP Therapy, 3
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Humidity and Aerosol Therapy, 3
• 04/22/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, MDI Administration, 3
• 04/19/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, DPI Administration, 3
• 04/01/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Arterial Line Sampling, 3
• 02/16/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, Basic Spirometry, 3
• 02/16/24, RES190, Approved Daily Log, Kindred Hospital Albuquerque, Sherri Brown, End-Tidal Monitoring, 3

• Presbyterian, Denial and appeal specialist, 01/01/20, 05/01/24, Analyzing reimbursements according to contractual agreements., Responsible for tracking, appealing and resolving denied claims., Maintain status reports consisting of outstanding accounts assigned., Work closely with all outside agencies contracted with the Patient Accounting Department and assist them with account resolution for any accounts assigned., Responsible for maintaining files containing all pertinent information for each account to include correspondence, EOBs, claims, letters of appeal, medical records etc., Identifies causal factors pertaining to denied claims and meets guidelines to ensure timely and accurate reimbursement for all billed charges.
• Presbyterian Customer Service Call Center, Customer Service Representative, 08/01/19, 01/01/20, Provided exceptional Customer service over the phone and provided one call resolutions., Acquired knowledge about Medicare., Stay up to date with Medicare guidelines and requirements for members benefits., Assist clients with Insurance questions and health care needs., Quote members benefits based on health insurance benefits., Assist with medical claims and claim corrections., Data Entry., Assist in updating member demographics.
• A&R Medical Supply, Discharge Coordinator/Claims Analyst, 10/01/17, 08/01/19, Acquired knowledge on government Medicare and Medicaid programs., Stayed up to date on new Medicare and Medicaid guidelines to be able to provide the best care possible and resources needed to assist a customer., Assist client’s health care and Durable medical equipment needs., Data entry to qualify customers for all equipment needs through their insurance providers., Responsible for receiving hospital orders and working one on one with Care Coordinators and Case Managers to be able to get customers equipment needed to discharge from the hospital., Had a direct relation to case managers on behalf of A&R to continue relations with different facilities and companies., Work with insurance companies to qualify clients for oxygen and other medical equipment., Requested documentation needed or Corrected Prescriptions needed to bill insurance companies., Insurance Verification with government and commercial plans., Advocate for customers to coordinate benefits for their durable medical equipment needs., Corrected claims needed to be paid off on claim, requested documentation needed and new prescriptions to requalify for oxygen and other medical equipment need., Review why claims are being denied by insurance, by doing detailed follow ups and working closely with coworkers and insurances to bill denied claims correctly.