Robert Ramirez
Seattle,WA
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Proven ability to leas, manage, and support operations ina high-pressure environment. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
13
13
years of professional experience
Work History
Financial Access Specialist 2
UW Medical Center
10.2022 - 07.2023
- Participate in on-the-job training to learn to coordinate the insurance clearance process, as well as various functions associated with obtaining and verifying the insurance coverage and benefits for facility and professional services
- Review scheduled appointments through patient work queue, and obtain insurance authorizations through assigned payer administrators
- Verify/document patient eligibility and benefits; document progress in EPIC auth/cert and REG
- Refer uninsured patients for Medicaid/Charity eligibility screening; call referring providers to obtain referrals or to initiate authorization
- Prepare estimates of fees upon request from Patient Care Consultants, and review payment options with patients
- Collect payments and process using cash drawer in EPIC
- Call patients to provide overview of limited medical benefits and Out-of-Pocket cost; prepare Notice of Non-Coverage form for patient signature.
Patient Service Specialist Supervisor
UW Medical Center
03.2020 - 10.2022
- Interview applicants and hire staff
- Train and orient new employees to department
- Assign employee schedules, plan for emergency staff coverage, leave requests, coordinate meetings and departmental activities
- Manage staff records, approve and submit payroll
- Conduct employee performance evaluations and audit work performance
- Recommend disciplinary actions
- Prepare reports, manage data, identify and resolve problems
- Monitor and evaluate changes to workflows, assignments, policies, and procedures upon operational changes
- Perform the tasks of the Patient Services Specialist levels 1, 2, 3, and Lead positions.
Patient Service Specialist Lead
UW Medical Center
02.2017 - 03.2020
- Direct PSS staff according to department needs and communicate to the supervisor
- Professionally act as a resource person and role model to PSS staff
- Make sure front desk operations run smoothly by monitoring front desk activities and directing patients
- Evaluate and problem-solve situations and use them as learning opportunities for PSS staff
- Assist with interviews; train and orient new employees and/or volunteers
- Help develop and implement standards of performance, expectations, and tasks for PSS staff.
Patient Service Specialist
UW Medical Center
02.2015 - 02.2017
- Register patients; verify, collect and update demographic and financial information
- Triage patient telephone calls to clinical staff, give directions to specified areas such as clinics, units and support departments
- Assign patient hospital number, assist patients with medical records
- Complete admissions, transfers, and discharges from nursing units
- Coordinate interpreters for patients, secure and release patient valuables and belongings.
Resident Monitor
Reynold Work Release (Pioneer Human Services)
01.2011 - 02.2015
- Ensure the safety and security of all staff and residents
- Perform random pat, bag, room searches, and random urinalysis
- Conduct facility counts throughout the day, check in/out residents from work plan or job searches.
Education
Medical Front Office Certificate -
Seattle Vocational Institute
Seattle, WA06.2010
High School Diploma -
Ingraham High School
Seattle, WA06.2006
Skills
- Team Orientated
- Self Motivated
- Reception/Multi-line Switchboard
- Excellent Interpersonal & Communication
- Proficient in Microsoft Word, Excel, PowerPoint, Outlook and Internet
- Proficient in Epic, Orca, Onehealthport and Availity
- Organized & Efficient
- Ability to work under pressure and ability to multitask
Timeline
Financial Access Specialist 2
UW Medical Center
10.2022 - 07.2023
Patient Service Specialist Supervisor
UW Medical Center
03.2020 - 10.2022
Patient Service Specialist Lead
UW Medical Center
02.2017 - 03.2020
Patient Service Specialist
UW Medical Center
02.2015 - 02.2017
Resident Monitor
Reynold Work Release (Pioneer Human Services)
01.2011 - 02.2015
Medical Front Office Certificate -
Seattle Vocational Institute
High School Diploma -
Ingraham High School
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